When we age or gain weight, the attractive angle between our under chin and our neck becomes obtuse. Traditionally, a neck lift was used to correct it. Later, we added liposuction and devices such as Vaser and J-Plasma. However, reproducing a long-lasting effect for this angle has always been a challenge. Dr. Shahram’s solution passes a sling over the neck muscle, interlocking it with the same sling coming from the other side, tightening and fixing it to the bone behind the ears. Whilst it sounds drastic, the procedure is actually quite quick and in selected cases can be done under local anaesthesia. It is usually combined with lower face and double chin Vaser liposuction (or J-plasma), not only removing the excess fat, but also giving definition to the under chin and neck. It also improves the jaw’s definition.
Procedure
A forehead lift, also called a brow lift, is a procedure that rioves excess tissue, alters muscles and tightens the forehead skin. This procedure may be performed using the traditional technique, with an incision across the top of the head just behind the hairline, or with the use of an endoscope, which requires three to five short incisions, but allows access to the relevant areas to be treated incorporating a camera and a monitor to visualize the dissected areas.
Length
One to two hours.
ANESTHESIA
General anesthesia or intravenous sedation and local anesthesia are options.
INPATIENT/OUTPATIENT
This is most often an outpatient procedure.
POSSIBLE SIDE EFFECTS
When an endoscope is used the patient may experience tiporary swelling, numbness, headaches and bruising. When the traditional method is used there is the possibility of itching and hair loss.
RISKS
Injury to facial nerves causing loss of motion, muscle weakness, or an asymmetrical look, persistent areas of numbness and broad and occasionally excessive scarring
RECOVERY
The patient usually returns to work in seven to ten days and even sooner with an endoscopic forehead lift. The patient must limit more strenuous activities for several weeks. Full recovery from bruising takes from two to three weeks. One should limit sun exposure for several months to avoid hyperpigmentation of the forehead which can occur as a result of sunlight exposure during the first three to six months after the procedure has been performed.
RESULTS
The results from this procedure usually last five to ten years.
In some instances its effective only by itself but usually for best results its combined with double chin liposuction and J-plasma.
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