A mid scalp precise cut is often required for bald or receding hairline patients. This allows the resulting scar to follow the bones’ natural junction and is less noticeable.
The skin of the forehead is then lifted by working through these type of incisions. Underlying tissue is removed and forehead muscles are released or altered. Excess skin is trimmed away and eyebrows can be elevated at this time. This creates a more youthful appearance.
The hairstyle will be tied back with rubber bands behind the incision area and in front of it. Usually, the cut of the scalpel is made just behind the hairline and across the head.
The skin of the forehead is gently lifted. This allows for excess skin and facial muscle portions to be removed. Clips and stitches are used to close the precise opening. The head is washed as a means of preventing irritation.
While there are plastic surgeons out there that are not going to use dressings, incisions may be covered with gauze padding before the head is bandaged.
The endoscopic forehead lift: The same preparation steps are used for this procedure as the traditional forehead lift.
One key exception: long coronal incisions are replaced by three to five shorter incisions. Each cut of the scalpel will under an inch long. The endoscope (a pencil sized camera device that connects to a TV monitor) is placed in one of the incisions. This gives the surgeon a better view of the tissues and muscles beneath the surface.
Different incisions are used to insert another instrument. Forehead skin will be lifted and alterations are made to tissues and muscles. Eyebrows can be lifted at this time and placed in a higher position. Temporary fixation screws and sutures are placed behind the hairline to hold them in place.
Scalp incisions are closed as soon as the procedure is complete with the use of clips and stitches. Once the area is cleaned, the surgeon may choose to dress the area with gauze and a bandage.
An endoscope may be used to perform the browlift. Small incisions are made within the patient’s hairline so that additional instruments are placed inside. Muscle and tissue underneath can then be removed, altered or re-positioned. Visible furrows and creases are improved immediately.
Sagging brows, brow ptosis or droopy eyebrows can be corrected with the usage of scalp and temple incisions and no endoscope is needed. Incisions that are hidden inside of the upper eyelids’ natural crease may also be required. This is how lines on the nose’s bridge and between the brows are eliminated.
The coronal brow lift serves as an alternative technique and pinpoints specific areas that need to be addressed. An incision is made from ear to ear and the forehead is lifted so that excess scalp skin can be removed.
Endoscopic browlift surgery comes with a longer recovery time because of the incision size.
Brow lift incision lines remain concealed within a patient’s natural facial contours or their hairline. There are instances where the incisions may be more visible because they are placed in an area that designed to shorten the forehead. As the bruising and swelling diminishes, the results become more visible and the patient’s appearance is more youthful.