Consult
During the consultation, I will map out your expectations and provide the best possible advice. All the techniques mentioned have their advantages and disadvantages. A well-considered choice is essential for the best result. My assistant will also be present at the meeting and will provide you with further information about finances, scheduling, and logistics.
Surgery
During a subcutaneous forehead lift, the entire forehead is given a local anaesthetic, and you will be given an IV sedative. During the procedure, you will be monitored by the anaesthetist and an anaesthesia assistant. Through an incision in the hairline, and on the outsides within the hairline, the skin is loosened across the forehead muscle, down to the eyebrows. The skin and eyebrows are lifted over the muscle, and excess skin is removed. The height of the forehead (the distance between the eyebrow and hairline) remains the same or decreases, depending on the aesthetic purpose. The stitches in the visible part of the scar are soluble; in the non-visible part (within the hairline), I use staples that are removed later. After the surgery, you will be fitted with a slightly compressing head bandage. The procedure takes 1.5 hours.
The limited brow lift is an outpatient procedure under local anaesthesia. During a limited brow lift, I remove the skin at the top and the outer sides of the brow, including the underlying muscle, in a half-moon shape. This technique only lifts the outside of the brow, making the treatment especially suitable for drooping eyebrows due to ageing. The procedure takes 45 minutes.
The endoscopic forehead lift is performed under complete anaesthesia. Through 5 minor cuts in and between the hair, the brow skin, brow muscle and the periosteum are separated from the skull bone, drawn up and reattached to the bone. This moves the hairline up a little, making the forehead a bit higher or longer. This technique provides a more limited lift than the subcutaneous method and is more suitable for clients who need less lift and for people with short foreheads. The procedure takes 1.5 hours.
After the surgery
After the subcutaneous forehead lift, you spend several hours in the recovery room with a bandage around your head. The following day, you can remove the bandage yourself, take a shower and wash your hair with your own shampoo. There will be some staples visible in the hair at the sides; the hairline is attached to the skin with a soluble stitch. Daily showering is good for the healing process, and you will not need a bandage after the first night. During the first week, you should avoid exertion. Try not to bend down but bend from your knees. After one week, the staples are removed, and the knots of the soluble stitch are cut off. The scalp may feel a little numb, but this will pass after several months. After two weeks, you can gradually resume physical activities and exercise. You may get some well-intended (critical) comments from your environment. I'll happily prepare you for this with tips and advice so you can recover in peace. After the endoscopic lift, you may suffer from nausea and headaches. You will receive medication to reduce these symptoms. Otherwise, the recovery is mainly similar to that after the subcutaneous lift. After a partial brow lift, the advice is not to exert yourself: no bending down, putting pressure on yourself, or lifting. The wounds can get wet in the shower. The stitches are removed after one week.