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Page 16
Female Focus
Treatment of the upper third of the face
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There are a number of techniques and procedures used for the rejuvenation of the area that goes from the frontal hairline down to the eyes. The most common is eliminating the horizontal or vertical lines of the forehead, something that nowadays can be treated with Botox twice yearly and without the need of surgery.
Dr. I. Poole, Clinica El Arenal. found at Av. Arenal 2, Jávea. Tel: 96 579 2418 11am - 1pm
clinicaarenal@gmail.com
Another popular technique involves the lifting of the tail of the eyebrow and as it is a permanent result, will not need to be repeated in the future. There are two different approaches that will basically depend on the position of the frontal hairline. When it is in it’s correct place, an incision of about 2-3 inches long can be drawn at about one inch behind the hairline on both sides. The skin of the forehead is then detached from the muscle below, down to the eyebrows and then is tightened up with the result of both eliminating the horizontal lines and elevating the eyebrow. As a result of this, no incision is visible and the eyes look much younger, bigger and more alert.
When the hairline is very high, this may not be advisable as it may lead to a very tall forehead making it impossible for the patient to comb the hair backwards. In this case, the indication is different. The incision is then drawn through the brow or just above it. Then an oval shape of skin (or a butterfly shape one in some cases) is removed in order to lift the tail or the entire eyebrow. There will be a couple of permanent stitches that will go from below the eyebrow skin to the muscle or periosteum underneath to ensure that the eyebrows will not drop again. The skin is then sutured with one intra-dermal stitch (a stitch that goes all the way under the skin from side to side all along the incision) that will be removed some days later and that will leave none or minimum scaring that later will be covered by the brow’s own hair. Both procedures can be performed under local anaesthesia plus sedation on a day surgery basis. There should not be any complication as there are no important structures in the area and the patient can normally resume normal life in a week or so. As every case is different, it is important to study each individual one to decide which procedure is best. There are a number of other procedures that can be used but because the obvious limitations on this page, cannot be included here. As you know, any informative visit is free of charge so feel free to ask for an appointment to discuss your case and alternatives.
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