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Dallas Browlift - Plano Forehead Lift
A brow-lift offers improvement even in relatively young people who are experiencing the development of frown lines or sagging of the brows over the upper eye. With aging, these can become more pronounced, similar to the processes that affect the lower face and are improved with facelift techniques. As the tissue loses its elasticity, there is a tendency for the eyebrows to drop off their perch on the bony rim above the eye. Creases in forehead, the result of facial animation, become permanently engraved in the skin. Frown lines develop between the eyebrows.
A brow-lift readjusts the skin and muscle of the forehead. The muscles that cause the forehead to wrinkle are weakened just enough to diminish its wrinkle-causing tendency, yet allow the muscles to retain their tone. The sagging eyebrows can be readjusted to assume their normal position on the brow bony rim. The excess skin is removed, giving the brow and forehead a smoother, more youthful look. This procedure can now be performed with the use of the endoscope and three small incisions in the hair-bearing scalp, leaving minimal chance for scarring. A brow-lift can be combined with a face-lift because it improves the upper part of the face, an area the face lift does not address in detail.
Dr. Lester will see you the morning of surgery and place the preoperative markings on you just prior to surgery. These markings will wash off in 2-3 days. You will be able to ask him any questions that remain at that time. Light general anesthesia or intravenous sedation will be administered by anesthesia specialists to insure minimal discomfort. This surgery generally lasts about 3 hours.
With the endoscopic approach, minimal skin is resected leaving short incisions mostly in the hair and not plainly visible. The brows and forehead skin are suspended using sutures anchored to tiny titanium screws positioned high up on the head. These provide sustained tension as healing occurs and are generally buried deep in the scalp and not noticeable. Typically, there is some change in sensation to the area of scalp behind or around the incision lines on the top of the head. This is usually resolved in the first few months after surgery.
Iced gel pads or ice packs during the first 24-36 hours following surgery will help reduce swelling. It is recommended to keep the head elevated on pillows during the night and to sit in an upright chair or recliner during the early postoperative days. This will reduce swelling.
Oral pain medicine will be prescribed which will be sufficient to relieve any discomfort. Topical antibiotic ointment for the first 2-3 days will aid in minimizing discomfort. Sutures and staples will be removed within 7 to 10 days. A moderate amount of swelling in the forehead begins to resolve by the first week as does any bruising around the eyes. Usually you will require one to three weeks to recuperate, although this depends upon the individual.