Appearance: A heavy brow, with horizontal lines and forehead creases that can lead to drooping eyebrows, heavy wrinkles between the eyebrows, and furrowed lines above the nose; prominent bone structure.
Surgery: The face’s middle skin and muscles are tightened, as are the brow and temples.
Length of the operation: 2 hours.
Anaesthesia: General or local anaesthetic and sedation at time of operation.
Description: The incisions are made in the hairline going from one ear to the other. The surgeon lifts and separates the skin - up to 1,5 cm. The Corrugator muscles (the Corrugator supercilii is a small, narrow, pyramidal muscle, placed at the medial end of the eyebrow which draws the eyebrow downward and medial ward, producing the vertical wrinkles of the forehead: it is the “frowning” muscle) and the excess skin are tightened and secured with tiny stitches. If necessary the bone structured is softened. At this point, the deeper tissues can be tightened with stitches, with or without removing some of the excess deeper tissues (preferably not). The skin incisions are closed with dissolvable sutures for the deeper tissues and with staples for the outer skin. Antibiotics are administered and the face is bandaged.
Post-Operative: There is bruising on the top part of the face, which could go down to the eyelids lasting between 15 to 21 days. The staples are removed on the 12th day after the operation. You may see definite results 4 to 6 months later.
Observations: This procedure does not alter the patient’s expression as is the case in the “mask-lifting”. It considerably reduces the wrinkles but actually leaves some on the forehead.
Risks: Bruising, oedemas, and rarely infection. There could also be partial or incomplete paralysis of the facial nerves, manifested by a simple decrease in muscular strength along the eyebrows (nerve injury may impair the ability to raise eyebrows or wrinkle the forehead).