Endoscopic forehead lift: characteristics and performance of the procedure

Classic surgical methods of forehead lift (front lifting) using coronary access can provoke hair loss in the area of ​​the incision and a shift in the marginal border of hair growth, in addition, noticeable scars are likely to appear in the area of ​​skin incision. Postoperative hematomas increase the rehabilitation period and can lead to the appearance of age spots on the skin and thickening of the areas. Based on the fact that cosmetic plastic surgery is focused on improving the appearance and quality of life of almost healthy people, there is a need to introduce minimally traumatic high-tech methods, such as endoscopic lifting.

Today, endoscopic forehead lift and eyebrow lift are the most demanded, forced procedures. All women have a desire to look better, but by the age of forty, some people not only have outlined, but already markedly present, pronounced folds (deep wrinkles). One stops liking one's own reflection in the mirror, giving rise to the appearance of various complexes.

Plastic surgery has become the norm for a long time, and operations are available to the general population. However, to a greater extent than the cosmetic manifestations of aging, people are afraid of possible scars and a long rehabilitation period. With the advent of a new technology - face lifting with the help of an endoscope, which allows lifting the skin and muscles through small incisions and minimizing the rehabilitation time - this problem is largely solved.If necessary, during the procedure, you can correct the shape of the eyes and eyebrows, as well as get rid of wrinkles.

In most cases, the procedure is in demand among women, however, men do it quite often. In addition, the procedure has few contraindications and severe side effects. Such a rejuvenation technique is timely for those who do not want to undergo a serious operation or who simply do not yet have solid indications for it. The positive effect of the procedure lasts on average 7-10 years. Of course, it all depends on a healthy lifestyle and facial care.

An important point is the age at which the forehead lift should be performed. A potential client of a plastic surgeon is an adult from 40 to 60 years old. But this does not mean at all that at 70 or 80 it is too late to correct the imprint of the time and it is impossible to use the services of a plastic surgeon. Today, there is also a growing number of young patients under the age of 30 who use forehead plastics as an image technique, seeking to raise the outer corners of the eyes or ponytails of the eyebrows through endosurgery.

Therefore, in such a situation, such an operation is more of an image or beautifying nature.rather than solely aimed at removing age-related changes. Undoubtedly, many want to instantly become young, but surgical intervention is not an easy and rather unsafe undertaking, and in order to minimize the risks, it is necessary to comply with separate prescriptions for the applicant for the operation.

Key landmarks and indications for frontlifting surgery are almost limitless, but the main indication is ptosis (drooping) of the eyebrows in the lateral (lateral) and middle (medial) zones. The degree of omission is qualified by the distance from the line running horizontally at the level of the pupils of the eyes to the lower end of the eyebrows. The operation is indicated when the distance is reduced to less than 2.5 cm.

The indications are relative:

• an unattractive shape of eyebrows - a strongly pronounced effect of rage, sadness or constant fatigue;
• overhanging of the upper eyelids - significant drooping of the outer end of the upper eyelid, caused by drooping of the eyebrows;
• large-scale ptosis of the skin of the upper third of the face with further formation of excess skin in the upper lobe of the nasal zone, as well as ptosis of the tip of the nose;
• great laxity in the region of the temples, from the outer edges of the forehead and in the corners of the eyes.

Relative indications associated with unnatural activity of the frontal muscles:

• deep horizontal folds on the forehead;
• a large number of oblique and vertical eyebrow lines;
• the presence of folds at the root of the nose.

Despite the fact that the purpose of the operation is to provide assistance to the largest possible circle of people, there is a wide range of contraindications.

However, most of them accompany absolutely all surgical operations:

• high blood pressure;
• severe cardiovascular diseases - in such a state, any surgical intervention is dangerous;
• diabetes mellitus, unfortunately, excludes surgical intervention as such, since metabolic disorders give rise to such a condition of the skin and blood vessels, which makes aesthetic plastic surgery meaningless;
• diseases of the thyroid gland - it is not known how the body will react to external interference;
• blood clotting disorder;
• severe diseases of internal organs;
• infectious diseases;
• oncological diseases;
• extremely low skin elasticity - it is established in special ways, and with a low level of elasticity, muscle stratification does not minimize prolapse;
• significant damage to the skin near the eyebrows and on the forehead.

The presence of severe skin injuries in the forehead area is also a contraindication for this kind of procedure. At the same time, any doctor takes into account in advance whether the patient is suitable for the operation from the standpoint of the individual characteristics of the structure of the bone tissue and the anatomical features of the body, which may interfere with the operation.

Standard preparatory procedures include: ECG and laboratory tests, testing for HIV, inflammatory liver disease and syphilis, determination of the Rh factor and blood group.

Any reasons that have a negative impact on rehabilitation after surgery must be eliminated (intoxication, alcohol, tobacco). You must stop taking blood thinners 2-3 weeks before the procedure. The same applies to hormonal drugs. Taking other medicines is agreed with the attending physician.

The frontlifting procedure is carried out under both local and general anesthesia using high-tech endoscopic equipment.

With endolifting of the frontal part, incisions are made on the scalp, departing from the border of hair growth by 1-2 cm. The number and size of the cuts are determined on an individual basis - it depends on the goals set. In most cases, surgeons make 2 horizontal incisions in the temporal part, going along the border of hair growth, each 2-3 cm long, and 3 vertical incisions 1-1.5 cm in size in the frontal region of the head (one in the center and 2 at the edges).

Through small incisions, special devices are introduced, used in endoscopic operations, which make it possible to peel off the muscles above the bridge of the nose between the eyebrows and displace the dropped tissues, which makes it possible to smooth out the wrinkles of the bridge of the nose and forehead. A specialized video camera is inserted into one of the incisions, which sends a picture to the monitor and allows you to save the smallest blood vessels, branches of sensitive cranial nerves, arteries and veins during the operation.

After giving the eyebrows the required shape and the desired position, the sections of the skin incision are connected with specialized clips. The separated tissues in the area of ​​the temples are fixed with threads, and in the area of ​​the periosteum (periosteum) - with screws. Immediately after the procedure, the operated person may experience difficulties in closing the upper eyelids. A similar symptom appears as a result of stretching the skin and, as a rule, disappears after a few days. Small scars left after surgery will heal quickly.

The recovery period after endoscopic forehead surgery is relatively short, in fact, that is why this method is so in demand.

There are recommendations that must be followed in order to hedge against adverse consequences.

• In the first 3 weeks of the postoperative period, physical activity should be stopped or minimized.
• It is necessary to follow a diet and a healthy diet. To do this, you need to consult a dietitian.
• Tobacco and alcohol are categorically contraindicated. In the process of recovering from unhealthy addictions must be completely abandoned. They not only have a detrimental effect on the general condition of the body, but can also become a driving force in the development of complications and inhibited tissue repair.
• To prevent the occurrence of puffiness, you must limit yourself to the use of liquids.In addition to water, you can only drink tea and mineral water.
• It is necessary to introduce a limit on the intake of medicines. The list of permitted medications should be discussed with your doctor.
• It is necessary to sleep exclusively on a high pillow so that the head is in an elevated position relative to the level of the body.
• If swelling and bruising occurs, you can apply cold lotions. Pain medications are sometimes prescribed. As a rule, the action of ordinary analgesics is sufficient.
• Shampooing is allowed only after removing the stitches. The first time after lifting you do not need to use a hairdryer.
• It is strictly forbidden to go to saunas and swimming pools. You can resume visiting such establishments no earlier than in a month.
• Excessive facial expressions on the forehead should be avoided, and also not to rub the areas that have undergone surgery.
• It is necessary to wear a tight bandage in order to fix the new position of the tissues.

Of course, any surgical intervention can have negative consequences. However, endoscopic lifting is more gentle and therefore extremely popular. Leaving reviews, patients note that thanks to such an operation, the face, by and large, looks refreshed and rejuvenated, takes on the correct shape, the skin of the forehead straightens, and wrinkles are made invisible.

In the video below, you will hear answers to many questions about an endoscopic forehead lift.