Heavy drooping eyebrows and horizontal forehead lines that make the face look as it was worried are a part of natural changes that come with aging. Drooping eyebrows may cause the dropping of upper eyelids. This may give an impression as if the eyebrows rested directly on the eyelashes.
The problem can be corrected by endoscopic eyebrow lift or by classical eyebrow lift and fixation. With the endoscopic eyebrow lift the goal is to lift the forehead, eyebrows and upper eyelids. The surgery also allows removing of fine mimic lines between the forehead and eyebrows.
The advantage of endoscopic approach is minimal and barely visible scar tissue, which remains within the hair. The surgery is done with the help of a small pen-sized video camera, connected to a monitor. The endoscope is entered under the skin through 1 centimetre incisions, which the surgeon makes in both temples and the top of the head. The eyebrow and forehead muscles are lifted upwards and fastened at the desired height. The wounds are closed with self-absorbing sutures.
The surgery lasts for 1-2 hours. The surgery is usually performed under general anesthesia.
In case the patient has extremely droopy upper eyelids, the result will be better, if the surgery is made together with upper eyelids correction surgery. Although the procedure may leave a small scar, it can be successfully hidden by make-up or hairstyle.
Endoscopic eyebrow lift and forehead lift does not affect lower eyelids.
For the best results, we recommend to have a manual lymphatic massage before and after the surgery. Manual lymphatic massage can be done in ArtiaClinic.
Haematomas and swelling
If the wounds continue to bleed excessively beneath the skin, haematomas or haemorrhages develop. If necessary, drains are temporarily placed in the wound area, to decrease haematomas.
Swelling greatly increases during the first 24 hours after surgery and it remains substantial for about another five days. Afterwards it slowly starts to decrease and disappears in 2 to 3 weeks.
Decreased skin sensitivity and possible nerve damage
When the skin is freed from underlayers during the surgery, the sensory nerves of the skin may be damaged as well. This can result in post-operative decreased sensitivity of the skin until the sensory nerves recover. In the forehead and in the hair area, the recovery process may last between 9 and 12 months.
Necrosis of skin
In some cases, circulatory problems arising from the tension of skin may cause blisters, redness and on a small scale, even necrosis of skin. Necrosis of skin prolongs the healing of wounds and as a result, the shape and size of scars deteriorate. In that case, a need for corrective procedures may arise.