Forehead lifts are not required as commonly today due to the widespread use of Botox on brow depressor muscles. Oftentimes, consistent application of Botox and perhaps fillers to static lines can maintain a reasonably youthful brow position for decades. Nonetheless, throughout the years and the passage of time some people will inevitably have brow descent which may create a tired appearance and nullify the benefits of skillful upper eyelid surgery.
In no other procedure is there such a wide variety of alternative incision placement and this may often be confusing for patients. Incisions can be made behind the hairline, at the hairline, in the central brow, above the brow and with small incisions behind the hairline for the closure endoscopic technique. Dr. Funcik is skilled in all of these techniques.
In any area of medicine a variety of techniques persist because no single technique works like a Cinderella slipper on every patient. Together, you and Dr. Funcik can come up with the approach that best suits your needs and desires.
Although the endoscopic approach has a lot of intrinsic appeal, it is widely accepted and consistent with our experience that the results of this procedure are simply not as durable and precise especially when dealing with complex cases such as uneven brows and strong frown lines.
The most common approach we use to brow lifting is to place a portion of the incision within the hairline in the central third of the forehead. Although every incision creates a permanent scar, most of our patients have such an inconspicuous scar that they are comfortable wearing their hair in a variety of styles after undergoing the procedure. Although this approach does create some protracted scalp numbness which may be bothersome to some people, it is indisputably the only approach which does not result in a higher hairline and a lower hairline is a sign of beauty and youth. All other forehead lift approaches have the disadvantage of elevating the hairline.
It is fascinating to consider that most patients are understandably squeamish about forehead lift incisions while from a surgeon’s standpoint, the incisions associated with a forehead lift are actually much more simple to perform than facelift incisions and you need not be afraid.
There are numerous strategies to make sure the incision is inconspicuous, such as beveling the incision so that as the scar matures, several hairs will actually grow through the scar in order to well camouflage it. Nonetheless, all options are available to the individual patient and can be discussed.
We would be happy to see you in consultation and can show you photographs of numerous patients who have undergone this procedure. If you are serious about it, we can arrange for you to interview a patient who has undergone the procedure to discuss their personal experience.