Indications:
This surgery is recommended for patients that present forehead with wrinkles, fallen brows that produce covering of the superior lids, wrinkles in the brow and the nose, and marked hen paw and that want more marked durable results.
Anesthesia:
It is recommended to carry it out under general or local anesthesia assisted by an anesthesiologist.
Requirements:
Revision on the plastic surgeon, laboratory exams, pre anesthesic evaluation.
Procedure:
This surgery is carried out using endoscopic eyeglasses and video camera that allows the correction of the face with minimum incisions in the area of the hairy leather to hide any scar.
Duration approximately 2 hours, ambulatory handling.
Bandages and sutures removal within a week.
Analgesics and antibiotics are formulated for one week, ice in the face for 2 days.
There are patients that only want a slight change in the line of the brows and area of the hen paw, small correction procedures can be carried out or by the application of the botulinic toxin (Botox-Dysport).
Procedure or surgery:
Forehead stretching.
Brows lifting and reduction of wrinkles of the brow.
Methods:
– Endoscopic technique with the use of micro lenses and video cameras.
– Minimum incisions in hairy leather.
– A drainage is placed in each side.
Objective:
– To reduce the forehead wrinkles.
– Rising of the brows for a younger look.
– Reduction of the wrinkles of the brow in people with strong expression (bad temper).
– Reduction of the hen paw.
– Reduction of nasal wrinkles (nasal back)
Preoperative Preparation:
– Fast 8 hours before.
– To communicate possible medical allergies.
– To go the day of the intervention with comfortable and wide buttoning or zipper dressing. – To go without make up.
Type of Anesthesia:
– General in most of the cases.
– It can sometimes be carried out by means of local anesthesia and sedation.
Incisions:
– From three to five incisions are carried out in the hairy leather depending on each particular case (1 to 2 centimeters)
Effects and/or convalescence:
– Very visible swelling during one week that is solved in two or three weeks.
– Ecchyimosis (bruises) during fifteen days.
– Located changes of sensibility (they disappear in weeks)
– The drainages are removed in one or two days.
Complications:
– Post operative hemorrhages, not very frequent. It requires strict surveillance.
– Infection. Not very frequent.
– Seroma, not very frequent.
– Skin necrosis, very related with smoking patients or with circulatory problems.
– Bad scaring and alopecia (bald scar) it is the patient’s individual factor.
Instructions post operative:
– Relative resting during 3 days.
– Do not to carry out efforts the first two weeks.
– Use of facial bandage for 5 to 7 days and then a Lycra strip for two weeks (nocturnal use).
– To take the recommended medication.
– Do not to take the sun at least in two months.
– To attend the periodic controls.
– The patient can travel in 15 to 20 days, according to the evolution.
– Stitches removal in 8 to 15 days.
– Post operative ice during 48 hours.
– Post operative physiotherapy after the 5 day.
Hospitalization:
– Generally ambulatory.
Results:
– Forehead rejuvenation and rising of brows.
Final time: