Brow Lift or Forehead Lift
Patients commonly request rejuvenation surgery on the forehead because the area is large enough to comprise the major focal and expression point of the upper face, the eyes notwithstanding. Given time and gravity, the muscles that hold the forehead smooth become loose and weak, allowing deep wrinkles to appear. Correction of a wrinkled forehead usually leads to a more youthful look. Patients requesting the procedure commonly range in age from 40 to 60.
A forehead lift is often used in combination with eyelid surgery to reduce sagging skin found on the upper eyelids.
Multiple surgical approaches can be utilized. A direct brow lift is performed by removing an ellipse of skin and muscle just above the eyebrows. The incision is hidden within the brow hair. This technique does not address wrinkles or lines within the forehead and surgical scars may be prominent. It is typically reserved for older patients or for men with thick eyebrow hair and male pattern baldness.
A mid-forehead lift is intended for patients older than 65 who have heavy sagging eyebrows and the deepest forehead wrinkles. To bring about a more youthful look, the surgeon makes incisions within the deep forehead wrinkles and removes the excess skin, fat and muscle. Incisions are made within the deep wrinkles so that the resulting scars are hidden and not very noticeable after healing.
A coronal forehead lift is performed by making an ear to ear incision across the forehead and elevating the entire forehead and brow.
The most current technique, called an endoscopic forehead lift, involves the use of a surgical telescope to elevate the brows and smooth forehead wrinkles through small incisions made behind the hairline.