Facial cosmetic surgery
Temporal lift (tail of the eyebrow)
The temporal brow or lateral brow lift can raise the outer end of the eyebrow
The temporal brow lift ("dummy clip") helps open up the eye by raising the lateral portion of the eyebrow (tail of the eyebrow), thus restoring the correct distance between the eyelashes and eyebrow. The temporal lift can also soften the appearance of crow's feet.
Principle of the procedure
All the skin of the temporal region and the lateral portion of the eyebrow are lifted up through an incision 4 to 5 cm hidden in the scalp. The procedure is performed on an outpatient basis (out the same day) under assisted local anesthesia (type analgesia). The procedure lasts from 45 minutes to 1 and a half hours.
The procedure can be carried out under general anesthesia when combined with one or more complex procedures (facelift, rhinoplasty ...). In this case, the hospital stay is 24 hours.
- An upper blepharoplasty is often associated. The amount of skin removed from the upper eyelid is limited due to the temporal lift, making the scar shorter and not going past the corner of the eye.
- Botulinum toxin injections help to maintain the result of temporal lifting by partially paralyzing the portion of the orbicularis muscle that pulls the tail of the eyebrow down. Botox injections without a temporal lifting allow the raising of the tail of the eyebrow but the result is less impressive than with a temporal lift and is only temporary. The choice between temporal lift (associated or not with botox) and botox injections alone will only be determined following a discussion between the patient and the surgeon.
- A browlift (or forehead lift) helps to diminish the wrinkles of the forehead and replaces the eyebrow higher. In this case, the scar goes in the scalp from one ear to the other.
The amount of swelling (often greater around the third day) and bruising vary depending on the patient. A small bead of skin at the scar is normal and disappears spontaneously after several days.
The pain is mild, a feeling of tension is felt at the temples.
The staples are removed a week after surgery.
Social and professional activities can be resumed 1 to 3 weeks after surgery depending on the job performed.
Risk of complications
As with any surgery, a number of complications can occur. But the likelihood of these complications is reduced in the hands of a qualified plastic surgeon and in the presence of a competent anesthetist. The patient’s compliance to instructions given by the surgeon is also essential and include :
- stopping smoking 1 month before and after the procedure (reduction of all risks) ;
- not taking aspirin for 10 days before and after the procedure (reduced risk of hematoma).
Fortunately, postoperative effects are generally manageable following a temporal lift that has been carried out properly, so serious complications are rare.
In spite of the fact that complications are so rare you must be aware of the following problems :
- A haematoma : this can be drained without sequelae.
- Infection : this is extremely rare when the procedure is carried out in sterile environment.
- Delay of healing process
In case of a complications, your surgeon will treat them successfully if necessary.
In practice, the vast majority of cases take place without any problem and the patients are satisfied with the result.
Health insurance coverage
As this procedure is considered purely for aesthetic purposes, no coverage is provided by health insurance.
Author: Dr. Christophe Laveaux
Specialist in aesthetic surgery - Antibes
Reproductions, even partial, of the texts are allowed on the express condition cite the author (Dr. Christophe Laveaux) with a direct link to the article mentioned.