Frontotemporal lifting
(forehead lift and temporal lift)
An open, fresh look and slightly raised upwards of the corners of the eyes and the tips of the eyebrows is one of the most desirable changes that our patients would like to see in their appearance. Indeed, the lowered outer corners of the eyes, overhanging upper eyelids, "crow's feet" and creases give the face a gloomy expression and inevitably age.
It would seem that all these shortcomings are concentrated in the periorbital zone and could be solved by eyelid plastics,but not always performing classical blepharoplasty gives the desired result - all because in most cases the operation must be combined with a soft tissue lift of the forehead.
Endoscopic forehead lift is a minimally invasive intervention aimed at rejuvenation, improving the aesthetics of the upper third of the face, in which the main instrument of the surgeon is a special optical device (endoscope). During the procedure, video assistance is performed, which allows you to monitor the course of the operation in detail and avoid unnecessary traumatization of the tissues.
The technique consists in moving the eyebrow line and / or soft tissues of the forehead to a higher position.
To do this, the surgeon makes mini-incisions (no more than 3 mm) in the scalp, without disrupting the blood supply and nutrition of the hair follicles, which prevents hair loss after the intervention.
Due to the small size of the incisions, the sutures after this intervention are almost invisible, which makes it possible to apply this operation also to men suffering from baldness.
An endoscope and other instruments are inserted through mini-incisions. The optical device allows the surgeon to fully control the process and provides good visibility in the working area.
With the device, the surgeon without additional incisions tightens the subcutaneous structures, giving the desired shape to the eyebrows, "raising" the area above the eyelids and smoothing wrinkles on the forehead.
Slight swelling and hematomas are predictable phenomena in the initial period of rehabilitation, they independently pass 5-7 days after the intervention.
Traces after surgery usually disappear very quickly - within 10-12 days.
In the first two days after the operation, cold compresses can be applied to the wound area, and during the week a raised position of the head and shoulders is recommended to reduce swelling.
Stitches are usually removed after 7-10 days.
Washing the hair is usually allowed only after removing or resorption of the sutures. Two days after the operation, you can gently rinse your hair with water.
It is important to follow all the recommendations of the doctor and his assistant, who will constantly be in touch with you.
One of the most effective methods of forehead lift and correction of the shape of the eyebrows is coronary brow-lifting.
It includes 3 varieties (depending on the place of access):
1) Coronary brow-lift / standard incision. In this case, the incision is made behind the hairline from ear to ear, after surgery, the scar remains hidden in the hairy part and invisible to others. However, this approach can lead to a slight shift in the hairline back, making it unsuitable for patients with a high forehead.
2) Coronary brow lifting / modified incision. Access is through an incision that runs from the temple along the hairline to the other temple. This option may be suitable for patients with a high forehead, if necessary, you can reduce the height of the forehead by "lowering" the hairline.
3) Coronary brow lifting / incision along the marginal hair line. The height of the forehead remains unchanged. With this method, a strip of skin 1-2 cm wide is cut, then sutures are applied, which are removed 10-12 days after the manipulation.
Coronary browlifting is quite effective and is suitable for patients with strong age-related changes, as well as if it is impossible to use more gentle techniques.
Brow-lift is an operation to change the shape of the eyebrows and / or lift the upper third of the face. The procedure is very popular among the patients of our clinic, as it allows you to defeat the signs of aging and radically refresh the eye and face as a whole, as well as recreate symmetry and remove aesthetic imperfections of the upper part of the face. Among other advantages of this surgical intervention can be noted minimal risks of complications, a quick rehabilitation period and a guaranteed result in patients of all age categories.
This operation is most popular in patients who are faced with age-related changes in the skin of the forehead, in particular the overhang of the eyebrows. However, the Brow-lift procedure can help younger people who are not satisfied with their appearance with asymmetry of eyebrows, facial wrinkles, etc.
The main indications for the Brow-lift are:
At the consultation, the plastic surgeon will ask you in detail about your state of health and together you will be able to make the final decision on the operation.
Before plastic surgery, the patient must undergo a consultation with the surgeon, diagnosis and preparatory stage. Based on the results of the consultation, the doctor will determine the admissibility and necessity of intervention according to the Brow-lift technique. Alternative facelift techniques may also be discussed, depending on your readings and expected results. The next step will be the passage of diagnostics. In the absence of contraindications, which is confirmed by the examination, an operation is prescribed and recommendations are made to prepare for it.
The use of an endoscope for surgery can reduce the rehabilitation period. Recovery takes no more than 3-4 weeks. Despite the fact that the endoscopic method is low-traumatic, after plastic surgery, the patient may experience hematomas and edema, but they are eliminated independently even before the completion of the rehabilitation period.
As a result of the correction of the shape of the eyebrows Brow-lift, you can find:
Suitable for almost everyone (especially balding men), with the exception of patients with deep wrinkles on the forehead or severe prolapse of the eyebrows.
During the intervention, the plastic surgeon makes several small incisions in the scalp, into which he inserts endoscopic instruments and with their help manipulates the muscles responsible for the formation of wrinkles on the forehead and the support of the eyebrows.
Endoscopic lifting of the forehead and eyebrows is carried out under general anesthesia, the time of the procedure is up to 2 hours, depending on the complexity of the task.
The main advantages of the endoscopic method include low invasiveness, low risk of complications, quick results, and short rehabilitation time.
Disadvantage of the method: the operation is not suitable for patients with especially pronounced sagging of the skin - in such cases it is impossible to do without surgical excision of excess tissues.
Today, several aesthetic techniques are actively used:
This is another very effective endoscopic method, moreover, it has practically no contraindications.
Surgical access is used in the same way as in endoscopic forehead lift - mini-incisions. Through them, the surgeon injects endotins under the skin - thin self-absorbable plates with tiny teeth with which they are attached to the deep layers of the skin. Within six months, endotins are completely absorbed, and collagen fibers grow in their place, which provide a long-term lifting effect.
The operation is performed within 30-60 minutes using local anesthesia.
The main advantages of the method: accurate placement of plates and their reliable attachment, low risk of complications, excellent absorbability of the material, short recovery period (10-12 days).
Cons: the technique is not suitable for patients with thin skin, under which the outlines of the plates may appear.
A relatively minimally invasive and effective rejuvenating technique. During this operation, the aesthetic surgeon excises the excess skin on the temples, which makes it possible to raise the eyebrows and remove wrinkles in this area.
Such browlifting lasts about 45 minutes, general or combined anesthesia.
Advantages of the technique:low traumatism, short recovery period, the ability to combine eyebrow correction with other plastic surgeries.
You can evaluate the results of the procedure by comparing the photo before the eyebrow lift and the photo after browlifting.
This technique involves working with the tissues of the upper eyelid, after which wrinkles and folds disappear in the region of the supratransa and forehead. Technique: the surgeon cuts the eyelid in the thickness of the natural fold, tightens the skin, shortens part of the muscles and removes excess adipose tissue.
The intervention lasts no longer than 1 hour, anesthesia is general.
Advantages of the method: almost instant rejuvenation effect, low risk of complications.
Such browlifting may be recommended for elderly patients with significant tissue ptosis and numerous deep wrinkles.
The effect takes about 30 minutes, is carried out under local anesthesia.
The method involves the introduction of special threads into the eyebrow area that tighten and support the forehead tissues from the inside. Biomaterial can be absorbable and non-absorbable (requiring removal).
The operation takes about 30 minutes, is performed under general or local anesthesia. On our website you can read more about the thread forehead lift.
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