Forehead Lift in Louisville, Lexington, Kentucky
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 (also called frown lines).
A more youthful and rested appearance in the forehead and upper eyelids. An elevation of the brow position, creating more space between the eyebrow and upper eyelid. A softening of frown lines between the eyes.
This is the most aggressive brow lift, sometimes necessary 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 and 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.
Here, five small incisions are made in the scalp. A tube with a light and a camera attached (also called an endoscope) is inserted along with specialized instruments to lift the brow off the lining of the bone. Muscles are weakened and the brow is fixated with a dissolvable apparatus.
This is Dr. Salzman’s own invention and the technique he most commonly uses. A standard upper eyelid incision is made and blepharoplasty is performed 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 in 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 from 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 postoperatively. Most patients can return to work in 7-10 days.
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.