As people age, the effects of time, exposure to the sun, gravity and stresses of daily life can be seen in their faces. Forehead lift rejuvenates the forehead, improving the most visible signs of aging, by elevating the eyebrows and removing the excess skin of the forehead. It can be usually performed with a facelift, which removes excess skin and tightens muscles in the lower face. When there is excess skin in the upper and lower eyelids, eyelid surgery maybe combined with the forehead lift.
The best candidate for a forehead lift is the adult, whose forehead has deep frown lines due to stress, or over activity of muscles, sagging or low position of the eyebrows, tired appearance, and deep horizontal creases across the forehead. Frown lines or furrows between the eyebrows and sometimes across the top of the nose. Good skin elasticity as well as strong bone structure will help the surgeon achieve the desired result. Most patients are in their forties to sixties but forehead lifts are increasingly being carried out on younger and older patients. The purpose of forehead lift surgery is to make you look younger and fresher, without giving you a totally different look.
• Do not sunbathe one week before surgery. • Any medication that you are taking should be reported to your surgeon and then taken as instructed. • You should take ARNICA tablets (A homeopathic medication to minimise post-operative bruising and swelling). Two tablets to be taken three times per day, every day for seven days before surgery. • NO ALCOHOL should be taken 48 hours prior to surgery. • NO non prescribed ASPIRIN should be taken for a minimum of one week before surgery. You are allowed to take paracetamol. • If you are a smoker, you are strongly advised to cut down or even better STOP SMOKING. • If you colour your hair, then have this done no later than one week prior to surgery. It will be at least 4-6 weeks before you can have this done again. • Do not cut your hair before surgery, in order for incisions to be covered post operatively. • Arrange your transportation to and from the hospital. If your operation is performed as a day case you will be discharged after 5.00pm on the day of admission. If you are staying overnight, you will be discharged about 10.00am on the day following surgery.
Day of Surgery
• Nothing to eat or drink for a minimum of 6 hours before your admission. • Remove contact lenses and jewellery while at home. • Wear comfortable, loose clothing. • Bring a head scarf with you, to wear after surgery.
A forehead lift is performed under general anaesthetic and it usually takes 1 to 2 hours operation time. Often the forehead lift is combined with other facial procedures (eye bag surgery, fat injections, laser resurfacing, temple lift), in which case the procedure takes longer to be completed. Different incisions can be used according to each problem. Incisions usually begin inside the hairline, above the ears, to further extend in the forehead of the scalp. Scarring is minimised by these carefully planned incisions.
Through the incision, wrinkles and frown lines are treated, excess skin is removed and the eyebrows can be adjusted. Another technique uses an endoscope, attached to a video camera. Through tiny incisions in the scalp the endoscope allows the plastic surgeon to see and work on the forehead wrinkles. The advantage of this technique is that it needs very small incisions, but it is not for any patients. Stitches secure the layers of tissue and close the incisions. Metal clips may be used on the scalp. A small thin drain is left on each side and removed the following morning. The face is wrapped loosely in bandages to minimise bruising and swelling.
• NO ASPIRIN should be taken for 7 days following surgery. • NO ALCOHOL should be taken 48 hours following surgery. • Continue taking ARNICA as instructed for a further 7 days. • Take any prescribed medication as instructed. • Do not sunbathe or use a sun bed for approximately one month following surgery. • Consume a liquid to soft diet for three days following surgery. • Limit your activities- bending, straining and lifting. Avoid neck turning movements and any movements that will give you the feeling of pulling or tightness along the incision line. • You may experience some swelling of the face and bruising on the neck. This is normal and should disappear within two weeks.