| Our
face is the first and most important part of our body which shows our
age. There are many changes that occur in the various features of our
face that make us look old and sometimes much older than what we feel. |
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An
high, arched brow, which has a nice gentle con-tour is a sign of beauty
and youthfulness. One of the important change that is associated with
aging is drooping of the eyebrows. Along with heredity, sun damage
another important factor that contrib-utes to aging is Gravity. There
is descent of tissues associated with loss of volume due to age. Recent
advances in cosmetic surgery now allow us to re-duce and remove these
changes, a process called Brow lift. |
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| A
sagging heavy brow is usually associated with a lot of aging changes
around the eyes. Facial aging includes loss of skin elasticity and
firmness, sag-ging tissues and wrinkles on the forehead. Even an
energetic and excited person can appear tired or sad due to aging
around the eye. Sagging, bulges and folds around the eyes can make the
eyes look old and tired. Descent of the fat pad under the brow reduce
the normal distance between the eyebrows and the eye and contributes to
the formation of folds on the upper eyelid. If you are bothered by
these signs of aging in your face, a brow lift may be right for you. In
general, adults with the above problems, of any age who are in good
health, mod-erately fit and overall have good muscle tone are good
candidates for facial rejuvenation. They should not have any life
threatening illness or medical conditions. Patients who smoke can have
an increased risk of complications. |
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| Who should have it done? |
| A
sagging heavy brow is usually associated with a lot of aging changes
around the eyes. Facial aging includes loss of skin elasticity and
firmness, sag-ging tissues and wrinkles on the forehead. Even an
energetic and excited person can appear tired or sad due to aging
around the eye. Sagging, bulges and folds around the eyes can make the
eyes look old and tired. Descent of the fat pad under the brow reduce
the normal distance between the eyebrows and the eye and contributes to
the formation of folds on the upper eyelid. If you are bothered by
these signs of aging in your face, a brow lift may be right for you. In
general, adults with the above problems, of any age who are in good
health, mod-erately fit and overall have good muscle tone are good
candidates for facial rejuvenation. They should not have any life
threatening illness or medical conditions. Patients who smoke can have
an increased risk of complications. |
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| Could you benefit from a brow lift- |
| The
forehead and the eyes should be visualised as one region and should not
be separated from one another. Hence a brow lift is usually advised to
pa-tients requesting rejuvenation of the eyes. A brow lift will enhance
the arching of the eyebrows, re-store the youthful distance between the
eyelid mar-gins and the eyebrow. Along with reversing the ag-ing
changes, it can enhance the look of beauty Its not likely to change
your life or the way people treat you. It might possibly improve your
confi-dence and self esteem when you start seeing a more youthful and
fresh you in the mirror. |
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| Where do I begin? |
| A
consultation with your Aesthetic Plastic surgeon at Aesthetics is the
first step to learn how brow lift surgery can improve the appearance of
your face. This consultation will fully educate you in a non-pressured
environment and will include a discus-sion of your goals, options
available for facelift surgery, likely outcomes, potential risks and
com-plications. |
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| What kind of anesthesia is required? |
| Usually the procedure would be done under a gen-eral anesthetic for improved comfort. |
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There
are many techniques by which brow lift can be done. Brow lift is quite
an old technical proce-dure which has evolved over the last 70 years,
from a traditional coronal skin incision technique ( where the skin is
lifted and pulled) to Endoscopic brow lift techniques. There are
numerous other techniques, one more radical than the other. what is
important is to give a balanced rejuvenated look, by the most simple
and effective technique which leaves the least complications. |
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| Essentially,
all techniques endeavour to release all attachments between the brow
and the bone and then pull the skin up. The excess skin can be either
removed or freed to allow it to co ntract. |
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| What to expect after surgery? |
There
might be bruising and swelling after surgery that should subside in 3 -
6 weeks. You will have a soft and comfortable dressing around your
head, cheeks and chin for firm support. The dressing will be removed in
seven days. Immediately after sur-gery, due to the swelling, you might
experience some difficulty in opening your eyes. There is a possibility
of bruising around the eyes (black eye). There could be slight
irritation and a feeling of dry eye. This rapidly improves after the
next day.. Your plastic surgeon at Aesthetics and the assisting staff
will fully attend to your comfort and safety.
You will be advised
to apply an antibacterial oint-ment to the eye and protect the eyes
from sun, wind and dust by wearing sunglasses. |
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| Risks and complications- |
| Although
there are very few risks associated with this procedure, a possible
general risk includes bleeding and collection of blood under the skin
(hematoma). Bleeding is rare but may have to be stopped. Any surgery
carries risks associated with anaesthesia. These risks will be fully
discussed with you prior to your consent for surgery. The nerves of the
face can sometimes be bruised during the operation and takes 3 - 6
weeks to recover. This may lead to slight weakness in the muscles
supplied by that nerve. General risks like delayed wound healing and
infections are common to many other operations and can be treated
satisfactorily. |
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| Progress and healing- |
| Incisions
usually heal in 7 days to 2 weeks. Stitches are removed around this
time. You will then be asked to use a moisturiser and massage the face
and scars. You will be able to return to light work and normal activity
at this time, and to resume wearing contact lenses. Cosmetics can
camouflage any bruising or redness. Healing will continue for sev-eral
weeks. Diligent sun protection is a must for best results. |
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| Results and outlook- |
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| Pre-Operation : Brow Lift |
Post-Operation : Brow Lift |
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| Your
final result will appear over time, generally within several weeks. It
may take up to a year for incision lines to fully refine. Most of the
swelling resolves by three months. While eyelid surgery can be expected
to correct certain conditions around the eye permanently, you will
continue to age natu-rally. The benefits of your surgery should reveal
a smooth and a firm contour of the forehead, better arching of the
brows, improved distance between eyebrows and eyelid margin. This will
complement any rejuvenation procedure around the eyes. What matters
more is that the appearance of your eyes matches the way you feel
inside - youthful, vital and alert. |
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