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As aging progresses, skin wrinkling and a loss of tone can occur in the forehead area as it does in the eyelids and lower parts of the face. This may cause sagging of the eyebrows, resulting in a tired or sad look and aggravating the appearance of excess skin of the upper eyelids. It may also result in deepening of the horizontal expression lines and wrinkling in the forehead itself. There may be deep, vertical frown lines between the eyebrows in the center of the forehead. The forehead lift is designed to correct or improve these problems. The operation is performed under local or general anesthesia. Incisions are placed behind the hairline above the ear and continue over the top of the head. in some cases, incisions may be placed in the hairline. Improvements are made beneath the skin and on the deep muscles; the skin and muscle are then tightened to give a fresher, more youthful appearance. Some patients may be candidates for an endoscopic forehead lift, which requires several very small incisions at or within the hairline instead of the longer incision used for a conventional forehead lift. Using an endoscope, the plastic surgeon can remove the muscles that cause frown lines and, when needed, elevate the brows.
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