Forehead Lift
Browlift / Temporal Lift / Brow Lift
The eyebrow which is a distinguishing portion of our forehead, contain hair follicles. The human eye, that includes the eyebrow and eyelid, is responsible for expressing one's non verbal emotions. The contour, shape and position of the eyebrow can suggest sadness, anger, confusion and alertness. The eyebrows droop down as a person ages, this causes fullness and hooding of the upper eye lid. This change of the brow position is often accompanied by deep transverse lines of the forehead, vertical lines at the glabelar area and crow's feet at the lateral side of the eyes.
Significant number of patients that come to our office presents primary concerns about the appearance of their upper face. The common complain is that they are often told, that they look tired, sad or even angry when they don't feel these emotions. These people usually attribute this negative emotional state with the appearance of their upper eye lids and will usually request for upper blepharoplasty. This false perception of psychological pessimism of the face is due to the appearance of the upper eye lid which is affected by the brow position.
The eyebrows' position can be altered surgically to help change the patient's facial expression; this is called forehead lift or brow lift. It can be lifted by excising the excess skin of the forehead through an incision behind or just along the hairline. But for some patients who heal easily, especially Caucasians, the incision can be placed just above the eyebrows. The contour and shape of the eyebrows can also be altered by lifting the lateral half of eyebrow, to raise the brow upward and back for a more youthful position which executed through an incision at the temple area of the scalp. This procedure is called temporal lift. All of these procedures also improve or soften the deep transverse lines at the forehead, crow's feet at the sides of the eyes and frown lines over the glabelar area. Thus resulting, in a younger and relaxed look.
I often perform this as out patient procedure in our fully equipped ambulatory surgical facility or patients may be admitted for a day or two, if they prefer more comfort and relax immediately after the surgery. Whether the procedure will be performed as an Out-Patient or as a Hospital procedure, preoperative laboratory and medical clearance is required. The procedure will last for 60 to 90 min. Forehead lift or temporal lift can be done under deep sedation with local anesthesia or general anesthesia. Patients are required to wear tight dressing or compression garment for 1 to 2 week, for this will help the skin redrape to the muscle of the face, assist in controlling swelling and also prevent fluid to accumulation under the skin. There will be some swelling and mild bruising of the face that will last for 2 to 3 weeks. Sutures are removed 7 days after the surgery.
Any patient planning to have this procedure will require 10 to 14 days for the initial consultation, laboratory, medical clearance, surgery; follow up, suture removal and early recuperation. After this patient is safe to travel since wounds are dried and healed.
Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.
The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure. Another surgery may be necessary.
The decision to have forehead lift is extremely personal and you'll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.
Possible risks and complications:
• Unfavorable scarring
• Bleeding (hematoma)
• Infection
• Poor wound healing
• Anesthesia risks
• Blood clots
• Correctable hair loss at the incisions
• Elevated hairline
• Facial nerve injury with weakness or paralysis
• Facial asymmetry
• Skin loss
• Numbness or other changes in skin sensation or intense itching
• Changes in skin sensation
• Eye irritation or dryness
• Eyelid disorders that involve abnormal position of the upper eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the lower eyelid (ectropion) can coexist with sagging forehead and eyebrow structures; brow lift surgery will not correct these disorders; additional surgery may be required
• Fluid accumulation
• Pain, which may persist
• Skin contour irregularities
• Skin discoloration and swelling
• Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
• Possibility of revisional surgery
For more information on affordable cosmetic procedure, selecting qualified cosmetic plastic surgeon and to know all your options for the procedure you want to have you may visit www.philippinecosmetic.com/ or www.cosmeticplasticsurgeryphil.com .
Author:
Dr Rino Lorenzo is a Filipino Plastic Cosmetic and Reconstructive Surgeon based in Manila, Philippines. He is a Board Certified and fully trained Cosmetic Plastic Surgeon, with 6 years of formal training in the field of Aesthetic, Reconstructive and Burn Plastic Surgery. Dr Rino Lorenzo is a Fellow of the Philippine Association of Plastic Reconstructive and Aesthetic Surgeons.
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Resource box text: "Dr R Lorenzo is the author of http://www.philippinecosmetic.com , a free guide to affordable cosmetic plastic procedures, choosing the right surgeon and safety tips in cosmetic plastic surgery, affordable and safe cosmetic surgery tourism"
Occupation: Cosmetic and Reconstructive Plastic Surgeon
Dr. Rino Lorenzo have a high sense of responsibility, devotion to duty, compassion to patients and above all a fervent desire to learn and excel in his chosen field. Dr. Lorenzo is Board Certified in plastic surgery, he is a Diplomate of the Philippine Board of Plastic Surgery and fellow of the Philippine Association of Plastic Reconstructive and Aesthetic Surgeons (PAPRAS).
Coming from a well-known family of doctors, Dr. Rino Lorenzo is the eleventh child of the late Dr. Felipe Lorenzo Sr., a surgeon, and Dra. Peregrina Lorenzo, an anesthesiologist. He is the ninth member of the family to become a doctor. The medical profession of both his parents greatly influenced his decision to pursue a career in the medical field.
Dr Rino Lorenzo practices plastic surgery in a compassionate manner, combines excellent training with a caring and attentive bedside manner. He has years of experience in cosmetic and reconstructive procedures. Dr Rino graduated from the Pontifical University of Santo Tomas with a degree in Bachelor of Science in Medical Technology as his preparatory course to medicine. He then took his medical education at the same institution, graduating within the top ten percentile of his class. With his special interest in the field of surgery, he underwent training in general surgery at the Philippine General Hospital Medical Center (PGH). Dr Lorenzo had his years of formal training in Plastic Surgery from the University of the Philippines Section of Plastic and Reconstructive Surgery training program where he served as Chief Resident of the Department of Surgery during his senior year.
Dr Rino performs a variety of aesthetic and reconstructive surgeries including, dermabrasion, cleft lip, palate, and other congenital defects; scar revision; surgery of physical malformation and malfunction as a result of trauma and burns; and even maxillofacial injuries. In terms of aesthetics, Dr. Rino is also an expert in full body contouring, liposuction, abdominoplasty, breast surgery, facial rejuvenation, breast lift, breast reduction, buttocks augmentation, cheek and chin augmentation, rhinoplasty, upper and lower eyes rejuvenation and injectables such as Botox, Dermal Fillers like Restylane and Perlane.
He is one of the cosmetic plastic consultants at the Borough Medical Care Institute, a center for beauty and wellness that aims to provide safe and quality results in plastic cosmetic surgery. Together with a team of certified plastic surgeons, the group would like to bring back professionalism in this field of medicine by adhering to the right and safe procedures. Dr Rino Lorenzo is also affiliated with several medical center in Metro Manila were he practice cosmetic, reconstructive and burn plastic surgery.
For more information you may visit www.cosmeticphilippines.com or www.philcosmeticplasticsurgery.com
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