A browlift, or forehead lift, is a surgical procedure that smoothes out the forehead, while raising the upper eyelids and reducing frown lines. The procedure is one of the least complicated and least painful of all cosmetic surgeries. A forehead lift erases many of the effects of aging, leaving you with a smoother, more youthful looking appearance.
The Pittsburgh brow lift surgeon begins by making an incision at the level of the ear and extending it upward and across the forehead. The incisions are made as close to the hairline as possible in order to minimize the visibility of scars. In the case of bald patients, a mid-scalp incision may be the best option. Once the incision is made, the surgeon removes the appropriate muscle and tissue. The skin is then stitched or clipped back into place (excess skin is trimmed away), and gauze padding or an elastic bandage is applied. The surgery is usually performed on an outpatient basis, using a local anesthesia and a mild sedative.
At our state-of-the-art Pittsburgh plastic surgery facility, Dr. Lori Cherup evaluates patients for the brow lift and blepharoplasty procedures.
The area surrounding the eyes is one of the first to show the signs of aging. Eyelid surgery, or blepharoplasty, corrects for sagging upper eyelids and for the bags that form just below the eyes. Eyelid surgery can wash away years of aging, giving your eyes and forehead a smoother and more youthful appearance.
The Pittsburgh blepharoplasty surgeon begins by making incisions along the natural creases of the upper lid and/or directly under the lower eyelashes. The skin is then separated from the underlying tissue and the excess fat, skin, and muscle are extracted. The plastic surgeon then replaces and stitches the skin, leaving it smooth and tight. Eyelid surgery lasts anywhere from one to three hours and is usually performed on an outpatient basis.
Our plastic surgeon at Radiance Plastic Surgery in the Pittsburgh, Pennsylvania area can discuss eyelid surgery procedures with patients.Alternative Approaches
In some cases, a plastic surgeon may opt for transconjunctival blepharoplasty. The surgeon makes several incisions on the lower eyelid and removes pockets of fat, but no skin. This eyelid surgery procedure is ideal for patients with less pronounced bags under the eyes, and leaves no visible scar.
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Specific Surgical Risks
Loss Of Sensation:
The upper part of the forehead and the top of the head usually experience reduced or absent sensation for several months to a year (or even longer) after surgery. As the sensory nerves regenerate, patients normally experience tingling, shooting sensations, or itching. Massage usually relieves the symptoms.Hair Loss:
A few patients experience hair loss in front of the incisions. When it does occur, it usually lasts only several months, during which the hair follicles remain in a resting phase.Itching:
Areas of itching in the forehead or scalp may occur and be annoying for a few months.Nerve Injury:
Permanent motor nerve damage (loss of motion of one or both sides of the forehead) is possible, but unlikely. Some weakness of one or both sides of the forehead can occur after surgery. In this occurrence, partial or complete improvement usually occurs after several months or a year or more.Asymmetry:
Please realize that everyone's face is uneven from side to side. This will not be changed by this surgery. Preoperative differences in the appearance of your eyebrows will usually not be corrected by a brow lift. Small height differences between the two brows may usually be corrected.Contour Abnormalities:
Partial removal of the muscles that cause frowning or forehead wrinkling may leave small skin depressions. This is not common, and if it occurs, is mild.» Back to top
You may shampoo your hair as soon as 24 hours after surgery. Because of the decreased sensation that often occurs in this area, use warm rather than hot water, and gently use your fingertips. You may touch the staples, but do not pull or remove them. If you use a hair dryer, use the lowest heat setting.Dressing:
Dr. Cherup or a nurse will remove your dressings the day after surgery.Position:
Keeping the head elevated helps reduce swelling and discomfort.Sutures:
Dr. Cherup will remove the sutures or staples approximately 10 days after surgery.Exposure To Sunlight:
If you have thin hair, protect your scar from sun exposure for at least 6 months after surgery. Remember to wear a hat or sunscreen with a skin- protection factor (SPF) of at least 15 whenever you go outside.Activity:
No heavy lifting, straining or aerobic exercise for 2-3 weeks. You may continue the activities of daily living as you feel comfortable.
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Specific As You Heal Information
Swelling And Bruising:
If postoperative oozing occurs under your forehead flap, some swelling and bruising may develop in the upper eyelids or around the eyes. This will usually resolve within 2 weeks.Numbness:
Beware of bumping your head. The decreased sensation that often occurs in this area may make you temporarily unaware of an injury.Activities:
You may return to work as soon as you feel comfortable doing so (usually anywhere from 3 to 7 days after surgery). DO NOT DO ANY HEAVY ACTIVITIES OR AEROBIC EXERCISE FOR AT LEAST 3 WEEKS AFTER SURGERY. Strenuous activities can cause bleeding and swelling for longer periods than you realize.» Back to top