There are two main types of forehead lifts. The classic, or open, forehead lift involves a long incision along the top of the forehead and lifting of the skin of the forehead. The second type of forehead lift, known as an endoscopic lift, is performed with special instruments inserted through four or five small incisions behind the hairline.
In some cases, a forehead lift is combined with plastic surgery on the eyelids (blepharoplasty) or with a face lift.
Aftercare for a classic forehead lift is somewhat more complicated than for an endoscopic procedure. Pain or numbness around the incision is likely to last longer than for an endoscopic procedure. It is controlled with prescription medication. Patients are usually advised to keep the head elevated for two to three days after surgery to minimize swelling. Bandages are removed a day or two after the procedure; stitches or staples are taken out between 10 days and two weeks after surgery. The patient is asked to rest quietly for one or two days after surgery. Most patients can return to work after a week or 10 days.
Fixation devices around the eyebrows are usually removed within 10 days after endoscopic surgery. As of early 2003, however, new absorbable fixation tacks that do not require later removal are being used with good results.
Patients who have had either type of forehead lift should not wash their hair until the bandage or dressing is removed, usually within two days. Heavy lifting, vigorous athletic activity, sexual activity, or any type of exertion that raises the blood pressure should be avoided for five to six weeks after the surgery. The skin around the incision should be protected from direct exposure to the sun for at least six months, because the new tissue is much more vulnerable to sunburn than normal skin. Most surgeons advise patients to use a sunblock cream to protect the skin even after the first six months.
Patients can use a special camouflage makeup to cover the bruising or swelling that often occurs after surgery, although they should be careful to keep the makeup away from the incision. Most of the bruising and other signs of surgery will fade within about three weeks.
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Author Info: Rebecca Frey Ph.D., The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Surgery, 2004 |