One of the most common areas for the first signs of facial aging to appear is the forehead, and many patients, both men and women, come to me asking for treatments that can address the various lines and wrinkles that tend to form there. However, just as with any area of concern, there is no such thing as a “one-size-fits-all” treatment. Every face is unique and what works well for one patient may not be as effective for another. I have found that rejuvenation of the forehead and upper face is, instead, best achieved by working in stages, beginning with subtle, non-surgical facial rejuvenation procedures to help preserve the face’s naturally youthful appearance and then proceeding to facial plastic surgery procedures that are specifically targeted to the individual patient’s areas of concern only as those procedures become necessary. This gradual approach makes it much less obvious that a patient has had work done and is the best way to achieve long-term natural-looking facial rejuvenation results.
One of the main reasons that skin becomes wrinkled is because it is constantly being stretched and folded by shifting facial expressions. Although young skin is highly elastic and easily rebounds back to its original position, older skin gradually loses that trait. As a result, repeated movements of the face can start to leave creases and wrinkles in the skin, especially in areas that are highly animated, like the eyebrows and lips. Hence the first step to preserving a youthful appearance, which can begin as early as ones twenties or thirties, requires the relaxation of the underlying facial muscles responsible for forming those wrinkles using Botox® cosmetic injections . Not only do Botox® injections help smooth away existing crow’s feet and frown lines, but they can also potentially help keep new lines and wrinkles from forming, delaying the point at which more extensive facial rejuvenation procedures may be necessary.
Focusing on the Important Details
Patients in their thirties and forties sometimes think that they need a facelift or brow lift because their eyes have started to appear hooded or sunken, when in fact the problem isn’t in their forehead at all. The thin and delicate skin of the eyelids can, over time, start to wrinkle and sag, making the eyes look small and narrow and making the entire face appear tired, sad, or angry. A blepharoplasty, or eyelid surgery, can be performed on the upper and/or lower eyelids to remove tiny amounts of excess skin and fat while tightening the miniature muscles that surround the eye to give the eyes a more youthful look.
Lifting and Smoothing the Entire Forehead
When patients reach their late forties or fifties, many may start to experience a more significant loss of skin and tissue elasticity in the forehead. Eventually, this can reach a point that deep lines and forehead furrows start to form and less invasive maintenance procedures begin to lose their effectiveness. At this stage, a brow lift procedure is often the most appropriate solution. Using a few tiny incisions hidden above the hairline, I can tighten the underlying muscles and lift the excess, sagging skin upward, alleviating deep forehead wrinkles, frown lines, brow furrows, and sagging eyebrows all at once.
Again, it is important to emphasize that every face is different, and no two faces ever proceed through the aging process in exactly the same way. So it is extremely important to come in for a full facial rejuvenation consultation, where we can go over your specific areas of concern, use digital imaging technology to view how different procedures may look with your unique facial anatomy, and determine the course of treatment that will ultimately give you the most satisfactory results. If you are interested in learning more about any of the cosmetic plastic surgery procedures that I perform, or about your own anti-aging options, please feel free to contact me, Dr. Fernando Burstein, to schedule an appointment or connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news and updates.