As people age the muscle and soft tissue in the forehead region can sag. The most severe areas of sagging are often in the temple and lateral brow. This can often create an expression of sadness and fatigue. In women, the brow should lie just above the supraorbital rim (bone above the eye). As the aging process progresses, the brow can sag over the bony rim onto the eyelid itself obscuring the natural eyelid appearance and creating an aged appearance.
The temple is the lateral region of the brow. This means that it is the outer portion of the eyebrow and the outer corner of the eye. This is typically the region of the upper face that ages the most rapidly. A temple lift is routinely combined with an upper blepharoplasty allowing for rejuvenation of the entire upper facial region. Elevating this region using a temple lift procedure can dramatically rejuvenate the brow and upper face region making people look younger and more refreshed.
Often, simply elevating the temple is all that the patient desires and a full browlift is not necessary. The temple lift does not address the medial brow. The medial brow is the region in the middle of the forehead that creates a surprised, hollow look when over corrected.
The temple lift is capable of dramatically improving lateral hooding of the eye that can give people an expression of sadness. It can also raise the eyebrow and pull excess skin off of the upper eyelid. A temple lift is often performed in combination with an upper blepharoplasty. A distinct advantage of a temple lift is that it can be performed under local anesthetic making the recovery much easier. It is possible to do a temple lift and an upper blepharoplasty under local anesthetic. Another distinct advantage is that the recovery time is much less than a traditional browlift with less swelling, bruising and scarring.
Patients who have sagging or heavy eyebrows and excess upper eyelid skin that makes them feel tired, angry, sad, or older than they really are.
The best way to see if a temple lift would benefit you is to elevate your own temple and see if you like the look. Place the tips of your index finger at the hairline of your temple and elevate it gently; overdoing it will create too much elevation and look unnatural. Most likely, this will create a more natural, youthful, elegant appearance
The temple lift is a minimally invasive procedure involving small incisions in the temple region with undermining of the soft tissue and elevation of the brow to its natural, youthful position. The incision is hidden in the hairline and typically heals with no evidence of a scar. The procedure is most often done under local anesthetic and combined with an upper blepharoplasty taking about 90 minutes.
Temple lifts are most frequently done under local anesthesia. If the patient desires they can be done under IV sedation. This procedure can be done under local anesthetic, IV sedation, or general anesthesia. Dr. Miller will recommend the most effective form of anesthesia based on the type of procedure lift that will meet your needs.
The patient goes home the day of the procedure and recovery usually take between 1-2 weeks. Patients may return to work as soon as one week post-operatively however, strenuous activity should be avoided for 3-4 weeks. The patient may have some numbness in the forehead due to stretching of the sensory nerves that resolves over time. The patient will follow up on post-operative day one and again on post-operative day 7 for suture removal.
A temple lift is routinely combined with an upper blepharoplasty allowing for complete upper facial rejuvenation. Other procedures that are frequently done with a temple lift include: