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Cosmetic Surgery of the Forehead & Brow:
The eyes and surrounding structures account for a large part of the
express ion of the human face; they project an array of emotions
including happiness, sorrow and fear. Yet the eyes themselves are
virtually expressionless structures. It is the position of the skin -
the tissue, muscle, fat, hair and lashes around the eyes - that conveys
expression. Sagging of the eyebrows as well as puffiness of the lids
begin to develop with the passage of time. Exposure to the sun and
genetic predisposition can also be contributing factors. The result can
be marked changes in expression causing a tired and/or older appearance
in the forehead & brow area. These physical changes can produce
anxiety and actual visual impairment. Sagging brows can force upper
eyelid skin to rest on the upper eyelashes. Today, several remarkable
approaches to forehead and brow lift, have been developed to eliminate
these problems.
Brow and forehead
lifts are designed to raise eyebrows and reduce wrinkles and furrows on
the forehead, thus creating a smoother, more youthful appearance. This
procedure is frequently done in conjuction with other surgeries such as
blepharoplasty or facelift. Dr. gordon offers 4 different types of
browlift procedures depending on patient needs.
The 4 types of browlift procedures have different incision locations,
depending upon sex of the patient and hairline patterns. Incisions can
be made directly above the upper edge of each eyebrow, or just in front
of the forehead hairline. Alternatively, the incision can be made from
ear to ear across the top of the head, or several small vertical
incisions can be used to do an endoscopic forehead & brow lift.
BEFORE SURGERY
Prior to surgery, a complete medical history is taken in order to
evaluate the general health of the patient. A thorough examination of
the brows, eyelids and face is made to determine the most effective
surgical approach. The amount, distribution and type of excess skin to
be treated is carefully noted. Dr. Gordon will discuss the anesthesia
to be used, the procedure, what results might realistically be
expected, and possible risks and complications. An examination by an
ophthalmologist may be recommended. Preoperative directions may include
the elimination of certain drugs containing aspirin in order to
minimize the possibility of increased bleeding. Antibiotics may be
prescribed for a few days prior to surgery to prevent infection. The
areas to be operated is marked and photographs are taken before surgery.
THE PROCEDURE
Browlifts can be performed in the accredited Complete Cosmetic Surgery
Center, or at Spring Valley Hospital, depending upon the patient and
Dr. Gordon’s preference. It is done under general anesthesia with the
patient asleep. Prior to surgery, medication to relax the patient can
be administered.
Dr. Gordon, following natural camoflage lines and creases, makes very
fine incisions for the browlift. Sutures or staples close the
incisions, and ointments and dressings may be applied. The procedure
can take from one to two hours.
Endoscopic (minial incision) techniques have revolutionized forehead
and brow lifts. These lifts are performed in our surgery center using
general anesthesia. Short vertical incisions are made behind the
hairline and the endoscopie is used to do the lift.
The open brow lift techniques use longer incisions combined with skin subtraction.
FOLLOWING FOREHEAD SURGERY
Antibiotics will be continued for several days following these
surgeries. Sutures and staples are removed within two weeks. Some
swelling and bruising will occur but subsides in a few days. Dr. Gordon
will prescribe ice compresses and medications to reduce swelling and
regain mobility. Women may be allowed to use eye makeup ten days to two
weeks after surgery but are cautioned to cleanse the area thoroughly
after each use. Dr. Gordon determines when normal activities can be
resumed; however, strenuous exercise must be avoided for at least two
weeks following surgery.
There may be sensitivity to bright light and wind in which case the use
of dark glasses is indicated. Sensory changes such as numbness and
itching may occur during the healing process. Final evaluation may not
be possible for several months following surgery. There are certain
inherent risks connected with every surgical procedure which will be
thoroughly discussed by Dr. Gordon. Patients can minimize complications
by carefully following directions given by Dr. Gordon.
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