You may find the wrinkles of your forehead, the bridge of the nose and crow’s feet whenever you look into a mirror, if you are in your mid-30s or more. At the same time you may feel your eyelids getting heavy. This is because the skin and muscles of upper facial parts (the forehead and upper eyelids) are stretched and drooped. As the skin on the forehead droops, the eyebrows located at the bottom of the forehead sag, resulting in wrinkles (crow’s feet, upper eyelids and the bridge of the nose).
If the eyebrows are sagging, muscles of the forehead should be used to lift drooped eyebrows when you open your eyes. At this moment, as stretched forehead skin agglomerates together, the wrinkles of the forehead become thick. On the contrary, since the eyebrows fall in a drooped way in your sleep, the skin below the eyebrows (the bridge of the nose, crow’s feet, and the inside and middle of the eyelids) become tight causing the wrinkles to deepen.
If you do not resolve sagging skin on your forehead, it may cause deep furrows in your face. As the eyebrows are droop downward, the eyes and eyebrows become close, giving a powerful, dark and stifling impression.
Simple surgical procedure
Botox, which weakens the muscle groups around the eyes and middle of the forehead causing sagging eyebrows along with wrinkles on the forehead, eyes, and middle of the forehead, is helpful for anti-aging with upper facial parts.
In cases where the forehead skin is thin, losing elasticity and the eyebrows are drooping, it is effective to apply a specialized program for elasticity to the dermis and subcutaneous tissue as well as the skin. For the outer part of the skin, Glass Fractional laser (ER) can be applied with an operation. For the dermis and subcutaneous tissue, HIFU (Ulthera) or RF (Thermage) is used.
It can be done within a short period, and its great strength will not affect your daily activities. This laser becomes more effective as time goes on. If you do not want a drastic change like performing a surgery, then simpler procedures like laser may be a better option for you.
Endoscopic Eyebrow Lifting with Minimal Incision
It is a way of applying to the forehead, eyebrows, and temporal region an endoscope and 5 minimal incisions in the back of the hairline. It is easily recommended for men with thinning hair or short hair because it leaves hardly any incision scars.
After we loosen up a ligament, its adhesion part holding the drooped forehead would be held with an endoscope. We will then arrange and adjust muscles of the upper facial part, the area which creates the wrinkles in the middle of the forehead, the bridge of the nose, and the eye rims. This makes the result remain stable for a long time.
In cases where we notice that the skin and muscles around the eye rims are sagging, we arrange ligaments around the eye rims and weaken the muscular coat with macroscopic and endoscopic approaches, and then we pull it with double fold lifting. With absorbent bone screws or endotine, we fix the shifted scalp tissue to an ideal position.
Other Scalp Incision Lifting
It is the most natural way to shape along the hairline. About a month after surgery, soft hair begins to grow around incision sites, so surgical scars will not be an issue. You cannot see hidden scars behind the hairline around the temporal region. For a person who has a broad forehead and is in the middle of M shape hair loss, this fine hair growth will help lower the hairline thus creating a narrower forehead and also clearing the hair loss scalp area.
Through incision lines, we make wrinkles smoothen by clearing away sagging skin on the forehead. Clearer eyes are made by applying a double fold lifting of the muscles of the tail of the eye, which is done with an additional endoscope around the outer corner of the eyebrows. After we design the incision sites to look natural again, we suture the incision finely.
Incisions are located 5-6mm behind the hairline. The procedure used to improve wrinkles and lift droopy eyebrows is similar to the hairline incision method.
Suitable in cases of planning a reconstructive surgery after a cheekbone operation
For a person who wants to have a broad forehead
Precautions after surgery
If you feel nauseous right after surgery, please call us to prescribe additional medicine.
2-3 days after surgery, we remove the bandage and drain, and also disinfect the incision and wash your hair. After that, you may style your hair as usual.
Subsequently you can shampoo at home once in two to three days.
After you spread the ointment to the stitched area, bend your upper body backwards and wash your hair with a shower (avoid a scalp massage). After drying your hair (with a towel or dryer with cold air), please remember to apply the ointment to the stitched area once again.
The stitches on the scalp are fully removed 7-8 days after surgery.
As the outcome of the forehead may change after surgery, you should avoid ice and heat massages.
It is recommended to make your upper body a little higher (15-30 degrees) or sit frequently to relieve swelling.
To prevent having a bloodshot face, you should avoid lowering your head thus increasing your blood pressure.
Please apply ointment to the stitched area with a clean hand once or twice a day (until two days after removing stitches).
If you have transplantation of fat on the forehead or the temporal region together, you should be careful not to press or touch the surgical spot, if possible.
For the first 2-3 days, it is good to take a rest for a rapid recovery.
(Please do not lie on your side at night.)