The browlift procedure may be performed with an incision along the scalp hair line or with the use
of an endoscope, a viewing instrument that allows the procedure to be performed with minimal
incisions. Both techniques yield similar results; smoother forehead skin and a more animated
appearance
If you are considering a forehead lift, the following will provide a basic understanding of the
procedure -- when it can help, how it's performed and what results you can expect. It will not
answer all of your questions, since a lot depends on your individual circumstances. Be sure to
ask Dr. Baroody if there is anything you do not understand about the procedure.
THE BEST CANDIDATES FOR A FOREHEAD LIFT
A forehead lift is most commonly performed in the 40-60 age range to minimize the visible effects
of aging. However, it can also help people of any age who have developed furrows or frown lines
due to stress or muscle over activity. Individuals with inherited conditions, such as a low, heavy
brow, or furrowed lines above the nose can achieve a more alert and refreshed look with this
procedure.
Forehead lift is often performed in conjunction with eyelid surgery (blepharoplasty), especially if a
patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they
need upper-eyelid surgery find that a forehead lift better meets their surgical goals.
Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid
surgery may still be good candidates for forehead lift. Dr. Baroody will simply alter the incision
location or perform a more conservative operation.
Remember, a forehead lift can enhance your appearance and your self-confidence, but it will not
necessarily change your looks to match your ideal or cause other people to treat you differently.
Before you decide to have surgery, think carefully about your expectations and discuss them in
detail with Dr. Baroody.
ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK
Complications are rare and usually minor when a forehead lift is performed by a board certified
plastic surgeon. Yet, the possibility of complications must be considered.
In rare cases, the nerves that control eyebrow movement may be injured on one or both sides,
resulting in a loss of ability to raise the eyebrows or wrinkle the forehead. Additional surgery may
be required to correct the problem.
Formation of a broad scar is also a rare complication. This may be treated surgically by removing
the wide scar tissue so a new, thinner scar may result. Also, in some patients, hair loss may
occur along the scar edges.
Loss of sensation along or just beyond the incision line is common, especially with the classic
forehead lift procedure. It is usually temporary, but may be permanent in some patients.
Infection and bleeding are very rare, but are possibilities.
If a complication should occur during an endoscopic forehead lift, your surgeon may have to
abandon the endoscopic approach and switch to the conventional, open procedure, which will
result in a more extensive scar and a longer recovery period. To date, such complications are
rare; estimated at less than 1 percent of all endoscopy procedures.
You can reduce your risk of complications by closely following Dr. Baroody's instructions both
before and after surgery.
PLANNING YOUR SURGERY
For a better understanding of how a forehead lift might change your appearance, look into a
mirror and place the palms of your hands at the outer edges of your eyes, above your eyebrows.
Gently draw the skin up to raise the brow and the forehead area. That is approximately what a
forehead lift would do for you.
During your consultation, Dr. Baroody will first evaluate your face, including the skin and
underlying bone.He will discuss your goals for the surgery and ask you about certain medical
conditions that could cause problems during or after the procedure, such as uncontrolled high
blood pressure, blood-clotting problems, or the tendency to develop large scars. Be sure to tell
Dr. Baroody if you have had previous facial surgery, if you smoke, or if you take any drugs or
medications including aspirin or other drugs that affect clotting.
If you decide to proceed with a forehead lift, Dr. Baroody will explain the surgical technique, the
recommended type of anesthesia, the type of facility where the surgery will be performed, the
risks and the costs involved. Do not hesitate to ask any questions you may have, especially
those regarding your expectations and concerns about the results of surgery.
PREPARING FOR YOUR SURGERY
Dr. Baroody will give you specific instructions to prepare for the procedure, including guidelines
on eating and drinking, smoking, and taking and avoiding certain vitamins and medications.
Carefully following these instructions will help your surgery and your recovery proceed more
smoothly.
If your hair is very short, you may wish to let it grow out before surgery to hide the scars while
they heal.
Whether your forehead lift is done in an outpatient facility or in the hospital, you should arrange
for someone to drive you home after your surgery, and to help you out for a day or two.
WHERE YOUR SURGERY WILL BE PERFORMED
A forehead lift is performed an outpatient surgery center. However, it is occasionally done in the
hospital.
ANESTHESIA USED FOR THE PROCEDURE
Most forehead lifts are performed under local anesthesia, combined with a sedative to make you
drowsy. You'll be awake but relaxed, and although you may feel some tugging and mild
discomfort, your forehead will be insensitive to pain.
The surgery will be performed while under general anesthesia, in which case you will be asleep
through the entire operation.
THE SURGERY
Dr. Baroody will help you decide which surgical approach will best achieve your cosmetic goals:
the classic open method, or the endoscopic forehead lift.
The classic forehead lift: Your head will not be shaved, but hair that is growing directly in front of
the incision line may need to be trimmed. For most patients, a coronal incision will be used. It
follows a headphone-like pattern, starting at about ear level and running across the top of the
forehead and down the other side of the head. The incision is usually made well behind the
hairline so that the scar won't be visible.
If your hairline is high or receding, the incision may be placed just at the hairline, to avoid adding
even more height to the forehead. In patients who are bald or losing hair, a mid-scalp incision
that follows the natural pattern of the skull bones is sometimes recommended. By wearing your
hair down on your forehead, most such scars become relatively inconspicuous. Special planning
is sometimes necessary for concealing the scar in male patients, whose hairstyles often don't
lend themselves as well to incision coverage.
If you are bald or have thinning hair, your surgeon may recommend a mid-scalp incision so the
resulting scar follows the natural junction of two bones in your skull and is less conspicuous.
Working through the incision, the skin of the forehead is carefully lifted so that the underlying
tissue can be removed and the muscles of the forehead can be altered or released. The
eyebrows may also be elevated and excess skin at the incision point will be trimmed away to help
create a smoother, more youthful appearance.
The incision is then closed with stitches or clips. Your face and hair will be washed to prevent
irritation and the rubber bands will be removed from your hair. Although some plastic surgeons
do not use any dressings, your doctor may choose to cover the incision with gauze padding and
wrap the head in an elastic bandage.
The endoscopic forehead lift: Typically, an endoscopic forehead lift requires the same
preparation steps as the traditional procedure: the hair is tied back and trimmed behind the
hairline where the incisions will be made.
However, rather than making one long coronal incision, Dr. Baroody will make three or five short
scalp incisions, each less than an inch in length. An endoscope, which is a pencil-like camera
device connected to a television monitor, is inserted through one of the incisions, allowing Dr.
Baroody to have a clear view of the muscles and tissues beneath the skin. Using another
instrument inserted through a different incision, the forehead skin is lifted and the muscles and
underlying tissues are removed or altered to produce a smoother appearance. The eyebrows
are lifted with an absorbable device anchored to the skull.
When the lift is complete, the scalp incisions will be closed with stitches or clips and the area will
be washed. Gauze and an elastic bandage may also be used.
AFTER YOUR SURGERY
The immediate post-operative experience for a patient who has had a classic forehead lift may
differ significantly from a patient who had the procedure performed endoscopically.
Classic forehead lift patients may experience some numbness and temporary discomfort around
the incision, which can be controlled with prescription medication. Patients who are prone to
headaches may be treated with an additional longer-acting local anesthesia during surgery as a
preventive measure.
Keep your head elevated for 1 week following surgery to keep the swelling down. Swelling may
also affect the cheeks and eyes; however, this should begin to disappear in a week or so.
As the nerves heal, numbness on the top of your scalp may be replaced by itching. These
sensations may take as long as six months to fully disappear. If bandages were used, they will be
removed a day or two after surgery. Most stitches or clips will be removed within two weeks,
sometimes in two stages.
Some of your hair around the incision may fall out and may temporarily be a bit thinner. Normal
growth will usually resume within a few weeks or months. Permanent hair loss is rare.
Endoscopic forehead lift patients may experience some numbness, incision discomfort and mild
swelling.
Incision site pain is usually minimal, but can be controlled with medication, if necessary.
Endoscopic forehead lift patients usually experience less of the itching sensation felt by patients
who have had the classic forehead lift.
GETTING BACK TO NORMAL
Although you should be up and about in a day or two, plan on taking it easy for at least the first
week after surgery. You should be able to shower and shampoo your hair within two days, or as
soon as the bandage is removed.
Most patients are back to work or school in a week to 10 days. Endoscopic patients may feel
ready to return even sooner. Vigorous physical activity should limited for several weeks, including
jogging, bending, heavy housework, sex, or any activity that increases your blood pressure.
Prolonged exposure to heat or sun should be limited for several months.
Most of the visible signs of surgery should fade completely within about three weeks. Minor
swelling and bruising can be concealed with special camouflage makeup. You may feel a bit tired
and let down at first, but your energy level will increase as you begin to look and feel better.
YOUR NEW LOOK
Most patients are pleased with the results of a forehead lift, no matter which surgical method was
used. Often, patients do not realize how much their sagging forehead contributed to the signs of
aging until they see how much younger and more rested they appear after the lift.
Although a forehead lift does not stop the clock, it can minimize the appearance of aging for
years. As time passes, you may want to repeat the procedure.
of an endoscope, a viewing instrument that allows the procedure to be performed with minimal
incisions. Both techniques yield similar results; smoother forehead skin and a more animated
appearance
If you are considering a forehead lift, the following will provide a basic understanding of the
procedure -- when it can help, how it's performed and what results you can expect. It will not
answer all of your questions, since a lot depends on your individual circumstances. Be sure to
ask Dr. Baroody if there is anything you do not understand about the procedure.
THE BEST CANDIDATES FOR A FOREHEAD LIFT
A forehead lift is most commonly performed in the 40-60 age range to minimize the visible effects
of aging. However, it can also help people of any age who have developed furrows or frown lines
due to stress or muscle over activity. Individuals with inherited conditions, such as a low, heavy
brow, or furrowed lines above the nose can achieve a more alert and refreshed look with this
procedure.
Forehead lift is often performed in conjunction with eyelid surgery (blepharoplasty), especially if a
patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they
need upper-eyelid surgery find that a forehead lift better meets their surgical goals.
Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid
surgery may still be good candidates for forehead lift. Dr. Baroody will simply alter the incision
location or perform a more conservative operation.
Remember, a forehead lift can enhance your appearance and your self-confidence, but it will not
necessarily change your looks to match your ideal or cause other people to treat you differently.
Before you decide to have surgery, think carefully about your expectations and discuss them in
detail with Dr. Baroody.
ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK
Complications are rare and usually minor when a forehead lift is performed by a board certified
plastic surgeon. Yet, the possibility of complications must be considered.
In rare cases, the nerves that control eyebrow movement may be injured on one or both sides,
resulting in a loss of ability to raise the eyebrows or wrinkle the forehead. Additional surgery may
be required to correct the problem.
Formation of a broad scar is also a rare complication. This may be treated surgically by removing
the wide scar tissue so a new, thinner scar may result. Also, in some patients, hair loss may
occur along the scar edges.
Loss of sensation along or just beyond the incision line is common, especially with the classic
forehead lift procedure. It is usually temporary, but may be permanent in some patients.
Infection and bleeding are very rare, but are possibilities.
If a complication should occur during an endoscopic forehead lift, your surgeon may have to
abandon the endoscopic approach and switch to the conventional, open procedure, which will
result in a more extensive scar and a longer recovery period. To date, such complications are
rare; estimated at less than 1 percent of all endoscopy procedures.
You can reduce your risk of complications by closely following Dr. Baroody's instructions both
before and after surgery.
PLANNING YOUR SURGERY
For a better understanding of how a forehead lift might change your appearance, look into a
mirror and place the palms of your hands at the outer edges of your eyes, above your eyebrows.
Gently draw the skin up to raise the brow and the forehead area. That is approximately what a
forehead lift would do for you.
During your consultation, Dr. Baroody will first evaluate your face, including the skin and
underlying bone.He will discuss your goals for the surgery and ask you about certain medical
conditions that could cause problems during or after the procedure, such as uncontrolled high
blood pressure, blood-clotting problems, or the tendency to develop large scars. Be sure to tell
Dr. Baroody if you have had previous facial surgery, if you smoke, or if you take any drugs or
medications including aspirin or other drugs that affect clotting.
If you decide to proceed with a forehead lift, Dr. Baroody will explain the surgical technique, the
recommended type of anesthesia, the type of facility where the surgery will be performed, the
risks and the costs involved. Do not hesitate to ask any questions you may have, especially
those regarding your expectations and concerns about the results of surgery.
PREPARING FOR YOUR SURGERY
Dr. Baroody will give you specific instructions to prepare for the procedure, including guidelines
on eating and drinking, smoking, and taking and avoiding certain vitamins and medications.
Carefully following these instructions will help your surgery and your recovery proceed more
smoothly.
If your hair is very short, you may wish to let it grow out before surgery to hide the scars while
they heal.
Whether your forehead lift is done in an outpatient facility or in the hospital, you should arrange
for someone to drive you home after your surgery, and to help you out for a day or two.
WHERE YOUR SURGERY WILL BE PERFORMED
A forehead lift is performed an outpatient surgery center. However, it is occasionally done in the
hospital.
ANESTHESIA USED FOR THE PROCEDURE
Most forehead lifts are performed under local anesthesia, combined with a sedative to make you
drowsy. You'll be awake but relaxed, and although you may feel some tugging and mild
discomfort, your forehead will be insensitive to pain.
The surgery will be performed while under general anesthesia, in which case you will be asleep
through the entire operation.
THE SURGERY
Dr. Baroody will help you decide which surgical approach will best achieve your cosmetic goals:
the classic open method, or the endoscopic forehead lift.
The classic forehead lift: Your head will not be shaved, but hair that is growing directly in front of
the incision line may need to be trimmed. For most patients, a coronal incision will be used. It
follows a headphone-like pattern, starting at about ear level and running across the top of the
forehead and down the other side of the head. The incision is usually made well behind the
hairline so that the scar won't be visible.
If your hairline is high or receding, the incision may be placed just at the hairline, to avoid adding
even more height to the forehead. In patients who are bald or losing hair, a mid-scalp incision
that follows the natural pattern of the skull bones is sometimes recommended. By wearing your
hair down on your forehead, most such scars become relatively inconspicuous. Special planning
is sometimes necessary for concealing the scar in male patients, whose hairstyles often don't
lend themselves as well to incision coverage.
If you are bald or have thinning hair, your surgeon may recommend a mid-scalp incision so the
resulting scar follows the natural junction of two bones in your skull and is less conspicuous.
Working through the incision, the skin of the forehead is carefully lifted so that the underlying
tissue can be removed and the muscles of the forehead can be altered or released. The
eyebrows may also be elevated and excess skin at the incision point will be trimmed away to help
create a smoother, more youthful appearance.
The incision is then closed with stitches or clips. Your face and hair will be washed to prevent
irritation and the rubber bands will be removed from your hair. Although some plastic surgeons
do not use any dressings, your doctor may choose to cover the incision with gauze padding and
wrap the head in an elastic bandage.
The endoscopic forehead lift: Typically, an endoscopic forehead lift requires the same
preparation steps as the traditional procedure: the hair is tied back and trimmed behind the
hairline where the incisions will be made.
However, rather than making one long coronal incision, Dr. Baroody will make three or five short
scalp incisions, each less than an inch in length. An endoscope, which is a pencil-like camera
device connected to a television monitor, is inserted through one of the incisions, allowing Dr.
Baroody to have a clear view of the muscles and tissues beneath the skin. Using another
instrument inserted through a different incision, the forehead skin is lifted and the muscles and
underlying tissues are removed or altered to produce a smoother appearance. The eyebrows
are lifted with an absorbable device anchored to the skull.
When the lift is complete, the scalp incisions will be closed with stitches or clips and the area will
be washed. Gauze and an elastic bandage may also be used.
AFTER YOUR SURGERY
The immediate post-operative experience for a patient who has had a classic forehead lift may
differ significantly from a patient who had the procedure performed endoscopically.
Classic forehead lift patients may experience some numbness and temporary discomfort around
the incision, which can be controlled with prescription medication. Patients who are prone to
headaches may be treated with an additional longer-acting local anesthesia during surgery as a
preventive measure.
Keep your head elevated for 1 week following surgery to keep the swelling down. Swelling may
also affect the cheeks and eyes; however, this should begin to disappear in a week or so.
As the nerves heal, numbness on the top of your scalp may be replaced by itching. These
sensations may take as long as six months to fully disappear. If bandages were used, they will be
removed a day or two after surgery. Most stitches or clips will be removed within two weeks,
sometimes in two stages.
Some of your hair around the incision may fall out and may temporarily be a bit thinner. Normal
growth will usually resume within a few weeks or months. Permanent hair loss is rare.
Endoscopic forehead lift patients may experience some numbness, incision discomfort and mild
swelling.
Incision site pain is usually minimal, but can be controlled with medication, if necessary.
Endoscopic forehead lift patients usually experience less of the itching sensation felt by patients
who have had the classic forehead lift.
GETTING BACK TO NORMAL
Although you should be up and about in a day or two, plan on taking it easy for at least the first
week after surgery. You should be able to shower and shampoo your hair within two days, or as
soon as the bandage is removed.
Most patients are back to work or school in a week to 10 days. Endoscopic patients may feel
ready to return even sooner. Vigorous physical activity should limited for several weeks, including
jogging, bending, heavy housework, sex, or any activity that increases your blood pressure.
Prolonged exposure to heat or sun should be limited for several months.
Most of the visible signs of surgery should fade completely within about three weeks. Minor
swelling and bruising can be concealed with special camouflage makeup. You may feel a bit tired
and let down at first, but your energy level will increase as you begin to look and feel better.
YOUR NEW LOOK
Most patients are pleased with the results of a forehead lift, no matter which surgical method was
used. Often, patients do not realize how much their sagging forehead contributed to the signs of
aging until they see how much younger and more rested they appear after the lift.
Although a forehead lift does not stop the clock, it can minimize the appearance of aging for
years. As time passes, you may want to repeat the procedure.
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| BROW LIFT CONSENT, INSTRUCTIONS |
| 10 South Street . Suite 204 . Ridgefield, CT 46 Federal Road . Danbury, CT 203.790.5700 |
| Before & After Photos |
| Plastic surgeon Michael Baroody, MD offers a variety of plastic surgery procedures. Dr. Baroody's practice is located in Danbury, and Ridgfefield, CT and serves both Fairfield and Litchfield Counties. The doctor specializes in forehead lift, eyelid surgery, rhinoplasty, facelift, neck liposculpture, liposuction, breast augmentation, breast lift, tummy tuck, and others as well as a variety of reconstructive procedures. Examine the website and learn more about Dr. Baroody and the various services provided. Financing options available. 10 South Street . #204 . Ridgefield, CT 06877 46 Federal Road . Danbury, CT 06810 . Phone: (203) 790-5700 |
