Cosmetic Surgery of the Forehead & Brow:

The eyes and surrounding structures account for a large part of the expression of the human face; they project an array of emotions including happiness, sorrow and fear. Yet the eyes themselves are virtually expressionless structures. It is the position of the skin - the tissue, muscle, fat, hair and lashes around the eyes - that conveys expression. Sagging of the eyebrows as well as puffiness of the lids begin to develop with the passage of time. Exposure to the sun and genetic predisposition can also be contributing factors. The result can be marked changes in expression causing a tired and/or older appearance in the forehead & brow area. These physical changes can produce anxiety and actual visual impairment. Sagging brows can force upper eyelid skin to rest on the upper eyelashes. Today, several remarkable approaches to forehead and brow lift, have been developed to eliminate these problems.

Brow and forehead lifts are designed to raise eyebrows and reduce wrinkles and furrows on the forehead, thus creating a smoother, more youthful appearance. This procedure is frequently done in conjuction with other surgeries such as blepharoplasty or facelift. Dr. gordon offers 4 different types of browlift procedures depending on patient needs.

The 4 types of browlift procedures have different incision locations, depending upon sex of the patient and hairline patterns. Incisions can be made directly above the upper edge of each eyebrow, or just in front of the forehead hairline. Alternatively, the incision can be made from ear to ear across the top of the head, or several small vertical incisions can be used to do an endoscopic forehead & brow lift

BEFORE SURGERY
Prior to surgery, a complete medical history is taken in order to evaluate the general health of the patient. A thorough examination of the brows, eyelids and face is made to determine the most effective surgical approach. The amount, distribution and type of excess skin to be treated is carefully noted. Dr. Gordon will discuss the anesthesia to be used, the procedure, what results might realistically be expected, and possible risks and complications. An examination by an ophthalmologist may be recommended. Preoperative directions may include the elimination of certain drugs containing aspirin in order to minimize the possibility of increased bleeding. Antibiotics may be prescribed for a few days prior to surgery to prevent infection. The areas to be operated is marked and photographs are taken before surgery.

THE PROCEDURE
Browlifts can be performed in the accredited Complete Cosmetic Surgery Center, or at Spring Valley Hospital, depending upon the patient and Dr. Gordon’s preference. It is done under general anesthesia with the patient asleep. Prior to surgery, medication to relax the patient can be administered.

Dr. Gordon, following natural camoflage lines and creases, makes very fine incisions for the browlift. Sutures or staples close the incisions, and ointments and dressings may be applied. The procedure can take from one to two hours.

Endoscopic (minial incision) techniques have revolutionized forehead and brow lifts. These lifts are performed in our surgery center using general anesthesia. Short vertical incisions are made behind the hairline and the endoscopie is used to do the lift.

The open brow lift techniques use longer incisions combined with skin subtraction.

FOLLOWING FOREHEAD SURGERY
Antibiotics will be continued for several days following these surgeries. Sutures and staples are removed within two weeks. Some swelling and bruising will occur but subsides in a few days. Dr. Gordon will prescribe ice compresses and medications to reduce swelling and regain mobility. Women may be allowed to use eye makeup ten days to two weeks after surgery but are cautioned to cleanse the area thoroughly after each use. Dr. Gordon determines when normal activities can be resumed; however, strenuous exercise must be avoided for at least two weeks following surgery.

There may be sensitivity to bright light and wind in which case the use of dark glasses is indicated. Sensory changes such as numbness and itching may occur during the healing process. Final evaluation may not be possible for several months following surgery. There are certain inherent risks connected with every surgical procedure which will be thoroughly discussed by Dr. Gordon. Patients can minimize complications by carefully following directions given by Dr. Gordon.