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Age, sun exposure and gravity often produce a descent
in the normal position of the eyebrows. Stress and muscle
overactivity, in an attempt to elevate the position
of the brows, contribute to forehead wrinkling, and
an aged look. A forehead lift or browlift restores drooping
eyebrows to a more natural and youthful position and
smoothes the horizontal lines of the forehead. This
procedure provides a fresher, more rested appearance
to the eyes and face. The forehead lift is often performed
in conjunction with eyelid surgery. The forehead lift
is the surgery of choice when excess upper eyelid skin
is caused by drooping eyebrows or when deep forehead
wrinkles and furrows between the eyes are present.
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| During your initial consultation
with Dr. Kolker, he will thoroughly discuss with you your
desires and expectations for surgery. He will conduct
a thorough examination of the skin and tissues around
your forehead, eyes and face. He will carefully review
with you the procedure or combination of procedures that
suit you best. Dr. Kolker will answer all questions that
you might have regarding any step of the process. |
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| Depending upon your specific
needs, the forehead lift maybe performed using the classic,
"coronal" technique, or with the endoscopic
technique (utilizing a video camera and instruments through
small incisions). Dr. Kolker will discuss each option
with you carefully, and together you will decide on the
technique that is most appropriate to achieve your goals.
With the coronal browlift, an incision is made across
the scalp, within the hairline. The skin and soft tissues
will be loosened down to the brows, the small muscles
that produce wrinkling between the eyes will be removed,
and the skin will be redraped upward. With the endoscopic
technique, four to five small incisions are made within
the hairline and an endoscope is used to visualize the
elevation of the forehead skin and soft tissues using
small instruments. The muscles that produce wrinkles
are cut and the deep tissues are resuspended, restoring
the brows to a smoother, more youthful appearance. The
procedure takes between two and four hours depending
on your skin type and the number of procedures you have
at once. Browlift surgery is performed in our fully
accredited in-office surgical facility. A private duty
nurse will attend to you over night following surgery.
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Most
patients experience only mild discomfort. Swelling,
bruising, numbness and itching are expected, and generally
resolve after several weeks. You will be seen by Dr.
Kolker frequently in the post-surgery period. Most stitches
will be removed after ten days. You should plan on allowing
a week for recuperation. Most people return to work
after 10 days to two weeks. Light aerobic exercise is
begun after two weeks and more strenuous activity is
begun after three weeks. Exposure to the sun must be
limited for several months following surgery.
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