Lifting du front

Qu'est-ce que la chirurgie du lifting du front ?
Les sourcils sont l'une des structures principales qui ajoutent du sens à notre visage et déterminent notre expression faciale. Bien que la structure et la forme de nos sourcils soient déterminées congénitalement, les changements dans les tissus adipeux sous-sourcilaires, les tissus conjonctifs et osseux au fil du temps peuvent entraîner une baisse significative de nos sourcils.
L'affaissement des sourcils non seulement altère l'apparence esthétique, mais empêche également une bonne qualité de vision en s'accumulant sur la paupière. Dans ce cas, il est possible de se débarrasser de la sensation de lourdeur sur l'œil tout en corrigeant l'apparence fatiguée et insatisfaite grâce à une chirurgie de lifting des sourcils.

De nombreux patients qui ont subi une chirurgie de lifting du front en raison d'un affaissement excessif des sourcils déclarent également que leur monde est devenu plus lumineux après la chirurgie et que leur champ visuel s'est considérablement élargi.
En plus des interventions sur les paupières supérieure et inférieure, des opérations de lifting du front sont également réalisées pour améliorer la fonction visuelle et élargir le champ visuel chez les patients atteints de paralysie faciale ou de lésions traumatiques entraînant des dommages permanents.

Quelles sont les méthodes de lifting des sourcils ?
Il existe de nombreuses méthodes chirurgicales et non chirurgicales de lifting des sourcils en fonction de la structure anatomique et des besoins de la personne. Les méthodes non chirurgicales comprennent l'utilisation de toxine botulique, les injections de comblement, les applications de fils tenseurs et les procédures à l'aide de dispositifs.
Parmi les méthodes chirurgicales, il existe différentes techniques qui sont réalisées en passant par le pli de la paupière, juste au-dessus du sourcil ou à partir de la lisière des cheveux.
Les chirurgies de lifting du front sont le plus souvent combinées avec des chirurgies des paupières. Les chirurgies des paupières, même si elles sont nécessaires, mais sans rehaussement des sourcils, peuvent ne pas suffire à satisfaire pleinement les patients.
La combinaison des chirurgies de lifting du front avec des chirurgies esthétiques des paupières confère une jeunesse à plus long terme à la fois aux paupières, aux sourcils et au front.
Une méthode fréquemment utilisée dans la chirurgie de lifting des sourcils est la méthode indirecte, qui est réalisée à travers la même incision dissimulée lors de la chirurgie de blépharoplastie, où l'excès de peau des paupières est enlevé. Dans ce cas, étant donné qu'une nouvelle incision n'est pas pratiquée, il n'y a aucune possibilité de cicatrice. La partie externe du sourcil est libérée vers le haut à travers la paupière et fixée au tissu osseux de l'intérieur à la hauteur souhaitée. Dans cette méthode, seule la partie externe du sourcil peut être rehaussée.
Relever le sourcil avec une incision juste au-dessus du sourcil offre le résultat le plus efficace et le plus durable. Cependant, cette méthode, qui présente la possibilité de cicatrisation, nécessite une sélection appropriée des patients et une expérience très sérieuse. Dans cette méthode, où les tissus directs sont enlevés, la quantité d'élévation souhaitée et la forme désirée du sourcil peuvent être obtenues de manière mathématique. Dans cette méthode, seule la partie externe ou la totalité du sourcil peut être rehaussée. Dans la plupart des cas, un chirurgien expérimenté peut fournir un camouflage de cicatrice avec des techniques spéciales et, si nécessaire, des injections postopératoires, et il n'y a pas de problème de cicatrice à long terme.
In eyebrow and forehead lift, a very effective lift can be made with lengthwise incisions made just in front of or just behind the scalp. However, these procedures, in which the entire forehead is raised, are not preferred today for some reasons such as requiring a long recovery period and causing loss of sensation, and are only recommended for a small number of suitable patients.
Less invasive methods have been developed to protect the nerves with the help of an endoscopic camera by entering through small incisions made in the scalp in eyebrow lifting. Although they have a shorter duration of effectiveness compared to surgeries performed with incisions directly over the eyebrow, they are still effective for years; Endoscopic methods have advantages such as the ability to remove the entire forehead and the absence of scarring.

Comment se déroule la chirurgie du lifting du front ?
Brow lift operations are performed under local anesthesia or drowsiness anesthesia (sedation). General anesthesia is generally preferred in endoscopic methods. According to the surgical technique, incisions can be made with scalpel (steel blade), electrocautery, radiofrequency devices. Each technique has a different suture material and fixation method suitable for it.
In the indirect method performed through the eyelid, after descending from the fold incision to the appropriate tissue level, the outer half of the eyebrow is released from the bone by moving upwards in a bloodless plane. It is fixed to the semi-movable tissue on the bone with 1 or 2 permanent sutures by lifting the eyebrow up to the level determined during the examination. Then, the hidden incision in the lid fold is closed with sutures.
In eyebrow raising surgery to be performed directly over the eyebrow, a superficial incision is made just above the hairy part of the eyebrow and the incision is deepened with a modified method that will not damage the hair follicles. In this way, both the eyebrow hair loss is prevented and the scar camouflage is provided, and the surgeon's experience is very important in this sense. A predetermined amount of tissue is removed with the examination, and first the deep tissue is closed with embedded sutures, and then the skin tissue is closed with cosmetic stitches. Trace-preventing Z-plasty techniques are used at the incision tips. The surgery is terminated by sticking sterile bands on the incision sites.
In endoscopic brow lift surgeries, small incisions are made in the scalp. After descending to the tissue plane through these incisions, all forehead tissue and eyebrows are released by entering the endoscope and observing the nerves and vessels under direct imaging. Then, the eyebrow and forehead tissues are fixed by raising them with different methods using stitches or fixation implants. The incisions are closed with stitches or staples. A bandage is applied to the forehead area.
Regardless of the technique, eye closure is not possible after the surgery, the patient can be discharged after 1-2 hours of observation and ice application after the surgery.

Comment se déroule la récupération après une chirurgie du lifting du front ?
The recovery period after brow lift surgery is usually uneventful. The patient can continue with his daily activities that do not require excessive effort. As in any surgery, there is a possibility of swelling and bruising, it varies between 1-2 days and 1-2 weeks, depending on the method. Significant pain is not expected during this period, and difficulties may be experienced in moving the eyebrows for the first 1-2 days. In the endoscopic method, there may be a temporary loss of sensation on the forehead. It is generally recommended not to touch the wounds with water for 5 days, sutures 7-10. taken in days.

Est-il possible de réaliser un lifting du front non chirurgical ?
It is also possible to raise the sagging eyebrow tissue with non-surgical methods in suitable patients. However, these methods are not suitable for everyone and if, after a detailed evaluation, it is decided that surgery is required, it is necessary not to waste time with these methods.

Quelles sont les méthodes non chirurgicales de lifting du front ?
Non-surgical eyebrow lifting and raising methods;
Botulinum toxin applications,
Filling applications,
rope hangers,
Device methods are included.
Botulinum toxin is an application in the hands of an experienced practitioner that allows shaping the eyebrows and eye area as desired. By relaxing the opposing muscles, it is possible to raise or lower the outer part of the eyebrow or all of it. Its effect is limited in very heavy eyebrow tissues or obvious skin sagging.
When the connective tissue of the eyebrow is loosened or the fat tissue underneath is reduced, hyaluronic acid filling applications that support the tissues can be beneficial. In this application, the selection and application technique of a filling material suitable for the patient's structure and the desired result is critical.
Although it is possible to raise the eyebrows with rope hangers, the effect time is quite short. The tension obtained in the first months can quickly succumb to gravity. For this reason, it can be applied as an option in patients who do not have heavy eyebrow tissue and do not want surgery, but who want to increase their eyebrow tissue even for a short time.
Device applications aiming to tighten the collagen of the forehead tissue on the eyebrow and the lifting frontalis muscle can also provide temporary eyebrow lift. These include devices that use ultrasonic waves (sound waves) applied from the surface and radiofrequency energy that can be applied from deep tissue. Devices using bipolar radiofrequency energy, which have been developed recently, can remove both superficial and deep forehead tissues effectively and for a long time, by entering through a small hole just under the scalp. It has advantages such as not requiring a recovery period, no possibility of scarring, and being able to return to normal life immediately after a very short application.

Prix du lifting du front
Eyebrow lift procedures and surgeries are performed with many different methods depending on the anatomy of the person and the amount of need, and which method is suitable and whether additional procedures are needed is determined by a detailed examination. Therefore, the procedure to be applied to everyone is different and the price information for eyebrow lifting can only be determined after a free consultation.

À quel âge la chirurgie du lifting du front est-elle réalisée ?
In fact, our eyebrow structure is determined by genetic factors and the eyebrows of the person can be low even at very young ages. However, especially low eyebrows at a level that prevents vision occur due to tissue laxity that develops as age progresses, and surgery is demanded in advancing ages.
Many patients in their twenties and thirties who look extremely unhappy and tired due to the excessively low outer part of the eyebrow, and this situation is reflected in their social relations or performance at work, also benefit greatly from eyebrow lifting surgery and are much happier and more productive in their social and business lives after the procedure.

La chirurgie du lifting du front est-elle permanente ? 
The duration of effect of brow lift surgeries varies between 1-2 years and 20 years, depending on the structure of the patient's tissues, the aging process and the chosen surgical technique. In this regard, the longest effect can be achieved with the direct method just above the eyebrow.

Quel médecin réalise la chirurgie du lifting du front ?
Brow lift operations can also be performed by oculoplastic surgeons who have been trained in aesthetic and functional surgeries of all tissues around the eyes, as well as by doctors from other branches who have experience in eyebrow surgeries.
 

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