
In conventional open approach, a coronal incision that is made slightly behind the natural hairline can be used. An alternative is the pre-trichial incision. This is similar to the coronal incision except that the mid-portion of the incision is made directly at the hairline. Your surgeon will then separate the skin and muscle from the underlying structures, depending upon the type of lift and desired results. Underlying structures are then suspended by permanent sutures or barbs. Your surgeon will then excise about 1 to 3 cm of excess skin; lift your skin to the desired level of lift; and lastly apply sutures or staples.
Another approach is endoscopic surgery. This commonly preferred technique is less invasive but it may require more surgery time. Several small incisions are placed just behind the hairline. An endoscope is placed under the skin in order to get a clear view of the muscles and tissues under the skin. Then the surgeon inserts another instrument through another incision to lift the forehead skin and remove or alter the muscles and underlying tissues. The forehead skin is hold up in a higher position with temporary sutures. The skin will heal in this position.
Reference information: www.eafps.org
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your ENT specialist for diagnosis and treatment.