Enhancing Eye Definition in Upper Face Aesthetics
Forehead lift is an aesthetic surgical procedure that significantly improves facial expression, especially in individuals with a congenitally short eyebrow-to-eye distance or deep-set eyes. This intervention involves repositioning the soft tissues in the forehead upward to reshape the inner and middle parts of the eyebrows. As a result, the eye area appears more open, illuminated, and vibrant.
Who Is a Good Candidate?
Forehead lift is preferred in patients with structurally low-positioned eyebrows and a sunken or concealed appearance around the eyes. The procedure is typically indicated in the following situations:
• Inner and outer segments of the eyebrows are positioned below the frontal bone
• Anatomically short eyebrow-to-eye distance
• Eyes appear deep-set, tired, or recessed
• Eyelids appear heavier due to low eyebrow position (pseudo upper eyelid redundancy)
In such cases, forehead lift is often combined with temporal lift and, when necessary, blepharoplasty (eyelid surgery) to enhance the overall result.
Surgical Technique
Forehead lift surgery is most commonly performed using an endoscopic technique. This method involves making small incisions within the hairline and using a camera-assisted approach to release and reposition the tissues of the forehead and brow region in accordance with natural anatomical vectors.
In this technique:
• Incision scars remain hidden within the scalp and are not visible externally
• Facial muscles and nerves are preserved to the maximum extent
• The inner and middle brow segments are elevated in a controlled manner
• The eyes appear more defined, and the overall facial expression becomes brighter and more balanced
Aesthetic Benefits of Forehead Lift
• Enhanced eye definition: Lifting the pressure from the brows makes the eyes appear more open and expressive
• Balanced facial proportions: Restores harmony between the forehead, brows, and eyes
• Smoother forehead lines and reduced tired look around the eyes
• Less upper eyelid heaviness, potentially reducing or eliminating the need for blepharoplasty
Recovery Process
Forehead lift is frequently performed in combination with temporal lift, so the healing process closely resembles that of temporal lift surgery.
First Week:
• Bruising and swelling are most prominent during the first 3 days
• Cold Compress and Positioning: Cold packs should be applied, blood pressure and heart rate kept low, and the head elevated while sleeping
• Diet: A salt-free diet is recommended; hard or large foods should be avoided. In cases combined with temporal lift, soft foods are advised for the first 5 days due to temporal muscle sensitivity
• Pain Level: Patients often compare the discomfort to a migraine (4–5 out of 10). Strong painkillers are used during hospitalization; simple pain relievers are usually sufficient after discharge. Pain typically decreases to 0–1 after the 4th day. Since the surgery involves the eye area, swelling, tearing, and a stinging sensation around the eyes may occur
• Mask Usage: Postoperative mask should be worn consistently to help reduce swelling and support facial stability
• Bathing: Patients may shower, including washing their hair, starting from the second day. Care should be taken not to pull the hair, and fragranced or allergenic shampoos should be avoided
Week 1:
• Facial bandages are removed. Swelling and edema may persist, but patients can resume most daily activities. Strenuous exercise should still be avoided
Week 2:
• Makeup and light activities are allowed. Most patients can return to work. At the second-week check-up, facial massage is recommended to promote lymphatic drainage and reduce swelling. This massage should be performed 3 times a day, for 2 minutes each, over a period of 2 months
Month 1:
• Patients can resume sports and heavy physical activities. Attendance at meetings, conferences, or other large events is possible
Postoperative Care Recommendations
• Use sun protection regularly
• Avoid smoking
• Do not sleep face down
• Follow the doctor’s instructions for facial massage
Risks and Complications
As with any surgical procedure, forehead lift carries potential risks such as infection, hematoma, and nerve injury. However, when performed by an experienced and qualified surgeon, these risks are minimized. A thorough preoperative evaluation and patient education play a critical role in preventing complications.
Forehead Lift and Combined Approaches
Forehead lift is often performed in combination with other upper face rejuvenation procedures, such as:
• Temporal Lift: Elevates the cheeks, outer brow, and temple area
• Upper Eyelid Surgery (Blepharoplasty): Removes excess skin from the upper eyelids
• SVF or Fat Injections: Restores volume loss in the forehead and eye area
Combined planning provides a more harmonious and aesthetically pleasing facial appearance.
Conclusion
Forehead lift is not merely a superficial lifting procedure but a comprehensive intervention that reshapes facial proportions, enhances eye expression, and improves overall appearance. When performed with accurate indications, proper technique, and a personalized surgical plan, it delivers highly natural and satisfying results.