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Face Lifts & Neck Lifts in Hull, York, Lincoln, Grimsby & London

Introduction

Brow, or forehead lift surgery is used to rejuvenate the forehead and eyebrows. It can also be performed for a receding hairline or a naturally high forehead.

If the lateral part of your eyebrows is too low, your whole face may have a tired or even sad look and can also create the impression that there is superfluous skin on your upper eyelids.

Occasionally, depending on genetics, even young people may experience this problem. Brow lift surgery can be considered and will normally give you back a more youthful and pleasing brow shape and position.

When the brow position is low, some people tend to raise their eyebrows, which lead to forehead lines. We will seek to determine the relationship between your upper eyelid, brow and the upper edge of the eye socket. Once this is clear, we will lift the lateral (outside) portion of your eyebrow to establish how much correction will be needed to place your brow in the ideal position.

For both men and women the inside corner of the eyebrows should sit either just below or just above the edge of the eye socket. If significant excess skin would remain in the upper eyelid area even after brow lift, a combination of brow lift and upper lid lift may provide you with better results than either procedure alone.

What to Expect From Your Operation

Brow or forehead lift surgery is performed under a general anaesthetic and usually involves an overnight stay in hospital. Historically, brow lift surgery involved a long cut across the scalp behind the hairline. This procedure, now termed an open or coronal operation, is much less common today.

Today, most brow lift surgery is performed through several small incisions in the hair behind the hairline. This procedure, known as the endoscopic brow lift, uses an endoscope (a tiny camera and light mounted on a tubular probe), which is inserted through these incisions.

After Your Surgery

  • The staples used to close your incisions will be removed at your 7-10 day follow-up visit
  • You will probably have some bruising around your forehead; therefore it is wise to limit vigorous activity
  • You may experience headaches for the first few days. Discomfort experienced can usually be controlled by taking paracetamol or other prescribed analgesics
  • In the first few weeks after surgery your eyelids may not close fully, which can lead to dryness and irritation of your eyes. Lubricants and eye moisturisers, like artificial tears, are useful to protect your eyes from drying out, particularly at night
  • The position of your eyebrows immediately after surgery will probably be a little higher than you had expected. This should correct over the first few months as everything settles down
  • The primary risk of brow lift surgery is decreased sensation in the forehead. This is usually temporary and is related to the stretching of, or injury to the nerves at the edge of the eye socket. If this persists for any length of time, you should contact your surgeon
  • There is also a relatively low risk of damage to the nerves that move the forehead, which can lead to asymmetry in the forehead lines and the position of the eyebrows
  • Rarely, there is reduced hair density around the incision lines. This is more common in people with fine hair and can usually be improved by scar revision

Procedure

Our faces age for many reasons. Heredity, gravity, sun exposure - these all play a role. A face lift is a procedure that is over 60 years old; it is intended to reverse some of the aging process by smoothing and redefining the contour of the neck and jaw line to create a younger, fresher appearance.

Gravity pulls at our soft facial tissues, in time our cheeks begin to sag, the crease s are accentuated, and our jaw line and chin lose their smooth, refined appearance. As we age we also lose some of our facial fat and our skin becomes less elastic, leading to wrinkling and sagging of our skin, which affects our features.

Sun exposure can be a major contributor to accelerated aging. Other factors, such as smoking and drinking alcohol, especially if done to excess from a young age, can speed up the ageing process.

Face lifts helps refresh your appearance, but it will not erase permanent creases, particularly those around your mouth. These can all be tailored to meet your individual needs and include; deep (SMAS) lifts; chin fat removal and; remodelling of the neck muscles.

Additional procedures that can be done at the time of your face lift, such as:

  • Blepharoplasty - this is reduction of loose skin around the eye
  • Forehead lift
  • The use of fat from other parts of your body to plump up particular areas in your face
  • Midface endoscopic lifts for more definition of the cheekbone area

In most cases your face lift will be done under general anaesthetic and you will spend the following night in the hospital or clinic. The incision varies according to your needs but generally starts high in the temple area, follows the curves in front of the ear and may then continue round the earlobe and up behind the ear curving softly back into the hairline. In some cases a second incision in made under the chin where it will also be well hidden. Its purpose is to assist with definition of the chin and neck.

Using these incisions on both sides of the face, the skin, fat and muscle is remodelled. The incisions are closed with stitches in front of the ear and metal clips in the hair. Small drainage tubes are inserted under the skin during the operation and are removed several days after your surgery. A light bandage is applied around your head at the end of the surgery.

The Day After Your Surgery

You should receive a list of post-operative care instructions before you leave the hospital and advice such as. Do not engage in vigorous activity for a few days after surgery to prevent bleeding. Paracetamol not Aspirin can be taken if you do experience any pain or discomfort. Gently washing of your hair is fine with a mild shampoo (such as baby shampoo).

In the Week After Surgery

As you continue to convalesce, you can expect that. Your sutures will usually be removed around seven days after surgery. Your scars will take about three months to mature return to a more natural texture.

It is normal to experience some bruising, swelling and numbness after a face lift. These symptoms are temporary and should mostly disappear after two weeks. Numbness sometimes takes longer to go.

Possible Complications

Bleeding, infection (<1% risk), damage to the facial nerves producing weakness/paralysis/numbness, abnormal facial contour, visible scars/heavy scarring, haematoma (3-4% risk), adverse drug reactions, early relapse, damage to the ear and ear canal, skin breakdown (necrosis), delayed wound healing, and a tight face.

As a whole, facelift procedures are carried out without any adverse effects but any surgery has some risks. Some of the complications associated with facelifts may require further surgery and some may cause permanent scarring, deformity, and discomfort. Your risks are always minimised if you ensure your surgeon is a certified consultant plastic surgeon who is experienced in facelift surgery.

Facelift Scars

All surgical scars are permanent however, the incisions will be placed discretely so that they will not be noticed other than by very close inspection. The usual incision placement is running along the natural contours of the ear, extending into the hairline.

Contact Us

If you require further information about any of our procedures, you can speak to a plastic surgeon:

Hull 01482 223 553
York 01904 820 449
Lincoln 01522 899 808
London 020 7205 4448

Procedure

OPERATION TIME
3 - 4 hours

ANAESTHESIA TYPE
General Anaesthetic

SCARS
Infront of ears and hairline

LENGTH OF ADMISSION
1 - 2 days

RECOVERY
3 - 4 weeks

Post-Op &
Discharge
  • Analgesic: Simple
  • Outpatients Clinic: 7 - 10 days