Forehead Lift in Louisville, Lexington, Kentucky

Indication

An eyebrow that has descended too low on the bony orbital rim. A decrease in space between the eyebrow and upper eyelid. Deep vertical furrows between the eyebrows (frown lines).

Intended Results

A more youthful and rested appearance to the forehead and upper eyelids. An elevation of the brow position creating more space between the eyebrow and upper eyelid. A softening of the frown lines between the eyes.

Procedure

CORONAL

This is the most aggressive brow lift necessary sometimes for severe relaxation of the brow accompanied by poor skin elasticity. In this operation, an incision is made in the scalp from the top of the ear across the crown of the head to the other side. The brow is elevated, muscles that produce transverse and vertical wrinkles between the eyes are weakened and skin is removed.

ENDOSCOPIC

Here five small incisions are made in the scalp. An Endoscope is a tube with a light and a camera is inserted along with specialized instruments to lift the brow off the lining of the bone. Muscles are weakened and fixation of the brow is done with a dissolvable apparatus.

TRANSLID

This is Dr. Salzman’s own invention and the technique he will commonly use. A standard upper eyelid incision is made and blepharoplasty is done as well. Through the upper part of the eyelid incision, the same muscles are weakened between the eyes. The brow is elevated in its natural gliding plane. A small incision is made in the scalp and a tunnel is created to connect to the eyelid incision. An absorbable Endotine Ribbon is placed and anchored to the head. The brow is elevated to its desired position and placed on the end of the ribbon where it is held until it heals back in the new more elevated location.

TEMPORAL BROW LIFT

Small amounts of lift of the outer brow or small asymmetries can be corrected with this procedure. Here, an incision is made above the tail of the brow in the hair-bearing scalp. The brow is separated in its natural glide plane. Skin is removed and sutures are placed elevating the brow to a higher level.

The temporal browlift can be done under a local anesthetic. The more involved browlifts described above all require a general anesthetic and can be done in an outpatient facility.

Recuperation and Healing

Browlifts can cause swelling and bruising lasting up to 7-10 days. Pain is easily controlled with oral medications. Sutures or staples if used are removed at 7-10 days post operatively. Most patients can return to work in 7-10 days.

Note

The specific risks and suitability of this 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 rare.