I don't know of any woman who is happy with her forehead after 40. A forehead lift or brow lift surgery can erase the wrinkles giving you a younger more relaxed forehead. Instead of looking sad or tired you will look more refreshed.
During brow lift surgery the muscles and tissue in your forehead are removed, altered, or smoothed to raise the eyebrows and minimize frown lines. If you stand in front of your mirror, and pull back the skin around the outer edges of your eyes, just above your eyebrows, it will raise your brow and forehead area so that you can visualize what your forehead will look like after surgery.
A brow lift will more than likely be done in your surgeon's office, but on rare occasions it is performed at a hospital. This procedure requires a local anesthetic that is combined with a sedative to make your drowsy. You are awake during the surgery, but relaxed, and no worries, you won't feel any pain, just some minor tugging and maybe a little discomfort.
There are a couple different approaches to your brow lift surgery that your surgeon will consider, the classic method or the endoscopic forehead lift. For the classic forehead lift your hair will be tied back with rubber bands on each side of the incision line. Don't worry, your head does not have to be shaved, but if your hair is long or excessive, appearing in front of the incision line it will need to be trimmed.
Once that is done, a coronal incision will be made. It will start at ear level and travel across the top of your forehead and down the opposite side of your head. The incision is not visible because it is made far enough behind the hairline and even the scar that will remain behind won't be seen.
Next, the skin on your forehead will be gently lifted so that the underlying tissue can be removed as well as altering or releasing the muscles of the forehead if necessary. Any excess skin at the incision site will be trimmed away and your eyebrows may be raised to help create that smoother, youthful appearance that you are seeking.
The incision will then be sealed with stitches or clips. To prevent irritation your face and hair will be washed and the rubber bands will be removed from your hair as well. Gauze will be placed over the incision and your head will be wrapped in an elastic bandage.
The endoscopic forehead lift differs in that your surgeon will make only three, four or five small incisions in your scalp. A pencil-like camera called an endoscope is connected to a television monitor; it is inserted through one of the incisions so that your surgeon will have a clear view of the muscles and tissues that are just beneath the skin. Using another instrument that is inserted in one of the other incisions, the skin on your forehead is lifted so that the muscles and tissues can be removed or altered to give you a smoother appearance. Your eyebrows might be lifted as well and secure into a higher position by stitches beneath the surface of the skin or by temporary fixation screws placed behind the hairline.
When your brow lift surgery is completed the incisions are closed with stitches or clips and the area is washed. And again, gauze with an elastic bandage will be wrapped around your head.