Wrinkle reduction, mainly to correct sagging eyebrows and upper eyelids, flatten facial wrinkles and skin laxity in the neck, thereby rejuvenating the face and making it more elegant. The surgery removes or flattens the muscles and other tissues that cause sagging and wrinkles, raises the eyebrows and upper eyelids, and reduces the appearance of frown lines between the eyebrows and crow’s feet. Wrinkle reduction is often performed on women and men in their 40’s and 60’s to minimize the vicissitudes of age on the face; however, it can actually help people of any age to eliminate wrinkles and sagging tissue caused by gravity or muscle overactivity. Surgery can lighten and enliven the expression of someone who, for genetic reasons, has a noticeably droopy brow and upper eyelid at a young age. Wrinkle reduction procedures include: forehead wrinkle reduction, frontotemporal wrinkle reduction, cheek wrinkle reduction, and face and neck wrinkle reduction. Frontal wrinkle reduction is often performed at the same time as facial wrinkle reduction, and blepharoplasty can also be performed at the same time as frontal wrinkle reduction, especially if the skin of the upper eyelid is visibly sagging. Some people who request blepharoplasty may find that a forehead lift gives them a more satisfactory result. You can predict the results of a forehead lift yourself by looking in the mirror and placing the palm of your hand above the end of the brow and gently lifting the forehead, brow and outer corner of the eye – this will roughly equate to the results to be achieved with a forehead lift. During your consultation, you will want to discuss your desired goals and the results of the procedure thoroughly with your doctor, giving an honest account of your physical condition and past medical history, such as high blood pressure, blood clotting disorders, previous facial surgeries, history of smoking, and whether or not you are taking medications that affect the blood clotting mechanism, such as aspirin. Most frontal wrinkle reduction procedures can be done under local anesthesia, or local anesthesia can be used to intensify the anesthesia so that you will remain asleep during the procedure, and your physician will decide which method to apply on a case-by-case basis. Our procedure allows the patient’s hair to be left unshaved, bandages will be removed 2-4 days after surgery, and stitches will be removed 7-10 days after surgery. What problems does forehead wrinkle reduction address? Forehead Wrinkle Reduction is designed to address facial aging above the eyes, which includes low-slung eyebrows (especially the ends of the eyebrows), sagging skin of the upper eyelids (especially at the outer corners of the eyes), forehead wrinkles, frown lines between the eyebrows, and crow’s feet. Different individuals may exhibit different aging characteristics or combinations. The physician will determine the specific plan and steps of the procedure for each client. It should be noted, however, that due to concerns about leaving marks, surgical incisions can only be designed within the hairline or at the hairline margins, the tissue can only be lifted and tightened towards the top, and the surgery cannot be completely removed.