Rejuvenating of the forehead – Endoscopic Frontoplasty
SURGERY FOR THE ELEVATION OF THE BROW AND FOR THE WRINKLES OF THE FOREHEAD AND THE FROW
 The frontoplasty or “lifting” of the forehead are one of the procedures used for the facial rejuvenating. Due to the natural step of the time and to some genetic factors, the tissues of the front area tend to descend (ptosis), which causes an aged and tired appearance, of uneasiness or permanent displeasure
The fall of brows is one of the evident signs of the step of the time in men and women. The eyes seem smaller than they really are and the superior lids look swollen.
The elevation of this portion of the forehead and brows through endoscopic techniques reduce the aging signs visibly and it restores the juvenile aspect
 This intervention that relocates the tissues, correct the transverse wrinkles of the forehead, the brow; and additionally, it improves the furrows located in the superior portion of the nasal back and the denominated hen paws. Each patient is different, therefore, Dr. Espinosa after an exhaustive photographic analysis by computer and diagnostic exams, designs a specific treatment for you that considers: the position and form of their brows, quality of the skin of the preorbit and frontal area, age, grade of flaccidity, height of the line of the hair and positioning of the wrinkles.
To this treatment are integrated other complementary methods of remodeling, filler and regeneration to make more complete and integral the process. This technique generally goes accompanied by other procedures like endoscopic elevation of brows, correction of superior and inferior lids, rising of cheeks, definition of the mandible contour and treatment of the skin of the neck to achieve better results. When the skin is Replenished, the excess is eliminated and the lost muscular tension is reestablished; highly satisfactory effects can be obtained
Frequent Questions
 ¿How is this surgery carried out?
In surgery room and as pre surgery method, the surgeon makes a sorting of the patient's hair and clears the areas through rubbers, where the small incisions will be made, to introduce the endoscope.
 There is not loss of hair. Not a segment of the hair is neither shaved nor cut. The incisions are minimum thanks to the endoscopic technique. Dr. Espinosa can visualize the whole muscular structure through the use of endoscopic eyeglasses and a video screen, in such a way that proceed in a very precise way. This way the muscular tissue gets up and is corrected, the excesses are retired and the brows are raised. All these modifications are hidden in the hairy skin.
In men that have lost some hair on the forehead can be carried out a careful resection of skin of the forehead by means of minimum incisions on the bend of the brow or in favorable lines of the forehead so they are appropriately camouflaged. The last technologies like use of endoscopies and laser allow that these wounds heal smaller in an imperceptible way to the eyes of others. The scaring is usually very good in the areas of the incisions and any print disappears with the time
This surgery can be carried out at the same time that the surgeries of the lids or the Ritidoplasty like an ambulatory procedure.
¿What age can I be carried out this surgery from?
 Most of procedures of facial rejuvenating are carried out in adults that overcome the 40 years of age. Nevertheless, particular genetics conditions, premature aging or a substantial loss of weight become in conditions that take to consult a lot for a frontoplasty before the 40 years. As it was mentioned previously, Dr. Espinosa is in favor of taking minimum measures on time, instead of waiting to those symptoms are accentuated too much, to avoid a surgery that could turn more complex with the time. Also, an early intervention help to maintain for more time the juvenile aspect and the recovery is better and quicker.
¿How much time will last the results?
The frontoplasty, with other techniques of facial rejuvenating, is one of the procedures that achieve better and more satisfactory results. For the surgeon it is impossible to calculate with accuracy the time that the results of the surgery will last. What it can assure it is that the relocation of the skin of the forehead and brows will allow that many aging signs diminish substantially and others are minimized almost totally. This way it is helped to speed down the natural process of aging and therefore, you will feel that the natural step of time and their consequences can be slower.
An average of duration of the results has been observed between seven and ten years, which varies depending on the health and the patient's lifestyle. The cares that you offer to your body, a good feeding and balanced diet, exercise, moderate exhibition in the sun and not to smoke without a doubt they will contribute to make results last longer.
¿Will I feel pain after surgery?
Once finished the surgery you will be calm and without pain. It is possible that with the step of hours you register certain nuisances which are minimized with the use of oral analgesics. It is important that you plan with anticipation your surgery and have to your side a person of whole trust that helps you to return home and take care of you at least the first day of the post surgery.
Remember that it is normal an inflammatory process, swelling in the forehead extended toward the lids, around the eyes and even reach part of the cheeks, which can increase during the first two days and then begin to diminish gradually. It is possible also that you have a sensation of tightness or decrease of sensibility for the same inflammation. But don't worry, this is a transitory sensation that will go decreasing with the step of the days. In all the cases, and fro your tranquility, don't doubt to contact Dr. Espinosa who will be attentive to all your recovery process.
¿How much time takes the surgery? ¿ ¿How much time would I be in surgery room?
The time in surgery room varies according to the procedures that will be carried out. In most of the cases it is ambulatory. It could be from one to two hours and later, pass to recovery room where the patient remains monitored until complete recovery
¿How much time will take recovery?
You should plan a time for your recovery, which could take from five to 8 days, after which you will be able to return to your routine activities. You should grant your body the time that it needs to recover. Keep in mind that symptoms like: inflammation, purple colorations or temporary insensibility, could be presented and they are totally normal in this type of interventions. All these manifestations will go diminishing with time, rest and following the medical recommendations. Dr. Espinosa accustoms to carry out a revision from the bandages 24 hours later of surgery and remove the bandages and sutures between the first and eighth day. The exercise and the sports will wait a little more.
¿What type of anestesia is used in this surgery?
After a careful evaluation and diagnostic with Dr. Espinosa, you will be able to know what type of procedures need and likewise if the anesthesia will be general or local. In this type of surgical procedure the last techniques of anesthesia are used as the intravenous sedation that allows the patient to be awake during the surgery, without any pain and absolutely calm. Nevertheless, some patients opt to be carried out this procedure with general anesthesia. The professional of anesthesia monitory permanently the procedure until your recovery. Both types of anesthesia are equally safe and in the two cases nothing is perceived during the intervention, the patient wakes up as soon as finished the operation, feeling well and without pain
Dr. Espinosa recommends:
Before Surgery:
1. Not to consume medications that contains salicylic acid (Aspirin) and derivates.
2. Not to have smoked at least one month before the surgery.
3. To inform from possible allergies to medications.
4. To maintain realistic expectations with regard to the results of the surgery
After Surgery:
1. Check on exit that the formula, disability order and date of medical control order has been delivered.
2. The feeding after first day can be normal.
3. Although the pain is usually minimal, inside the formulated medications an analgesic is included. Take it according to the indications scored in the formula. If you ends up noticing severe or persistent pain communicates immediately with us.
4. Avoid taking Aspirin or medications that contain acetylsalicylic acid.
5. During the first days sep a little seated, you shouldn’t sleep face down.
6. You can use your eyes to read or match TV as frequently as you wish.
7. Don’t use any kind of make up for two weeks (eyes liner, eyes shadows, etc).
8. Don’t exercise or practice sports at least for three weeks alter surgery.
9. To avoid any blow in the face, don’t carry small children or pets after the surgery.
10. Don’t be exposed to sun directly for 2 months. Use solar protector and dark glasses.
11. In general terms you will be able to return to your normal activity in a lapse from 8 to 15 days, if it is not exposed to drastic changes of environmental temperature, severe physical efforts or high risk of traumas or blows in the face.
12. It`s normal to feel the forehead tense and itching over the wounds, the first days alter surgery.
13. You will be able to wash your hair with shampoo 72 hours after the surgery avoiding strong massages. Be careful not to injure with the brush the wounds of the hairy skin or those that are around the ears. Don't use dryer for 5 days and postpone any wavy or permanent dye of the hair at least during one month after the surgery.
14. The stitches will be removed in different times after surgery depending of the type of procedure and type of skin. We will announce you conveniently.
15. The forefront can be felt slept for some weeks, this will disappear while the tissues heal.
16. It is very important that you follow the instructions given in the clinic and that attend the planned controls. In the event of needing additional information, don't doubt to communicate with us to solve any restlessness as soon as possible.
17. The previous ones are general indications; don't doubt to call us if you need some explanation. Remember that the success of the surgery depends in large part of the post surgery cares.
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