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Coronal Lift (Forehead/Brow Lift)

The forehead lift or brow lift- also known as the “coronal lift”- is a procedure designed to elevate brows that have drooped due to the effects of aging and gravity; elevating fallen browns can improve the patient’s range of vision. The repositioning of the brows is brought about by removing excess skin on the forehead, and rejuvenates the face by removing the deep “worry lines” that run across the forehead in the process. It also aids in lifting excess skin off of the upper eyelids, giving the patient a more rested appearance. The forehead lift can also help to reduce the appearance of a high hairline or a high forehead.

There are a number of different approaches for the forehead lift, which includes the direct lift, the mid-forehead pre-tracheal (which begins at or in front of the hair line), the coronal (which begins behind and in the back of the hair line), and the endoscopic (minimal incision) approach.

The goal is to improve the eyebrows’ position, reduce wrinkles on the forehead, and to help reduce wrinkles between the brows.

Procedure Description

  • There are several places incisions can be placed: above the eyebrows within a fold on the skin, in front of the hairline, within the hairline, or endoscopically (meaning the incisions created are as minimal as possible)
  • The procedure may be performed under local anesthesia, conscious sedation, or general anesthesia.
  • During a direct brow lift an ellipse of skin and muscle is removed from just above the eyebrows, and the incision is hidden within the brow hair. However, the direct brow lift does not address wrinkles on forehead.
  • During a mid-forehead lift, an incision is made within deep forehead wrinkles. Excess skin and muscle are removed.
  • During a coronal forehead lift, an incision is made from ear to ear across the forehead, enabling the lifting of the entire forehead and brow.
  • During an endoscopic forehead lift, a surgeon uses a surgical telescope to raise the brows and smoothen forehead wrinkles.
  • The brow line can be elevated and eyebrow asymmetry can be corrected through small incisions created behind the hairline.
  • The procedure is often combined with the blepharoplasty or face lift procedure.

Recovery

  • Sutures are usually removed in 7-10 days.
  • Initial discomfort is controlled with oral medication.
  • Bruising usually subsides within 1-2 weeks.
  • Swelling usually disappears within 2 weeks.
  • Makeup may be used once the sutures have been removed and the incision sites have fully healed. Old makeup should be discarded to prevent bacterial growth and postoperative infection.
  • After the sutures have been removed, the patient may resume wearing contacts when it is comfortable to do so.
  • There is usually some temporary numbness since the sensory nerves in the region of the forehead are stretched.
  • Scars will usually fade within 2 years.

Please Call or Email Vicky with any questions

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