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The forehead region is often completely ignored when rejuvenating the face. In addition to the classic facelift, midface lift or neck lift, the forehead lift is being carried out less and less frequently but also mastered by the introduction of botulinium toxin therapy. In addition, regardless of the aging process, there are patients who complain about a low position of their eyebrow region. Both for the aging forehead region, which loses its attractiveness through wrinkles and folds, but also for deep-set eyebrows, a lift of the upper face, i.e. the forehead, can be a sensible measure to remedy this condition.Continue reading
In contrast to the botulinum toxin treatment, a permanent condition can be achieved with the forehead lift and at the same time an excess of skin but also deep-set eyebrows can be corrected. Basically, there are two distinguishable forehead lift techniques. Firstly, there are open and closed or endoscopic forehead lifts. It must be mentioned that both procedures have their requirements and justification. Therefore, we offer both techniques in our private clinic for plastic and aesthetic surgery in Berlin for an individual rejuvenation of the forehead region. Although the endoscopic forehead lift is the more modern and younger procedure, in which the incisions are clearly smaller than in the open forehead lift, there is also a certain limit or limits to the expected result after the so-called front lift or forehead lift due to the small incisions.
Duration of the operation: approx. 2 hours both endoscopic and open
Length of Stay in the Clinic: 1 day
Anaesthesia: general anaesthesia
Follow-up treatment: decongestant measures for 2 – 3 days
Resumption of social activities after approx. 14 days
The open forehead lift or front lift is a traditional and well-established method of rejuvenating the forehead region. The incision is made on the hairy part of the head or at the transition from the forehead to the hairline, whereby we prefer the incision in the hairy part of the scalp. The skin incision is made in such a way that the blade of the knife is inserted parallel to the hair follicles, so that the hair is not lost at this point, or so that the scar is not visible later. The open forehead lift is planned and performed in such a way that the forehead region is completely undermined and loosened. This allows the soft tissues and skin to be fully mobilized and moved upwards. The corresponding excess is then removed from the top of the hairy part of the head and the forehead region is hung with anchors, fixed and finally the skin is sutured. This means the tension on the skin and the underlying muscles can be readjusted and the brow region raised as well.
It is not always possible to achieve the desired eyebrow position by lifting the forehead. Moreover, undermining and thus extensive preparation and manipulation of the forehead is not always necessary in cases of eyebrow protrusion. It can be useful to perform an open brow lift, especially in the case of very dense hair on the eyebrow. For this purpose, a small incision is made at the transition between the upper edge of the eyebrow and the forehead, which is positioned in such a way that it later disappears into the eyebrow. By removing the overlying skin, the eyebrow can be adjusted to the desired height and position.
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In the endoscopic forehead lift, access to the forehead is via three small incisions in the hairy part of the head. This is where the endoscope and the necessary instruments for performing the endoscopic forehead lift are inserted. In our private clinic for plastic surgery in Berlin Dahlem we perform several endoscopic and open forehead lifts every year. The special feature of this procedure, in which only small incisions are made on the scalp, is the minimal trauma and thus the faster recovery after the operation. The result is just as convincing and long-lasting as with the open forehead lift. However, an endoscopic forehead lift is by no means superior to an open forehead lift. Rather, the objective of this procedure is different. On the one hand it is about raising the eyebrows, whereby the emphasis is mainly on the outer brow. On the other hand it is also about raising the soft tissues under the eyebrows, which is why the endoscopic forehead lift is also very often combined with an eyelid lift. Larger skin surpluses cannot be removed with this method. Rather, this procedure lifts the forehead by attaching small, self-resorbable anchor hooks.
Wrinkle treatment on the forehead without surgery is possible and useful up to a certain depth of wrinkles – but it cannot be called a forehead lift. The injection of forehead wrinkles with the help of a muscle relaxant or neuromodulator and/or hyaluronic acid has the advantage of being a minimally invasive procedure. Accordingly, both risks and side effects are minimal. You can also perform your daily activities almost immediately after the treatment.However, this method cannot achieve tightening of the deeper tissue layers and thus lifting of the eyebrows. Moreover, the injected substances are gradually broken down by the body, which results in the complete restoration of muscle activity after about a year. Therefore, a definitely more effective and sensible wrinkle treatment is a forehead lift. Here, a lasting skin tightening of up to 10 years and more can be achieved. Upon request, we will be happy to advise you in detail in a personal consultation.
The Sinis Aesthetics private clinic is represented in various media. On the following pages you will find patient testimonials, evaluations and recommendations. At Estheticon many patient questions are also answered by Prof. Dr. Sinis. med. A selection of ratings can be found here.
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