Temporal lifting improves the stigmas of aging in the temple region. This region is located between the frontal and cervico-facial regions which can also benefit from a facelift. The temporal lifting, which can be performed alone, is, in practice, often associated with eyelid surgery (blepharoplasty).
Duration of hospital stay
1 – 2 days.
The procedure can be performed on an "outpatient" basis, i.e. with a same-day discharge.
Average length of stay
Lifting is a minor surgery.
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This region is located between the frontal and cervico-facial regions which can also benefit from a facelift. The temporal lifting, which can be performed alone, is, in practice, often associated with eyelid surgery (blepharoplasty).
This procedure treats sagging of the lateral part of the eyebrow, unfolds the crow's feet and slightly tightens the skin of the outer part of the eyelids.
The sagging of tissues is essentially cutaneous in this region.
The temporal lifting is performed with a scar located:
• Either in the hair (intracapillary scar) but at the cost of a retreat of the hairline.
• Either flush with the hairline (precapillary scar) but with the risk of a certain scar visibility.
In case of an intracapillary scar, the temporal skin is lifted by pulling on the deep levels. The gesture is thus more effective and avoids any traction on the scalp limiting the risk of alopecia (hair loss) and a significant retreat of the capillary implantation line.
In case of a precapillary scar chosen because the hairline is already quite far back and/or the amount of skin to be removed is significant, the detachment is subcutaneous. Only the hairless skin is removed and the hairline is slightly advanced.
Temporal lifting restores a more harmonious distance between the eyelashes and the eyebrow tail.
When eyelid surgery is combined with it, temporal lifting reduces skin resection and scar length on the upper eyelid.
The procedure performed on both women and men can be performed from the age of 40. However, it is sometimes performed much earlier when the discomforts are constitutional (hereditary factors) and not age-related like initially low eyebrows.
This technique can be combined with eyelid surgery but also with other cosmetic surgery procedures (frontal or cervico-facial lifting, lipostructure).
In the long term, ageing continues to work and the face continues to suffer the ravages of time. A facial treatment with specific skin treatments (laser, pulsed lamps…) and injections (botulinum toxin, filling products) helps to maintain the result longer. A new, often more moderate intervention, may sometimes be necessary.
Before the operation:
The patient's motivations and requests will have been analysed. A careful study of the temporal region, its relation with other features and more broadly of the gaze will have been made.
A regular preoperative check-up is carried out in accordance with the prescriptions.
The anaesthetist will be seen in consultation at the latest 48 hours before the operation.
No medication containing aspirin should be taken within 10 days of the procedure.
Hair will be washed the day before the operation and make-up will be removed carefully on the day of the operation.
It is essential to remain fasting (do not eat or drink anything) 6 hours before the operation.
Types of anesthesia and hospitalization modalities:
Type of anesthesia:
Temporal lifting can be performed under general anesthesia or under local anesthesia combined with tranquilizers administered intravenously ("vigilant" anesthesia).
The choice between these different techniques will be the result of a discussion between you, the anaesthetist and the surgeon.
The procedure can be performed on an "outpatient" basis, i.e. with a discharge the same day after a few hours of supervision.
However, in some cases a short hospital stay may be preferable. Entry is then in the morning (or sometimes the day before in the afternoon) and discharge is authorised the next day.
Each surgeon adopts a technique that is unique to him/her and that he/she adapts to each case to obtain the best results.
Common basic principles can be retained:
In the case of an intracapillary scar, the incision of approximately 4 to 6 cm is entirely hidden in the hair a few centimetres behind the capillary implantation line and parallel to it.
In the case of a precapillary scar, the length of the incision depends on the amount of skin removed.
From the incision, detachments are made in very precise anatomical levels whose extent depends, among other things, on the tissue laxity of each case.
The epidermal tissues are then re-tensioned.
The ascent of the tail of the eyebrow and the redraping of the skin are appreciated, taking care to preserve the expression of the face.
The procedure can last between 40 minutes and one hour for both sides.
The discharge may take place either in the evening or the day after the operation when other operations have been performed at the same time.
The first days, you should rest as much as possible and avoid any violent effort.
During these first few days, the patient should neither be surprised nor worried of:
• a small skin bead on the upper part of the temporal scar
• edema (swelling) that may be more pronounced on the third day than on the first
• bruises in the area
• a feeling of painful tension in the temples
In case of intracapillary scars these are not visible when the hair is styled. The sutures or staples placed on the scalp are removed on the 8th post-operative day.
In case of precapillary scars these are visible but will be blurred from the 4th post-operative month by the hair regrowth through them. They can of course be masked with make-up for the first few months.
After two to three months, you can have a good idea of the final result.
This physical improvement is generally accompanied by psychological well-being.
If in the few years following the procedure a cervico-facial lift is performed, a new temporal intervention would not be necessary. Spaced and regular injections of botulinum toxin into the orbital fibres of the orbital muscle allow the result to be maintained for longer by reducing the lowering effect of this muscle on the tail of the eyebrow. On the other hand, the skin's ageing process continues and its maintenance by medical and cosmetic processes is highly recommended.
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