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Surgery for Droopy Eyebrows & Forehead

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If a person is in the mid-30s or older, they may find wrinkles on the forehead, on the bridge of the nose and crow's feet whenever he/she looks into the mirror. At the same time, the person may feel his/her 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 base of the forehead also sag, resulting in wrinkles (crow's feet, upper eyelids and the bridge of the nose).

If the eyebrows are sagging, muscles of the forehead tend to be used to lift drooped eyebrows when the eyes are open. As the resulting stretched forehead skin bunches together, the wrinkles of the forehead become evident. In addition, since the eyebrows fall in a drooped way during sleep, the skin below the eyebrows (the bridge of the nose, crow's feet, and inside / mid-section of the eyelids) also bunch up, creating and deepening wrinkles in those areas.

If a person does not resolve sagging skin on the forehead, it may cause deep furrows on the face. As the eyebrows begin to droop, the separation between the eyes and eyebrows become narrow, giving an aged and unappealing look.

Minimally invasive procedures

Botox is helpful for anti-ageing associated with the upper facial parts. It weakens the muscle groups around the eyes and middle of the forehead responsible for causing sagging eyebrows and associated wrinkles.

In cases where the forehead skin is thin, losing elasticity and the eyebrows are drooping, Dream recommends applying a specialized treatment program for elasticity to the dermis, subcutaneous tissue and the skin itself. For the outer part of the skin, Fractional laser (ER) can be applied with an operation. For the dermis and subcutaneous tissue, HIFU (Ulthera) or RF (Thermage) is recommended.

These can be done within a short period, and its effects will not affect your daily activities. Laser treatment becomes more effective as time goes on. If a person prefers not to undergo surgery, then simpler procedures like laser may be a better option.

Endoscopic Eyebrow Lifting with Minimal Incision

This may be applied to the forehead, eyebrows or temporal region with an endoscope and 5 minimal incisions at the back of the hairline. It is easily recommended for men with thinning hair or short hair because it hardly leaves any incision scars.

After loosening up a ligament, its adhesive section holding the drooped forehead would be held with an endoscope. Dream specialists will then rearrange and adjust muscles of the upper facial section, the area which creates the wrinkles in the middle of the forehead, the bridge of the nose, and the eye rims. The results will remain stable for a long time.

In cases where the skin and muscles around the eye rims are sagging, Dream specialists will arrange ligaments around the eye rims, weaken the muscular coat with macroscopic and endoscopic approaches, and then 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 Options

1. Hairline incision

  • This 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. Hidden scars behind the hairline, around the temporal region can hardly be seen. For a person who has a broad forehead and is experiencing M-shape hair loss, this fine hair growth will help lower the hairline, thus creating a narrower forehead and also improve the look of the hair-loss scalp area.
  • Surgery procedure: Through incision lines, we smoothen wrinkles by clearing away sagging skin on the forehead. Droopy eyes are treated by applying a double-fold lifting of the muscles at the corner of the eyes, which is done with an additional endoscope around the outer corner of the eyebrows. 

2. Outer hairline (Temporal region) minimal incision

  • It is mainly recommended in the primary stage when the forehead is sagging or when the eyebrows are drooping. Surgical scars are largely unseen because of 4cm mini-openings behind or at the hairline of a temporal region. Clear and bright eyes are created, and eyebrows moved to the ideal positions, smoothening wrinkles at the same time.
  • If the muscles causing crow's feet are heavily drooping, a double-fold lifting with an endoscope is added to make the eyes more visible.

3. Coronal incision

  • 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.
  • Suitable also for a person who wants to have a broader forehead.

Precautions after surgery
  • Hair may be shampooed after two to three days.
  • After drying hair (with a towel or dryer with cold air), please remember to apply the prescribed ointment to the stitched area.
  • The stitches on the scalp are fully removed 10-14 days after surgery.
  • As the outcome of the forehead may change after surgery, ice and heat massages should be avoided.
  • It is recommended to elevate the upper body at all times (15-30 degrees) to relieve swelling.
  • Please apply the prescribed ointment to the stitched area with a clean hand once or twice a day (until two days after removing stitches).
  • If transplantation of fat on the forehead or the temporal region was done together with the surgery, please be careful not to apply pressure on the surgical areas. 

 

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