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Forehead Lift in Colombia

You may be a candidate for a forehead lift in Colombia if you have a sagging forehead or brows that hang too low and too close to the eyes. You may also desire a forehead or brow lift if you have deep vertical furrows between the eyebrows (frown lines).  Not all patients need a brow lift, but for many people drooping of the eyebrows can contribute to the overall appearance of facial aging.

browlift

The main areas of concern, associated with the aging of the forehead and brow are:
  •  Lines across the forehead
  •  Vertical lines between the inner portion of the eyebrows
  •  Sagging of the skin on the upper portion of the nose
  •  Heaviness of the eyebrow, which contributes to the heaviness of the upper eyelids and especially sagging of the outer corner of the upper eyelid.

Forehead Lift (Brow Lift)

Also known as a forehead lift, a brow lift minimizes the creases that develop across the forehead, or those that occur high on the bridge of the nose; improves what are commonly referred to as frown lines; and repositions a low or sagging brow.

If you are bothered by expression lines or other signs of aging in the brow region, a brow lift may be right for you. A brow lift:
  • Minimizes the creases that develop across the forehead, or those that occur high on the bridge of the nose, between the eyes
  • Improves what are commonly referred to as frown lines, vertical creases that develop between the eyebrows
  • Repositions a low or sagging brow that is hooding the upper eyelid
  • Raises the eyebrows to a more alert and youthful position
About Comprehensive Facial Plastic Surgery in Colombia

Various parts of the face in an individual age differently.  One patient may look older due to sagging eyelids, jowls, and neck while another patient complains of a heavy brow, sagging cheeks, and fine wrinkles around the mouth.  Our plastic surgeons at Premium Care have extensive training in the full array of plastic surgery options available for facial rejuvenation.

Changes around the eyes are some of the earliest evidence that occur in the face showing signs of the aging process. The changes are influenced by eyebrow position, eyelid anatomy, genetics, sun exposure and smoking. As noted in the discussion on brow lift it is important to have the eyebrow in the right position in order to get the best results with eyelid surgery.

For every patient, we do a complete facial analysis and discuss treatment options with the patient, both surgical and nonsurgical.  Together with the patient, we come up with a comprehensive facial rejuvenation plan, and can often perform procedures together if more then one is desired.

Many of our patients from  the United States, Europe, and Latin America choose to combine their forehead lift procedure with other facial sculpting procedures.  Rejuvenation procedures typically performed in conjunction with a forehead lift include:

At Premium Care, our plastic surgeons work compassionately with each patient to customize a plan for their facial rejuvenation.  They believe that each patient has distinct goals, unique anatomy, and varied life situations that must be incorporated into an individual, custom plan.

Our patients from have found that facial rejuvenation surgery in Colombia can provide dramatic results, especially when combined with other facial rejuvenation procedures.  If you want to learn more, call us today at (+57) 312 545 5569 in Cartagena and (+1) 305 848 1909 in United States, to schedule your consultation at Premium Care Plastic Surgery, or book your consultation online.

As men and women age, the brow, like other parts of the body, descends.  Women frequently try to mask this descent by plucking their brows and marking them higher with a makeup pen.  Men have no such option.  The lowering of the brow with age has a tremendous effect on the “total” look of the person.  Depending on whether the descent is more toward the middle or more toward the outside, the person may look angry, bored, or tired when they are not.  Raising the brow “opens” the entire eye up.  As a result the person looks more refreshed, awake, and happy.

In addition to elevating the brow, while doing a brow lift, the plastic surgeon may address the other primary sign of aging on the forehead, namely, wrinkles.  We all develop transverse wrinkle lines in the forehead as well as vertical lines or furrows between the eyebrows, just above the nose. Often times these can be very prominent and unattractive. These wrinkles are caused by different muscles just beneath the skin, which pull the skin up or to the side. You will notice that when you raise your brows when trying to look up or when you are surprised, the transverse wrinkles in your forehead become deeper. You have activated a muscle called the Frontalis muscle. When you are angry and squint your eyes or if you try to bring your eyebrows closer together, the vertical lines between your brows become deeper. You are activating a muscle called the corrugator muscle. By cutting a portion of these muscles while doing a brow lift, these wrinkles will become less prominent and you will have a more youthful appearance. As with most other cosmetic procedures, there are various techniques used for brow lifts.

There are several techniques for correcting eyebrow position, and the specific technique used depends on the problem that needs to be corrected. It is important that the patient and our plastic surgeons discuss exactly the brow position and contour that the patient wishes to achieve.  Together, the patient and plastic surgeon then develop a specific surgical plan, utilizing the correct procedure to correct an individual patients area of concern.

A forehead lift (brow lift) is intended to give a more youthful and rested appearance to the forehead and upper eyelids.  Brow lift is done on an outpatient basis under general anesthesia or monitored sedation. The incisions are usually made behind the hairline.  For patients with high foreheads, the incisions can be placed in front of the hairline.  The forehead skin is lifted and repositioned. The muscles that cause frown lines are weakened.

  • When there is sagging of the lateral portion of the forehead contributing to the heaviness of the lateral portion of the upper eyelids, a small incision inside the hair approximately 3 inches long can be used to reposition the brow. This is called a lateral brow lift and is the most popular of our forehead lift procedures.  This technique is predictable and powerful, resulting in a natural result that makes patients look years younger.
  • A traditional forehead lift involves an incision that extends across the top of the head.  The forehead skin is gently pulled upward, and any excess skin is removed. Some of the forehead muscles may be modified as needed.  This is a very powerful technique that lifts brows, which are extremely low, and corrects deep transverse creases across the forehead.  However, we find that this technique is rarely necessary for the majority of our patients.
Rejuvenation procedures typically performed in conjunction with a brow lift include:
  • Eyelid surgery to rejuvenate aging eyes
  • Facelift to correct aging changes in the mid- to lower face and neck regions
  • Skin resurfacing techniques
Your Forehead Lift Consultation at Premium Care Plastic Surgery
Is it right for me?

Forehead lift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

A forehead lift is a good option for you if:
  • You are physically healthy and maintain a stable weight
  • You do not smoke
  • You have realistic expectations
  • You are bothered by the feeling that your brow sags giving you a more aged and heavy look

The best way for patients to understand their options is in a thorough consultation at Premium Care Plastic Surgery.  In our approach to forehead lift, communicating with our patient is key.  We will carefully review your medical history and evaluation questionnaire before the initial consultation.  Our plastic surgeons will explain how the different procedures may apply to you specifically, and what we recommend for your particular case.  We’ll also demonstrate the result we’d expect with each of the procedure options.

Be prepared to discuss:
  • Why you want the surgery, your expectations and desired outcome
  • Your general health status and any pre-existing health conditions or risk factors
  • Medical conditions, drug allergies and medical treatments
  • Previous surgeries
  • Use of current medications, vitamins, herbal supplements, alcohol, and tobacco
Your plastic surgeon at Premium Care will also:
  • Take photographs for your medical record
  • Discuss your options and recommend a course of treatment
  • Discuss likely outcomes of forehead lift and any risks or potential complications

For some patients, we may recommend that forehead lift be combined with a additional facial rejuvenation procedures such as eyelid surgery, facelift, or skin treatments for as part of a comprehensive plan for facial rejuvenation.

The forehead lift surgery is an area of expertise for our plastic surgeons at Premium Care.  Our patient population reflects a cross-section of residents from the United States, Europe, and Latin America, and we have a broad range of experience with different ages, ethnicities, and sizes of patients.

If you’re ready to meet with our plastic surgeons at Premium Care Plastic Surgery in Colombia, you can request a consultation online or contact us at (+57) 312 545 5569 in Cartagena and (+1) 305 848 1909 in United States.

Preparing for Forehead Lift

Premium Care Plastic Surgery in Colombia encourages you to take a few simple steps in preparation for your forehead lift procedure. Following the steps presented below will make your recovery from surgery as safe, short and relaxing as possible.

Your surgeon will provide you with a list of specific steps you should take leading up to your procedure. This list might include limiting your use of certain medications, alcohol and cigarettes, and minor changes in your grooming habits. These changes are temporary but very important to your comfort and safety.

Before brow lift surgery, you may be asked to:

  • Get lab testing or a medical evaluation
  • Take certain medications or adjust your current medications
  • Stop smoking well in advance of surgery
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

Special instructions you receive will cover:

  • What to do on the day of surgery
  • The use of anesthesia during your breast lift
  • Post-operative care and follow-up
  • Medications to purchase and bring with you on the day of surgery.

A patient’s final result will be enhanced through active participation in preparing for forehead lift.  Patients considering forehead lift need to maintain a healthy, well-balanced diet to prepare for surgery.

Smoking increases the risks of many potential complications of surgery and should be avoided. Patients who smoke should stop at least two weeks before surgery, but even then they are still at increased risk when compared to non-smokers. Nicotine patches or gum are also associated with increased complications and should not be used in preparation for surgery.

On the day of your surgery, we ask that you wear no jewelry or make-up and avoid deodorant, skin lotions and perfume. We recommend warm, loose fitting clothing, such as pajamas or sweat pants with thick socks or slippers to prevent the chills commonly experienced after surgery. Please inform your surgeon if you have a cold, sore throat, active allergies or an open cut or sore on the day of your surgery.

You’ll need help.  Arrange for someone to drive you to and from surgery and to stay with you for at least the first night following surgery.  Effective planning prior to undergoing forehead lift can make your recovery as brief and relaxing as possible.

To take the next step, arrange a personal consultation with Premium Care Plastic Surgery in Colombia by calling (+57) 312 545 5569 in Cartagena and (+1) 305 848 1909 in United States, or use our convenient online form to reserve a consultation online.

Your Forehead Lift 

Just as with face lifting, there are several techniques for correcting eyebrow position.  The specific technique used depends on the problem that needs to be corrected. It is important that the patient and the plastic surgeon discuss exactly the brow position and contour that the patient wishes to achieve.  Just as with the facelift, the correct procedure must be used to correct an individual patients area of concern.

What happens during brow lift surgery?
Step 1 – Anesthesia

Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision

The incisions used depend on the technique best for your individual plan.

Traditional Forehead Lift

A traditional forehead lift involves an incision that extends across the top of the head. This is a very powerful technique that lifts brows, which are extremely low, and corrects deep transverse creases across the forehead.

For a conventional forehead lift, an incision usually is made across the top of the head, a few inches behind the hairline or sometimes along the hairline.

The forehead skin is gently pulled upward, and any excess skin is removed. Some of the forehead muscles may be modified as needed.

The incision lines from a brow lift are well concealed within the hair or natural contours of the face unless they are placed at the hairline to shorten the forehead.

Lateral Brow Lift

When there is sagging of the lateral portion of the forehead contributing to the heaviness of the lateral portion of the upper eyelids, a small incision inside the hair approximately 1 inch long can be used to reposition the brow. This is called a lateral brow lift.

 
 Step 3 – Closing the incisions
Brow lift incisions typically are closed with:
  • Removable or absorbable sutures
  • Skin adhesives
  • Surgical tape
  • Special clips
 Step 4 – See the results
Brow elevation may be maintained by the use of:
  • Permanent sutures
  • Small surgical screws
  • Absorbable fixation device placed inconspicuously at the temple

If you’re ready to meet with our plastic surgeons at Premium Care, you can request a consultation online or contact us at (+57) 312 545 5569 in Cartagena.

Forehead Lift Recovery

When your procedure is completed, your forehead may be taped and your head may be loosely wrapped to minimize swelling and bruising. A thin tube may be present to drain any excess blood or fluid that may collect under the skin.

Although many factors are involved with determining your actual recovery time for brow lift, you will likely experience a post-surgical recovery period of 24 to 48 hours and an additional reduced-activity period of a few days.  You may experience mild soreness and swelling for a few weeks.  Exercise and normal activity can resume at the direction of your plastic surgeon. Over time, post-surgical swelling will decrease and incision lines will fade.

 Most patients will need:
  • A week to recover before returning to work
  • A month for the incisions to heal so that the patient may resume exercise
  • A year for the scars to fade to a subtle, pale color
 You will be given specific instructions that may include:
  • How to care for your breasts following breast augmentation surgery
  • Medications to apply or take orally to aid healing and reduce the risk of infection
  • When to follow-up with your plastic surgeon.
 Be careful

Following your physician’s instructions is key to the success of your surgery. It is important that the surgical incisions are not subjected to excessive force, abrasion, or motion during the time of healing. Your doctor will give you specific instructions on how to care for yourself.

 The results will be long lasting

Initial wound healing may take 5 to 10 days, at which time any sutures or clips will be removed. You will be ready to return to work and normal activity at this time. Cosmetics can camouflage any bruising that remains.

Postoperative typically admire and enjoy their elevated eyebrows, unobstructed upper eyelids, and smoothing of forehead creases and frown lines.  Results appear gradually as swelling and bruising subside to reveal smoother forehead skin and a more youthful, restful appearance.

Healing will continue for several weeks as the swelling dissipates and incision lines refine and fade and it may take several months for your complete recovery.

Life-long sun protection will help to maintain your rejuvenated appearance by minimizing photo-aging or sun damage. In addition, a healthy lifestyle will also help extend the results of your rejuvenated, more youthful appearance.

Risks of Brow lift

The specific risks and the suitability of the forehead lift procedure for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.

To take the next step, arrange a personal consultation with Premium Care Plastic Surgery in Colombia by calling (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States, or use our convenient online form to book a consultation online.

Brow Lift: Words to Know
  • Brow lift: A surgical procedure to correct a low-positioned or sagging brow. Smooths furrows across the forehead and between the brows.
  • Endoscope: A surgical video device sometimes used during brow lift procedures.
  • General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness.
  • Hematoma: Blood pooling beneath the skin.
  • Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
  • Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
  • Skin resurfacing: Treatment to improve the texture, clarity and overall appearance of your skin.
  • Sutures: Stitches used by surgeons to hold skin and tissue together.
Forehead Lift: Frequently asked questions

Who Is A Candidate For A Brow lift?

Both women and men are candidates. Most commonly, the procedure is performed on those over the age of 40. Very frequently, a patient presents for a facelift or a blepharoplasty (eyelid surgery) with the complaint of looking tired, sad, or angry when they are not. Coworkers may make comments to them regarding how tired they look. Friends may think they are angry at them when they are not. Without realizing it, the cause of this tired or angry appearance in not the eyelids or the face, but the brow. If the brow is low toward the middle of the forehead, it gives an angry appearance. If it is low toward the outside, it gives a tired look. This can be dramatically improved by simply lifting the brow. The second group of patients are those who do not particularly look angry or tired but are simply aging and appear older than they would like. They often present to the surgeon for a facelift or eyelid surgery. Because brow lifts are only recently becoming popular, they have not thought about a brow lift or possibly even heard of it. Most patients who are candidates for a facelift and/or eyelid surgery will benefit from a brow lift. In fact, if a patient has a facelift and blepharoplasty but not a brow lift, their face may appear somewhat out of harmony with a youthful lower face and an aged forehead. Finally, the third group of patients who would benefit from a brow lift, are those who have very prominent wrinkles in the forehead. These may be either the transverse or the vertical wrinkles. These can be significantly reduced by cutting the muscles which cause them.

Who Should Not Have A Brow Lift?

There are not many contraindications to a brow lift. Some patients may be better candidates for one type over the other, i.e., open versus endoscopic. Patients with significant health problems or those who are smokers and are unwilling to quit should not have this procedure.

What Are The Potential Risks With This Type Of Surgery?

The primary risks associated with this procedure are numbness of the forehead skin and scalp, loss of hair near the incisions, descent of the brow to its original position, asymmetry of the eyebrows, asymmetry of the wrinkle lines, lateral displacement of the eyebrows, an elevated and unnatural appearing hairline (with open technique), and inability to raise the brow or wrinkle the forehead. Many of these complications are temporary or can be corrected with additional surgery. The overall risk of developing a significant complication is small.

What Do I Need To Do Before The Surgery?

You will consult with your plastic surgeon at Premium Care and discuss exactly bothers you about your brow. Even if it is a minor problem, mention it beforehand. Your doctor will explain the options, discuss exactly what he plans on doing and what you should expect after surgery The doctor will take photographs of your face and may review your photographs with you to make sure you are both in agreement with the goals of the surgery. You may consider letting your hair grow long to help hide the scars while you heal.

What Do I Need To Avoid Before Surgery?

You will need to avoid aspirin and aspirin containing products for 2 weeks before surgery. Also, completely quit smoking at least two weeks before surgery. You should avoid getting a suntan as well. If you use skin rejuvenation creams like Retin-A or Renova, stop using these 1-2 weeks before surgery.

What Type Of Anesthesia Is Used?

We use general anesthesia for this procedure. You will be completely asleep and not feel anything.

What Are The Different Techniques Used? Where Is The Incision Made?

Although many techniques have been used in the past, there are basically two techniques that we feel are safe and work well. These are the open “classic” technique and the endoscopic technique. With the open technique, an incision is made across the top of the head, from the top of one ear to the other. The scalp and forehead skin are then lifted and pulled back. The excess skin is then removed and the incision closed. This procedure can raise your hairline between 1 and 2 centimeters. If your hairline is high already, there are alternative incisions (‘hairline incision”) which can be used. Using the endoscope, three to five small incisions are made just behind the hairline. The endoscope is simply a tube with a camera attached to it that allows the surgeon to see inside the body without making a large incision. With the endoscope in one incision and an instrument in another incision, the scalp and forehead skin are lifted off of the bone. Sutures are then placed from the undersurface of the skin down to the bone to raise and hold the brow. The small incisions are the closed. No extra skin is removed. With either technique, the muscles that cause the wrinkles in the forehead can be totally or partially cut to minimize the wrinkles. Other techniques involved making incisions in the forehead skin just above the brow and cutting this skin out to pull the brow up. In general, these leave unattractive and visible scars and should be avoided.

How Long Is The Incision? Will It Be Noticeable?

In the open approach, the incision is rather long, extending from one ear the other, going over the top of the head. With the endoscopic technique, the incisions are generally about 1.5 to 3 centimeters in length. Because all of the incisions are hidden by the hair, they are usually not noticeable at all. Men who are bald or balding can still have this procedure done with the endoscope as the small incisions can be hidden relatively well, even if there is no hair to hide them.

Are Drains Placed?

It is not uncommon to place a drain in the forehead during the surgery. This is often removed after one day.

How Long Does The Surgery Take?

The brow lift will take one to two hours. Often it is done in conjunction with other procedures like a blepharoplasty or facelift.

When Will I See The Final Results?

There will be some swelling in the forehead and scalp region. This will resolve in a few weeks. After one month you should be able to see the final results.

What Happens After Surgery?

You will go to the recovery room for 1 to 2 hours. Your vital signs will be monitored. Once you are stable you will be taken home (or to a hotel) by your friend or family member. You will want to stay relaxed and primarily in bed for the first few days. You will need to keep your head elevated and relatively still you should, however, begin to start walking, eating, and using the restroom the day after surgery. Your dressing and drains will be removed after 1 or 2 days. Your activity can slowly increase each day but it will take up to 2 weeks before you start to feel like your old self again. You should avoid any strenuous activity for 4 weeks.

How Much Bruising, Swelling, And Pain Is There?

There will be a small amount of bruising in the forehead region and possible even around the eyes and in the cheeks. The bruising will usually last 2 weeks but becomes less noticeable each day after surgery. There will be some pain after surgery, but this is usually controlled with pain pills. By the third day, you may not need anything stronger than Tylenol. Lastly, you may experience some itching around your incision sites. This is not unusual and can be treated with medication. This too will go away after a short time period.

How Long Should The Results Last?

The brow should remain elevated and the wrinkles in the forehead should appear less prominent for many years. The aging process obviously does not stop but the overall improvement in appearance may last a lifetime.

When Can I Get Back To Work?

You should plan on being off work for at least 2 weeks. If your work is strenuous, you will need more time off. After 2 weeks, it may still be obvious that you had surgery (depending on what was done). If you don’t want anyone to know you had surgery, or you at least want all the bruising and swelling gone before going back to work, ask your doctor what the average time for this to occur.

Will I Have To Change Any Bandages?

Your doctor will change your dressings during the first week after surgery. In the second week, most patients no longer require dressings.

What Happens Before I Have The Surgery?

You will first have a consultation with your plastic surgeon to discuss your particular case. Once you have decided to proceed with the surgery and have scheduled a date, you will return for a second visit at which time your surgeon will review the surgery with you, photos will be taken, consent forms will be signed, and further instructions and prescriptions will be provided. Full payment is made prior to surgery (or financing is arranged). You will have lab tests drawn and an electrocardiogram done by your primary care physician (or we will recommend where to do this) one to two weeks prior to the surgery. A medical clearance may be needed.

What Happens On The Day Of Surgery?

You will arrive at Premium Care Plastic Surgery and be escorted to the surgery center. You will not have eaten or drank anything since midnight the night before. You will be checked in and your vital signs will be taken. You will put on a gown. An intravenous line will be started. Your surgeon will mark your face and scalp with a marker. You may be given a sedative in your I.V. to help you relax before you are taken back to the operating room.

Will There Be Stitches That Have To Come Out?

Your plastic surgeon will remove the sutures and or staples after approximately 7 to 10 days.

When Can I Resume Sexual Relations?

You may want to wait at least two weeks until your incisions are well on their way toward healing. Early sexual activity may prolong your soreness and discomfort.

When Will I See The Final Results?

It will take 3 to 4 weeks for most of the swelling to resolve and probably 3 to 6 months for all if it to resolve. After this you should have a reasonably good idea of what the final look will be.

If you’re ready to find out more about changing your look, request a consultation online or call us at (+57) 312 545 5569 in Cartagena and (+1) 305 8481909 in United States to request an appointment with one of our skilled, sensitive plastic surgeons.

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