Forehead | Brow Lift

Forehead/Brow Lift overview


If gravity and stress have aged your upper brow and eye area, then a forehead lift can help give you a more rested appearance and counteract the affects of: • Drooping eyebrows that cause a tired appearance around eyes • Deep forehead wrinkles caused by stress and overactive muscle activity • Forehead creases that give an overall 'serious' look to your face • Drooping eyelids that blephoraplasty alone cannot remedy A forehead or brow lift can produce a more youthful and placid expression to your face by lifting the eyebrows and smoothing the skin over the frontal skull. This can also open up the eyes, lifting the skin above the eye creases upward. Blepharoplasty is often done at the same time as a forehead/brow lift.




Testimonials


“I had an asymmetry in the height of my eyebrows and with the browlift, the asymmetry was corrected and I got a more youthful appearance” “The browlift made my forehead lines less noticeable and made me look younger and more relaxed”




What are the different type of forehead lifts?


There are three different types of forehead lifts: • Endoscopic Brow Lift: This is the most common type of surgery and is the least invasive, yet can often achieve an equally desirable result. A series of very short incisions (about ¾” in length) are made behind the hairline, and then using a special tiny camera and thin instruments, the surgeon repositions the muscles and lifts underlying tissues of the forehead, removing excess fat and tissue as needed to create a naturally more youthful brow. • Temporal Brow Lift: Incisions that are slightly longer than endocscopic incisions are made just behind the hairline at the temples to smooth out the brow towards the sides. This is often done in conjunction with eyelid surgery. • Coronal Brow Lift: One long incision is made inside the hairline and runs from one ear to the other. This lift is less used generally but may be needed for a more extensive lift.




What a forehead lift can and cannot do


What a forehead/ brow list can do: - It can elevate the brow and give this upper area of the face a younger look - By stretching sagging eyelid skin a blepharoplasty may not be needed in some cases - It can help give a more rested look to the eyes - It may improve the vision field by relieving obstruction of sagging eyelid skin and improve makeup application - If a hairline incision is made the forehead browlift can make the forehead look more feminine and youthful (which is ideal for female and for trans patients) What a browlift cannot do: - It can’t improve the quality of sun damaged skin - It can’t erase the lines that are deep in the skin - It may not give the patient the desired shape of the eyebrows s/he wants - The results on the forehead muscles may not be permanent with some patients




Am I a good candidate?


You are an ideal candidate if: • You are in good health
• You do not smoke
• Your pre-op lab work is normal
• You have friends or family available for your post-operative care
• You are willing to follow post-operative instructions
• You are able to take 7-14 days off work to rest at home and heal




Pricing and payment


Endoscopic brow lift: $3,000. Temporal or Coronal brow lift: $3,000. All prices are in U.S. dollars. A deposit of $1000. via U.S. bank transfer or PayPal is required three weeks in advance of your surgery to confirm the date and time of your procedure. Balance is due prior to surgery.




Prepping for your surgery


Consultation
During the consultation, your medical history will be taken in order for Dr. Sigler to evaluate your general health. A careful examination will also be conducted. Together with Dr. Sigler, you will discuss the procedure and communicate your desires, your concerns and the results you hope to achieve. You may bring photographs to show Dr. Sigler examples of what you are looking for. Dr. Sigler will go over details of the procedure itself and the possible risks and complications as it pertains to any medical or structural issues she sees in your case. She will go over the type of anesthesia to be used. Once you have all your questions answered, you will both agree on a surgery plan and a proposed date. Photos are taken before and after the surgery in order to determine the amount of improvement.

Setting Your Surgery Date
A deposit is required to confirm the date and time of the procedure. See pricing and payment above for details.

If You Smoke
If you smoke, this habit should be stopped at least two months prior to surgery. This includes vaping and marijuana smoking.

Two Weeks Prior to Surgery
Review and download this list of medications and supplements to avoid.

Stop taking any medication on this list two to three weeks before the surgery. Avoid any intake of aspirin, ibuprofen, Naproxen (excedrin, Motrin, Aleve, Advil), vitamins that include vitamin E, and energy drinks as well.

Arrange for family or friends to be available for assistance when you return home to recuperate. Clear your schedule. Make a list and organize your environment to be safe and condusive to bedrest. Stock your kitchen and plan ahead for a period of time spent watching TV, reading or simply relaxing.

Labwork
Pre-op labwork should be done two weeks before the surgery with your own doctor, and then sent to Dr. Sigler. If you prefer Dr. Sigler to do the labwork, you will need to make arrangements prior to your surgery date. Required labwork includes:

CBC (Complete Blood Count), CMP (Chemical Metabolic Panel), PT (Prothrombin Time) and INR, PTT (Partial Thromboplastin Time) and any other labwork specific to your particular medical condition(s), such as a Thyroid Hormonal Panel.

If you are over 50, it will be necessary to have a cardiovascular assessment including an EKG and possibly a chest x-ray. Dr. Sigler will advise.

Approval for Surgery
If you are currently undergoing treatment for a medical condition or disease, a letter from your treating specialist must be sent to Dr. Sigler at least two weeks prior to the surgery stating you are cleared to go ahead with the procedure, and include any pre-op and post-op recomendations in order to avoid possible complications during or after the surgical procedure.

Day of Surgery
Allow sufficient time to get to the surgery center. Using Dr. Sigler’s car service is usually the most efficient way to ensure a timely arrival. Intake is typically scheduled two hours prior to the actual surgery. You will meet with Dr. Sigler for your pre-op consultation, pre-op photos and markings on body or face, and for a final discussion about your procedure. Paperwork is completed and final prepping by your surgical team is carefully performed.




Post surgery care


5-7 days stitches out pending Dr. Sigler's evaluation — this also may be done in several visits depending on surgery and patient
5-7 days regular activities (keep head elevated to avoid excessive blood flow)
2-3 weeks regular exercise
You can expect redness and swelling around the incision areas. Bruising may occur, depending upon the type of surgery you had. It is important to keep the stitches covered in antibiotic ointment.Keep the head elevated and use ice or cold compresses every few hours for the first three days and three nights. week to reduce swelling and bruising. Continue to use ice/cold compresses for the rest of the first week if swelling and brusing are still present. Use extra pillows to prop yourself up at a 45 degree angle in bed or on the couch. Rest and sleep on your back for the first week. Avoid physical efforts such as bending over or lifting anything heavier than 1 pound for the first two weeks in order to keep strain and blood flow away from the neck and face. Post-surgery pain is minimal to moderate and the jaw may typically feel tight; accompanying soreness may be treated with analgesics. Avoid heat or sunlight to the face and head in order to reduce swelling. Avoiding sunlight to bruises on face will avoid permanent dark discoloration to the skin. Dr. Sigler will determine when the sutures are to be removed and this may be done in stages in order to minimize scarring. Scars from the incisions fade significantly with time and are, for the most part, inconspicuous because they are located within natural creases. Swelling and discoloration disappear in a week or two. Swelling can be reduced by keeping the head in a slightly elevated position when reclining. A thightness or numbness of the treated area may be present for weeks or months, depending upon the patient's healing and lifestyle.





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