Forehead Augmentation (Forehead Contouring Surgery)
Forehead contouring is a cosmetic surgery involving a patient’s forehead area from the upper eyebrow to the scalp line, and from one side to the other of the head. When a patient is undergoes a forehead contouring surgery, the earlier mentioned facial area is made slightly smoother and less protrusive.
Preparation before Surgery
- Get lab testing or a medical evaluation
- Take certain medications or adjust your current medications
- Stop smoking well in advance of surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding
Special instructions you receive will cover:
- What to do on the night before and morning of surgery
- The use of anesthesia during your brow lift
- Post-operative care and follow-up
Surgical Procedures
The scalp advancement involves making an incision that begins right at the hairline. The forehead soft tissues will be elevated almost as in a forehead lift, along with elevating soft tissues in an area under the hairline to allow the hairline to be pulled forward creating a lower hairline. If the hairline has receded on each side of your forehead then a few more incisions might have to be made along each side to remove more skin. The most common pattern of these incisions would be almost the shape of a triangle because the surgeon needs to remove the distance between the receded areas. If the area of recession is large then you will also be advised before the procedure that you will be required to have hair grafts to fill that area further. A lower incision will be made removing an area of skin and the incision will be closed using medical staples.
A forehead contouring surgery starts with a scalp incision. Following this, surgeons usually use bone cement to perform the augmentation of the forehead area. During this process, if the surgeons locate bony irregularities and/or protrusions in the brow area, these will be smoothed out as well, to give the patient an aesthetically pleasing and smooth appearance.
Post-Operative Care
Aesthetic forehead surgery is usually done as an outpatient procedure. Depending upon what other procedures may be done with it, it may require an overnight stay in the surgical facility. A wrap-around forehead dressing is put on at the end of surgery and is removed the next day. In some cases, a drain may be removed (not commonly) and it is removed the next day also. Ther6e is some mild pain afterward but much of the forehead skin will be numb for awhile. Pain is easily controlled by pills. There will be some swelling afterwards which is driven downward by the dressing and gravity which affects the eyes and upper cheeks. It is most evident by two days after surgery and is largely gone within seven to ten days after surgery. Most patients return to work in two to three weeks. Dissolveable sutures are used in the scalp so there is no need for suture remocal. One can return to working out in two weeks after surgery.
Possible Risks and Complication
Complications arising from a forehead contouring surgery are minimal since bone cement is used instead of silicone implants. When a silicone implant is inserted and used in a forehead contouring procedure, numerous complications can arise. Some of these include fluid accumulation, visible borders of the implant, and implant extrusion.
In contrast, the use of bony cement shows minimal complications following the surgery. The only one that may come up is contouring irregularities. However, most surgeons minimize this risk by sculpting and smoothing out the bone cement using specialized instruments. Unlike other surgeries, the likelihood of patients suffering from extrusions and/or infections is extremely rare with this surgery, as well.
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