Minimal Incision Endoscopic Forehead Lift

Dr. Don Revis

by Dr. Don Revis | August 16, 2010 @ 01:00PM

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forehead liftBrow lifting, also known as a forehead lift, is a surgical procedure to restore a more rested, alert, and refreshed appearance to your forehead and eyebrows. With aging, the effects of gravity and a loss of skin elasticity cause the eyebrows to sag. You may also experience a deepening of the wrinkles of your forehead or wrinkling between your eyes that can also be corrected during brow lifting.

There are several techniques available for brow lifting. The traditional method involved an incision over the top of the head from ear to ear. This technique is still practiced by many plastic surgeons who have not been trained in the more advanced, modern techniques of endoscopic surgery. The disadvantages of the traditional techniques are that your body must heal the extremely long incision, and your scalp is completely numb behind the incision.

If you are interested in an endoscopic brow lift, you should seek out a plastic surgeon who is a trained, experienced, and accomplished endoscopic surgeon offering the most up-to-date, state-of-the- art plastic surgical techniques to his or her patients. Through five small incisions the size of a postage stamp, hidden behind the hairline, your plastic surgeon should be able to accomplish a lifting of the brow and a decrease in forehead lines that many others can only achieve by resorting to the old, outdated techniques.

If you are concerned about the appearance of your forehead and think you might be a good candidate for a forehead lift, this article will provide you with a basic understanding of the issues involved. However, it is extremely important to individualize treatment to your specific circumstances and goals, It is recommended that you visit a board certified plastic surgeon for a personal consultation.

The Consultation

During your initial consultation, the plastic surgeon will inquire about your medical history, prior procedures, medications, allergies, and your motivations for seeking plastic surgery. It is very important that you be thorough when providing your medical history, as this information helps to prevent complications during your care. When asked about medications, be sure to include any vitamin or herbal preparations, as these can affect your blood pressure and clotting ability. Honesty regarding your use of tobacco and alcohol is also very important, as these may have a profound impact on your recovery period and your ability to heal following your procedure. After reviewing your medical history, your physician should discuss your concerns, priorities, and motivations for pursuing plastic surgery, as well as your fears. After examining you, he or she will be able to offer advice and options to help you achieve the appearance you desire. He or she should also explain the advantages and disadvantages of the different options you have before you.

At the completion of your consultation, you will likely be given a written estimate of the cost of your procedure. At this time, you will also have the option to schedule your procedure if you so choose. The decision to undergo surgery is a very important one, and the final decision should be given very careful consideration. At no time should you feel pressured to make a decision. You are also encouraged to bring your spouse, significant other, family member, or a friend to your consultation.

Where Your Procedure Will Be Performed

Sometimes you have a choice in the location of your surgery, whether in a hospital, ambulatory surgery center, or office surgery setting. Some surgeons prefer to perform the majority of their procedures in their own office surgery suites as a convenience to themselves and to save money. Others prefer to do only minor procedures in the office while performing major operations in a local hospital or ambulatory surgery center.

Any physician, regardless of his or her training, can open an office surgery suite, advertise as a plastic surgeon and perform plastic surgery on the unsuspecting public. Regulation of office surgery settings is currently voluntary and often substandard. New laws are being passed in an attempt to correct this potential problem. If you decide to have your surgery in an office surgery suite, choosing a physician who is board certified by the American Board of Plastic Surgery, who also has hospital privileges to perform the same procedure, and whose surgery suite is accredited, adds an additional level of quality assurance.

To obtain hospital privileges to perform a procedure, surgeons must provide proof of education, training, and experience. This provides an added level of assurance that the surgeon has been properly educated and trained. Avoid a surgeon who operates in his or her office but does not have hospital privileges to perform the same operation.

Type(s) of Anesthesia

Anesthesia is an essential part of any surgical procedure and must be performed safely. General anesthesia is the deepest form of anesthesia. You are asleep, feel no pain, and will not remember the procedure.

Deep intravenous sedation, called "twilight sleep," is a combination of local anesthetic administered at the surgical site by your plastic surgeon and intravenous sedation administered by the anesthesiologist. You breathe for yourself, but you are in a deep sleep throughout the procedure. You should feel no pain, and you should not remember the procedure.

Your plastic surgeon should discuss these options with you more thoroughly at the time of your consultation, and please ask about anything you do not understand.

Details of the Procedure

Brow lifting usually takes two to two and a half hours to perform. After you are properly anesthetized, your plastic surgeon will make the incisions necessary for the introduction of a small camera the size of a pencil. Using similarly sized instruments, the forehead is lifted off of the underlying tissue. The muscles of the forehead are then treated, decreasing their ability to form troubling wrinkles.

To secure the forehead in its new position, your plastic surgeon will likely use absorbable suture material that is harmlessly absorbed by your body after your forehead has healed in its more youthful position.

At the completion of your surgery, the incisions are carefully closed to minimize your scar.

After Your Procedure

Brow lifting is performed as an outpatient procedure, unless you are having multiple procedures performed at the same time. After recovering in the recovery room for approximately one hour, you will be able to go home in the company of a friend or family member.

You should plan to take it easy following your surgery. No strenuous activities, heavy lifting (over 20 pounds), aerobic exercises, swimming, contact sports, tennis, or golf should be planned for the first several weeks. As your plastic surgeon monitors your recovery, he or she will advise you when it is safe to resume specific activities. Your sutures will be removed after approximately seven days.

The Results You Can Expect

You will notice an improvement in the appearance of your forehead immediately. Very mild swelling usually takes several weeks to subside. You should be able to resume your normal daily activities the day after surgery, and you should be able to resume all of your physical activities within two weeks of surgery.

This article provided by Dr. Don Revis.

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