Brow lift from the best plastic surgeon in Moscow

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Forehead and eyebrow plastic surgery, or upper third face lift , is a plastic surgery aimed at correcting age-related changes in the soft tissues of the forehead, eyebrows and temporal region, as well as eliminating horizontal forehead wrinkles and longitudinal wrinkles in the glabellar region. In addition, during plastic surgery of the upper third of the face, it is possible to remove excess skin in the upper eyelid area, that is, eliminate the drooping of the outer edge of the upper eyelid.

When thinking about plastic surgery, forehead and eyebrow plastic surgery is not the first thing that comes to mind. A forehead lift allows you to correct the situation: remove side folds, restore the anatomical line of the eyebrows, smooth out horizontal, vertical, and also eyebrow wrinkles.

Consultation and diagnostics

Most often, indications for isolated forehead skin tightening occur at a relatively young age in patients whose individual characteristics are developing processes of tissue drooping, starting from the upper third of the face. Since at the age of 40-45 years and later, as a rule, there are already grounds for a facelift at all levels.

• Excess skin of the upper eyelid By examining the upper eyelids during a consultation, the surgeon determines which part of the problems is due to apparent excess skin (corrected by forehead lift) and which part is true (corrected by eyelid surgery).

• Wrinkles between the eyebrows These pronounced wrinkles between the eyebrows can cause an angry expression on the face. Forehead surgery allows you to access the glabella muscle and eliminate its tension.

• Wrinkles on the forehead Strongly developed forehead muscles lead to the fact that horizontal wrinkles on the forehead begin to form quite early. In order to prevent their formation, modern patients, already at the age of 25, resort to preventive measures in the form of injection therapy. At the same time, it is impossible to completely avoid the appearance of horizontal wrinkles on the forehead, and with age their presence becomes quite noticeable. Forehead lifting lifts the eyebrows and relieves tension in the muscles, thereby helping to smooth out horizontal wrinkles and remove a tired expression.

• Eyebrow position There are two reasons for low eyebrow position - age and heredity. Anatomically, the eyebrow is divided into three parts - the inner, body and tail. As a rule, when correcting the position of the eyebrow, we are talking about tightening (lifting) its outer part. The causes of ptosis (the process of lowering down) of the outer part of the eyebrow are associated primarily with the loss of tissue volume, and secondly directly with weakening and sagging of the skin and muscles. Depending on the indications, to effectively solve the problem of eyebrow ptosis, the patient may be offered a lift, lipofilling, temporolift (temporolift), or a combination of procedures.

During the consultation, Dr. Grishkyan will assess the bone structure of your face, the position of the eyebrows, eyelids, eye aesthetics, and the condition of the skin - its structure, thickness and elasticity. This information will make it possible to create an individual plan for surgical correction of the forehead and eyebrows , compiled just for you.
Sometimes, to achieve a more harmonious appearance of the entire face, the procedure can be performed in combination with other aesthetic procedures, such as lipofilling or blepharoplasty.

Indications and contraindications

Most often, eyebrow lifting is recommended for ladies after 40 years of age - before this age, you can get rid of facial defects with more gentle procedures. Indications for lifting include:

• ptosis of the upper eyelid, due to which the outer corner of the eye drops significantly;
• bridge of the nose with sagging skin;
• the tissues on the upper part of the face unnaturally sank and became covered with a network of folds;
• sagging is noticeable in the temple area;
• eyebrows are too low;
• the bridge of the nose and forehead covered with wrinkles;
• thick crow's feet.

Each problem and defect on the face is carefully studied by the surgeon, only after which the type of lifting that will most effectively eliminate the unwanted defect is prescribed. Contraindications must be taken into account, which may become the main reason for prohibiting the procedure.

There are few contraindications for a facelift, and one of the main prohibitions applies to patients with problems with the cardiovascular system. Ladies are better off not risking their health and go to a cosmetologist for a gentler treatment with masks or procedures that eliminate injury. If you have high blood pressure, it is also better to avoid plastic surgery - this can lead to unpleasant consequences and complications.

The ban also applies to people suffering from poor blood clotting. Before undergoing a facelift, it is recommended not to take medications that affect the blood – this can cause side effects and complications. In case of infectious diseases, be sure to postpone the lifting to a more favorable period and undergo a course of treatment for the underlying disease.

Techniques for performing a forehead and eyebrow lift

Once upon a time there was the only available method of surgical lifting of the forehead and eyebrows - coronary lifting . This technique involves making a long incision on the top of the head, from temple to temple. Coronal access allows you to raise the eyebrows, smooth out transverse forehead wrinkles, tighten the skin and remove excess skin. A significant disadvantage of this method is a significant displacement of the hair growth line (its increase) after surgery and the high traumatic nature of the procedure. Coronary forehead lifting currently has fairly limited indications and is performed extremely rarely. Modern aesthetic surgery is developing in the direction of the least invasive and traumatic procedures, along with increasing their effectiveness. In recent years, forehead and eyebrow lifting surgery has undergone significant development. Currently, it is performed mainly endoscopically, through short incisions in the scalp.

Temporal brow lift (temporolift)

It is carried out through small incisions inside the hair growth in the temporal part of the head. The advantage of this method is the invisible incisions and slight movement of the hairline after surgery. Fixation of tissues is performed at the temporal fascia, without the use of endontins. This method is mainly used when only the outer part of the eyebrow needs to be raised.

Endoscopic forehead and eyebrow lift

When it is necessary to raise the body of the eyebrow, its inner part, as well as when there are pronounced horizontal wrinkles and excess skin, a complete plastic surgery of the forehead and eyebrows is performed with separation of the skin and muscles. To perform the operation, a fiber-optic device is used - an endoscope. Access is through small incisions hidden behind the hairline. During the operation, the forehead tissues are moved upward and diagonally to the sides of the temples; fixation is carried out using endontins, which will allow the tissues to maintain their new position for several years. A forehead lift can be performed alone or combined with eyelid surgery, facelift or lipofilling, depending on the indications and your personal goals.

Thread lifting

Non-surgical intervention includes several procedures, and eyebrow lifting with threads is one of them. This type of lifting involves adding special implants in the form of threads under the skin. With their help, they stretch and fix the skin in the required position. People under 40 years of age will get excellent results from the procedure if they have small or moderate facial defects.

The duration of the procedure is up to 40 minutes. It is performed under local anesthesia. The necessary results can be obtained due to the presence of threads under the skin and the appearance of reinforced collagen compounds in such areas. The duration of the effect is from 1 year to 3 years.

Modern cosmetologists suggest using different threads. Usually these are absorbable and non-absorbable types. The first ones are made of synthetics and completely disintegrate into their component parts. The latter will remain and require periodic tightening).

The procedure will cost 20-30 thousand rubles. A more exact amount depends on the material used and its quantity. Contraindicated for pregnant women, those with pathologies in the circulatory system, or those with an increased risk of keloid scars.

Postoperative recovery and results

After a forehead surgery or brow lift, bruising and swelling may occur, which can be minimized by applying cold compresses and keeping the head upright. For several days after surgery, there may be discomfort and discomfort from wearing a fixation bandage, as well as possible pain. After removing the bandage, there may be a sensation of numbness and blocking of the forehead muscles, which will go away on its own over time. During the month after surgery, active movement, sudden head tilts, and other physical stress are not recommended. You should also avoid unprotected exposure to the sun, smoking, and taking medications that increase bleeding (aspirin). Bruising and swelling usually disappear within 10-14 days, and incision marks and scars become invisible between 2-6 months after surgery.

Modern plastic surgery treats the upper eyelids, eyebrows and forehead as a single whole, so the treatment plan is drawn up taking into account the entire range of aesthetic problems. Based on this, forehead plastic surgery can be complemented by eyelid and facial plastic surgery, as well as laser rejuvenation methods. As a rule, forehead and eyebrow plastic surgery is performed under intravenous anesthesia.

Dr. Grishkyan prefers endoscopic eyebrow plastic surgery with hidden incisions in the hairy part. It is this technique that allows you to get the best anti-aging effect that lasts for a long time.

Depending on the extent of the operation, you will be able to return to your normal lifestyle in 7-10 days, and evaluate the results of the operation in 2-3 weeks. To improve and speed up the rehabilitation process, physiotherapeutic and cosmetic procedures may be recommended. The result of forehead surgery lasts for 5-7 years, and the feeling of youth and beauty will delight you all these years.

What will need to be done before the procedure?

Before the operation, the doctor will answer any questions you may have, make the necessary entries in the outpatient chart, and organize an examination to determine your health. Basic recommendations prescribed before surgery:

• If you smoke, you will need to quit cigarettes 6 weeks before the procedure, because the nicotine contained in tobacco affects the appearance of postoperative problems and increases the recovery period of the skin;
• you should reduce your alcohol consumption and stop taking certain medications;
• may be advised to stop taking aspirin and other medications against inflammation, because they can cause bleeding;
• regardless of the type of upcoming procedure, you should replenish the water reserves in your body, which will then speed up rehabilitation;
• if you have a short haircut on your head, you should grow your hair out in order to use it to hide the scars that appear after the procedure;
• You must first arrange with someone for transportation by car from home to the clinic before the procedure and back after the operation is completed;
• You should try to have someone next to you during the first night and the next two days after the procedure to help you if necessary;
• it is necessary to write down everything that the doctor prescribes before the procedure;
• it is necessary to prepare for recovery after the procedure - care should be taken to ensure access to drinks, pre-prepared food, pillows needed to support the head in an elevated position; prepare books and newspapers for reading;
• You will need ice packs or frozen fruit to relieve swelling after the procedure.

How long will the results of brow lift surgery last?

When a woman decides to lift her eyebrows, she must understand that it will be possible to see obvious results no earlier than six months later. After the stitches located along the hairline have completely healed, you will be able to enjoy your own new look.

How long will the achieved effect last? It is difficult to name specific dates; they depend on the individual characteristics of the body, anatomical components, and the person’s lifestyle. It is worth noting that even after some time, the tightened areas of the skin will no longer look too bright, as pronounced as before.

To maintain the achieved effect, you must:

• protect skin from exposure to direct sunlight;
• lead a healthy lifestyle;
• follow the recommendations given by the plastic surgeon;
• If any pathological changes occur, seek help from a specialist.

Surgical intervention: correction of the eyebrow area

A surgical brow lift can be performed separately from forehead work. There are three main ways to do this:

• Temporal lift. Incisions are made in the temple area, and excess skin is excised there. The operation is low-traumatic and is performed not only under general anesthesia, but also under local anesthesia. Healing takes place quickly, traces of the intervention are hardly noticeable.
• Brow lift with an incision underneath. Recommended for older patients and practiced quite rarely. After it is carried out, traces of the intervention are visually noticeable.
• Transpalmeral lift . The incision in this case is made in the thickness of the upper eyelid and after healing is hardly noticeable. The intervention is performed under general anesthesia and involves removing part of the muscles and fat deposits, as well as stretching the skin.

Transpalmeral lift

Non-surgical effect

If you have small wrinkles, you can use non-surgical restorative procedures. Unfortunately, they do not provide a clear effect, but the risks associated with their implementation are minimal. Most types of such effects are aimed at increasing the synthesis of collagen in organisms. This is required to protect the frontal lobe from moderate ptosis and combat drooping brow ridges.

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Types of non-surgical procedures:

• biorevitalization: is an injection with hyaluronic acid necessary to restore the water balance inside the tissues in order to prevent the active development of aging processes;
• mesotherapy: here a specialist administers injections containing a multicomponent composition, his task is to nourish, moisturize, and lift the skin;
• injections of botulinum toxin type A: cause partial paralysis of some muscles, due to which visible wrinkles disappear;
• hardware massage: ultrasound and a vacuum apparatus are used, both types of effects saturate the cells with oxygen and accelerate the flow of nutrients to them;
• light exposure promoting increased collagen synthesis;
• radio wave lifting: here lifting is realized by receiving radio wave radiation to the skin, which tightens the collagen fibers.

The average cost of such a procedure ranges from 2 to 6 thousand rubles, and to achieve a visible effect you will need at least 4-10 treatments.

Before carrying out such types of influence, it is necessary to familiarize yourself with the contraindications to each of the methods.