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How much will it cost? The fee for forehead lift can be located in the suggested fees . Please call my office for an accurate price quote or make an appointment for a personal consultation to discuss your specific concerns. My suggested quotes include professional fees, anesthesia fees, operating room costs, house calls, before care and after care. They do not include hospitalization costs, prescriptions, home nursing care, preoperative history and physical examination, laboratory costs, or pathology fees. If you compare prices, make sure that you consider all these costs. In addition, forehead lift surgery usually requires some time off work for a safe recovery. I require complete payment two weeks in advance of all cosmetic surgery. What can I do about my sagging, aging forehead? The combination of aging and sun damage lead to forehead sagging. Forehead lift surgery freshens the forehead by removing extra skin while tightening and forehead muscles. Will I ever be exactly the same on both sides? It is normal for the forehead not to be the same on both sides. Surgery can reduce these differences but not eliminate them. It will be necessary for you to adjust to some forehead asymmetry after your surgery. Will there be scars after surgery? Scars are part of all surgery. It is important to understand where forehead lift scars will be placed. The traditional forehead lift scar extends from ear to ear across the top of the head. It is either hidden in the hair or follows some portion of the hairline. Endoscopic forehead lift scars are multiple short scars in the hair-bearing scalp. These can easily be covered with makeup or hairstyles. What are the risks of forehead lift surgery? There are risks with any surgery. Infection, excessive bleeding, abnormal scarring, poor healing, slow healing, skin loss, changes in skin sensation, muscle or nerve injury, although uncommon, can occur with any surgery. Fortunately, most problems that result from such complications are correctable with additional surgery. Temporary difficulty in raising one or both of your eyebrows usually occurs. It is possible that this can be permanent. It is also possible to have difficulty closing your eyes particularly if you have had upper eyelid surgery in the past. Finally, traditional forehead lift surgery will leave you with an area of scalp having less feeling at the top of your head. This may include some part of the forehead as well. You must understand your risk of complications completely before you choose to have a forehead lift. During forehead lift surgery, the scalp is lifted up. This procedure reduces the blood flow to the hair follicles and can result in hair loss. Permanent hair loss is rare. Although extremely rare, blindness can occur whenever surgery is performed near the eyeball. This can be permanent. It is also possible to experience temporary blurring of the vision as a result of swelling and dry eyes. You will not be able to wear contact lenses for one to two weeks after forehead lift. Only a modest elevation of the eyebrows is necessary to correct sagging brows and hooding of the upper eyelids. The result should look natural and you should look refreshed. A startled or surprised look after forehead lift surgery is usually a result of positioning the eyebrows too high. I have heard about so many bad things on television, is it safe to have forehead lift surgery? There are always risks with forehead lift surgery. When severe complications are combined with inexperienced surgeons, poor results can occur. I believe that forehead lift can be done safely with a high degree of patient satisfaction. Serious problems are usually related to poorly controlled high blood pressure or excessive eyebrow elevation after upper eyelid surgery. Most poor results can be improved with additional surgery. What can you tell me about this new technique I saw on television? Everyone in America wants the latest in medical care. This is not always the best medical care. At times media presentations will leave out critical information about potential complications, quality of result, and FDA regulation. I am open minded when it comes to new technology but I would rather not use my patients to try out the newest techniques. Recent advances in forehead lift include endoscopic forehead lift and eyebrow elevation through upper eyelid surgery incisions. These techniques reduce numbness of the scalp and have fewer and/or shorter scars. However, when compared to traditional techniques I believe the results are inconsistent. For general health reasons, I recommend that all my patients stop smoking. It is clear that smoking increases your risk for developing all sorts of cancers. Breathing problems like emphysema and circulatory problems including heart attacks are also linked to smoking. Smoking can increase the risk of coughing after your surgery that can lead to unwanted bleeding. Smoking also reduces blood flow that can result in skin loss during the healing period. Both of these problems can ruin the results of your forehead lift and lead to revision surgery. It is always best to stop smoking. There are other choices when it comes to forehead lift. These include laser resurfacing, collagen injections, fat graft injections, eyebrow elevation through upper eyelid incisions, direct excision if forehead wrinkles, acceptance of a deformity, and changes in makeup or hairstyle. Although I do not recommend it, scars can be placed in the mid-forehead or just above the eyebrows. Always understand all your options before having a forehead lift. How are forehead lift and upper eyelid surgery related? A forehead lift will tighten the upper eyelid skin by elevating the eyebrows. When forehead lift is done after upper eyelid surgery, less skin is removed than when it is done before upper eyelid surgery. After upper eyelid surgery, care must be taken not to elevate the eyebrows too much because it affects your ability to close your eyes. For this reason, I recommend that if you are considering both upper eyelid and forehead lift surgery, have the forehead lift first. Due to the risks of difficulty closing the eyes and revision surgery, I do not recommend surgery on the upper eyelids and the forehead at the same time. Will this make my forehead higher? If your forehead height is greater than one third of your total facial height, you should consider placing a portion of the forehead lift scar along the hairline. This will maintain the forehead at the same height or reduce it. Placing the scar entirely in the scalp always increases the height of the forehead. Hair restoration can be considered to either camouflage the hairline scar or reduce the forehead height. What additional procedures can I consider that will enhance the result? Surgeries can be combined to yield dramatic and complimentary results. For safety reasons, I recommend the length of surgery be limited to six hours and no more than two areas of the body be treated at the same time. Forehead lift is frequently combined with other facial rejuvenation surgery (lower eyelid surgery, facelift, and laser resurfacing), facial liposuction, facial implants, hair restoration, and nose surgery. Am I a good candidate for forehead lift surgery? This is a question that can only be answered after a personal consultation. Forehead lift is suggested to patients with sagging or drooping of the eyebrows, heaviness near the base of the nose, forehead wrinkles and/or hooding of the upper eyelids. I feel strongly that forehead lift should not be done if high blood pressure (hypertension) is not well controlled, if you are smoking, or if there is severe dryness of the eyes. There are other things to consider as well including psychiatric conditions, life stress, medical illness, obesity, and motivation. You should be a healthy nonsmoker, within twenty pounds of your ideal weight. Major life stresses (i.e. grieving a death and divorce) must be absent in your life. The ideal candidate is motivated by internal desires to look better. How many times can I have a forehead lift done? When a forehead lift is done, extra skin is removed stretching the remaining tissue and raising the eyebrows. In addition, redoing the surgery may raise the eyebrows too high giving an unnatural look. For these reasons, I recommend that a forehead lift only be done once or twice.
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