Overview

In this procedure, an endoscope (camera) is inserted under the forehead tissues through a series of small incisions within the hairline.  The object is to elevate the eyebrows, soften the forehead wrinkles, and brighten the tired and hooded appearance of the upper eyelid area.  Commonly this is combined with surgery on the eyelids or face.  Although the tissues continue to age, the results of this surgery tend to hold up well.  If necessary, after a number of years, the procedure can be repeated.

The operation

The operation is performed under general anaesthesia as a day stay case. The incisions used for access are all small, and behind the hairline.

There are usually no obvious dressings, and there is surprisingly little pain for most people. Sometimes drainage tubes are used which are removed the following day. There can be bruising and swelling of the eyelids, but this is uncommon, and usually settles within a week – occasionally it may persist for two or three weeks. Aspirin should be avoided for 10 days prior to surgery.


After the Operation

The sutures or staples used to close the incisions are removed one week after the surgery.

Time off work is determined by the amount of bruising. Heavy physical activity should be avoided for three weeks, after which normal activities can be resumed within the limits of comfort.

Results

The operation will result in better positioning of the eyebrows, and a more “open” and “less tired” look to the face

Risks

The major potential problems relate to nerve damage. Every effort is made to protect these nerves but they are very fine and difficult to see. Damage is usually caused by stretching and bruising and there may be numbness of the forehead or scalp or (rarely) loss of the ability to raise the eyebrow. This usually recovers spontaneously.

Your surgeon will fully discuss the risks and complications associated with forehead surgery at your consultation.

Consultation

If you have any further questions regarding this procedure, you should consult your surgeon before the operation. Your surgeon will be very happy to explain in greater detail and answer any questions you may have.

There can be no guarantee with any surgery. Improvement not perfection is the realistic aim.

This information is intended as a guide, and does not replace full consultation with your surgeon.

Costs

The cost is approximately $18,500-$20,000 including surgeon's fee, hospital fees and anaesthetic fees.

A personal quote will be provided after your consultation with one of our surgeons.