What is a forehead lift?
A forehead lift is the surgical removal of excess fat and skin, as well as a tightening of the muscles in the forehead area. It can correct sagging brows or deep furrows between the eyes. It is often done in conjunction with a facelift in order to create a smoother facial appearance overall.

There are two types of surgical techniques available for a forehead lift. They are the classic forehead lift and the endoscopic forehead lift.

What is a classic forehead lift?
In the classic forehead lift, the surgeon will make an incision that is similar to a headphone like pattern. This incision is called a coronal incision and starts at about ear level and continues across the top of the forehead to the other ear. The surgeon then carefully lifts the skin of the forehead removing any excess tissue and fat and if necessary realigns the muscles. During the procedure, the eyebrows may also be repositioned at a higher level, and any excess skin is trimmed.

What is an endoscopic forehead lift?
The difference in the endoscopic forehead lift and the classic forehead lift is the size of the incision. In the endoscopic forehead lift, the surgeon makes three to five short scalp incisions that are each less than an inch long. An endoscope is then inserted through one of the incisions allowing the surgeon to see the muscles and tissues underneath. In a different incision, the surgeon inserts another instrument that lifts the forehead skin. Excess tissue and fat are then removed and, if necessary, muscles are realigned. Like the classic forehead lift, the eyebrows may also be repositioned at a higher level. The recovery period and scarring is minimal in comparison to the classic forehead lift.

Possible complications associated with forehead lifts:

• scar formation
  Although rare, the formation of a scar may occur. It can be treated surgically by removing the wide scar tissue allowing a new, thinner scar to appear.

• eyebrow movement problems
  Also uncommon is injury to the nerves that control movement of the eyebrows. This can cause the loss of ability to raise the eyebrows or wrinkle the forehead. Surgery may be necessary to correct this problem.

• sensation loss
  The loss of sensation around the incision is especially common with the classic forehead lift. Although it is usually temporary, it can be permanent.

• complications during procedure
  During the endoscopic forehead lift, there is a slight chance of complications arising causing the surgeon to switch techniques and proceed with the classic forehead lift. This can result in a more extensive scar and a longer recovery period.

Who are candidates for forehead lift?
A forehead lift can help people of any age who have developed furrows or frown lines due to stress, muscle activity, or inherited conditions, such as a low, heavy brow or furrowed lines above the nose. However, it is most commonly performed on people ages 40 to 60 to minimize the visible effects of aging.

Forehead lift is often performed in conjunction with a facelift or blepharoplasty.

• surgeon's office-based surgical facility
• outpatient surgery center
• hospital outpatient
• hospital inpatient

• numbness and temporary discomfort around the incision(s)
• swelling that may affect the cheeks and eyes
• numbness on the top of the scalp may eventually be replaced by itching
• pain is usually minimal
• bruising

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