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World Class, State-of-the-Art Cosmetic Brow Lift, Forehead Surgery w/Lower Costs
Endoscopic Forehead - Endoscopic Brow Lift Cosmetic Surgery Procedures
The traditional face lift was designed to improve sagging tissues of the neck and jaw lines, whereas eyelid surgery would correct the upper face appearance only around the eye sockets. Neither dealt with vertical wrinkles between the brows or horizontal grooves on the forehead, particularly unsightly in females, giving them a worried or "tough" look.
Endoscopic forehead lift
A relatively new technique in all surgical specialties was developed in the eighties. With the use of special instrumentation, surgeons are able to perform procedures inside the body cavities without making large incisions. It is extremely useful in abdominal, lung, orthopedic surgery. It has become one of the fastest developing techniques in facial plastic surgery, especially in corrections of the forehead and mid face. Whereas many surgeons use this method, it has certain limitations and is not suitable for every patient. The choice of this technique will depend on the age of the patient, and hairline and eyebrow configuration.
Brow - Forehead Lift Prices...
Endoscopic Forehead Lift Total Price $2,250
Forehead Lift & Upper or Lower Blepharoplasty (Eyelids) Total Price $2,970
Forehead Lift & Upper and Lower Blepharoplasty (Eyelids) Total Price $3,690
Forehead/Brow Ridge Contouring Totl Price $3,300
Forehead/Brow Ridge Contouring & Brow Lift Total Price $5,190
Brow Ridge Contouring & Scalp Advancement Total Price $5,400
Scalp Lift & Brow Lift & Brow Ridge Contouring Total Price $6,390
Scalp Lift/Reduction Total Price $2,700
Non-surgical Brow Lift - APTOS Total Price $1,200
Package Includes:
- Attending Doctor/Surgeon's fees, nursing, material cost, pre and post procedure consultations, tests and physical examination.
- Medical surgical procedure hospital costs
- All ancillary medical surgical staff
- All medications, medical supplies and drugs used during the in-patient hospital stay.
- Room fees for a private air conditioned room. Notes...Room includes bathroom, TV, telephone. Room includes accommodations for one guest.
- Meals. The type of cuisine will be served as what is available at the hospital.
- Rental of pre-activated cellular phone for use during stay. Note: Phone usage charges are not included in price.
- All diagnostic tests, laboratory, radiology etc. before and after the procedure as required for the procedure and as advised by the attending physician/surgeon.
- More comprehensive quote available in the Medical Travel Packet.
Brow Lift - Forehead Lift
Brow lift (forehead lift) is a plastic surgery procedure which will raise your eyebrows to a higher and more aesthetic position. It will also improve lateral hoods (which are the droopy flaps of skin that hang over the outside corner of your eyes. Plastic surgery of your forehead will also soften your horizontal forehead wrinkles and the scowl lines between your eyebrows.
A brow lift will NOT improve baggy eyelids, puffy eyes, or crows feet. Consider eyelid surgery or wrinkle treatments for these problems.
Scars from a Brow Lift....May be on top of the head or in front of the hairline, depending on the technique chosen (see Brow Lift Options below).
Brow Lift Options...Brow lift may be performed in several ways. There are three commonly used techniques (Hint: if your surgeon suggests a technique which is not similar to one of these, then go elsewhere). The options are coronal lift, endoscopic lift, and subcutaneous lift.
A coronal forehead lift involves an incision across the top of your head, from ear to ear. Through this incision, your surgeon can alter the muscles (frontalis, procerus, and corrugators) that cause horizontal forehead wrinkles and scowling. After doing this, your surgeon will actually remove about a 1-2 cm strip of your scalp and sew the remaining scalp together. Although this may sound gruesome, it is the oldest and most reliable technique in brow lift surgery. The main disadvantage is that you will be numb on the top of your head for about six months, after which time the sensation usually returns. This technique also raises your hairline, which can be a problem for those with a high forehead who also wear their hair back. The advantages of this technique are that it is lasting (it will not have to be repeated as you age, with very rare exceptions). Also the scars are concealed behind the hairline and are not seen after they heal (unless you are a man with a receding hairline, in which case you should not have this kind of brow lift).
Endoscopic forehead lift involves four to six short (one inch) incisions behind your hairline. Through these small incisions, your plastic surgeon inserts and endoscope which has a tiny camera on the end. This allows her or him to see under your skin without making a long incision across the top of your head. Through this technique, your plastic surgeon will be able to do most of the things that can be accomplished through a coronal lift with a few notable exceptions. Your plastic surgeon will be able to weaken the scowl-causing muscles but will not be able to directly alter the muscle that causes horizontal wrinkles. Also, your plastic surgeon can lift your forehead, but does not remove the excess scalp. She (or he) merely shifts it upward and backward on your skull. To secure your scalp into its new position, your plastic surgeon may drill small hole into your skull and place tiny screws (which later are removed or which are absorbed by your body). Even with these screws, because excess scalp is not removed, there exists greater potential for your forehead and brows to droop after an endoscopic lift. (Relapse is most common in those with very droopy brows and very deep creases.) Because endo lifts have only been performed since 1995, no one knows exactly how long the results last. Finally, endo lifts, like coronal lifts, raise your hairline, but (unlike coronal lifts) they do not cause temporary numbness on top of your head.
Subcutaneous forehead lifts are the least commonly performed of all brow lifts. In this technique, your plastic surgeon makes an incision across the top of your forehead, where your hairline begins. All of the muscle alterations that are performed through a coronal lift are possible through this operation. Also, your excess skin is removed. Because the incision is in front of the hairline, your hairline will not be moved higher (unlike the other two techniques). Also, you will not have numbness on top of your scalp. The major disadvantage of this technique is that it leaves a scar across the top of your forehead, which can be highly visible. To conceal your scar, you will need to wear your hair forward. If you are wearing your hair forward, then it doesn't matter as much how high your hairline is because your hairline will not be visible. Hence, you could have had a coronal lift or endo lift in the first place. Think about it.
During and After your Brow Lift
Anesthesia: sedation or general.
Location of operation: Office or hospital.
Length of surgery: 30-90 minutes.
Length of stay: Outpatient (home same day).
Discomfort: Mild; anticipate 0-4 days of prescription pain medication.
Swelling and bruising: Improve in 10-14 days. You can reduce swelling
through constant head elevation and frequent application of ice. You may develop
black eyes temporarily.
Bandages: Removed in 1-3 days.
Stitches: Removed in 7-10 days.
Contact lenses: May be worn in one week.
Make-up: May be worn in 3-5 days.
Presentable in public: 7-14 days, with the help of make-up.
Work: You may feel capable of returning within 3 days, but your
appearance will be the limiting factor.
Exercise: May be resumed in 2 weeks.
Final result: Seen in 2-4 weeks.
Ask your surgeon about
these possible complications and telltale signs
Forehead paralysis
Brow asymmetry
Permanent loss of hair
Numbness of the forehead
Early relapse
The surprised look
High hairline
Tips and Traps
- Do not believe anyone who tells you that an endoscopic brow lift lasts 20 years (this myth is sprawled all over the internet). This procedure has only been around since 1995, so there is no way anyone can predict that it will last 20 years. So far, we know that it lasts at least five years in many people, but others have had to have another lift because their first one did not last this long. By the year 2015, we will know more. My guess is that we will find that it lasts 5 years in 80% of people, 10 years in 60%, 15 years in 40%, and 20 years in 20%. This is just a guess, but will probably be close to the truth.
- If you have mild to moderate brow droop and horizontal wrinkles, an endoscopic lift may be a good choice.
- If you have advanced brow droop with deep wrinkles, a coronal forehead lift may be most appropriate.
- If you have a high forehead, the solution is not simple. To avoid raising your hairline further, you may want a subcutaneous lift, but this will give you visible scars. You need to decide which is worse. Wearing your hair forward will conceal either problem.
- Do not expect a forehead lift to improve your baggy eyelids or crow's feet.
- Quit taking aspirin and ibuprofen for two weeks prior to surgery. Discuss all of your non-prescription medications with your doctor.
- Sleep in a recliner or with your head elevated on pillows for the first several days after surgery to minimize swelling. Frequent application of ice is also important.
The forehead lift or upper face lift, with its various modifications, became popular in the late seventies.
The incisions are usually hidden inside the hair line, although in some instances, may be placed along the hair line on the forehead. The skin of the forehead and eyebrows is lifted. The muscles responsible for creating forehead and between the eyebrow wrinkles are divided under the skin.
This operation has gained great popularity mainly because of the inconspicuous scars, relatively few side effects, and minimal immediate post-operative discomfort. It is frequently used for young females who have a habit of wrinkling their foreheads and whose low positioned eyebrows produce a sad and tired appearance. It is particularly effective in the older age group where sagging of the eyebrows produces hooding of the upper eyelids.
The operation is performed under local freezing with sedation. The patients are requested to shampoo their hair the night prior to their surgery. There is no shaving of the hair required. Some of the hair bearing skin will be removed during the operation unless the incision is placed along the hairline on the forehead when non hair bearing skin is removed. This latter technique is designed to prevent the tendency for post-operative lifting of the hairline.
Some of the hair will be cut during the surgery and will remain in the scalp to fall out during the first two hair washings after the operation. This should not alarm you as a sign of losing your hair. The incision is closed by metal staples which are removed between the seventh and twelfth day following the operation with less discomfort than suture removal. You can wash your hair on the third day, combing it gently with your fingers to avoid catching on the staples along the incision line. You should not dye your hair for three weeks after the surgery and therefore it is advisable to do it a few days prior to the operation.
