CloudHospital

Last updated date: 03-May-2023

Medically Reviewed By

Written by

Dr. Sharif Samir Alijla

Originally Written in English

Barbie Line Upper Facial Surgery

    One of the most obvious indicators of gender is the shape of the forehead. Contouring the brow bone and contouring the forehead can be a profoundly transformational surgery and is a common aspect of surgical facial feminization. A masculine forehead features a more pronounced ridge of bone right above the eyes, known as the brow bone. A feminine forehead has a softer, gently sloping look. The angle formed by the forehead and the nose is represented by the central region of the forehead or the area between the brows. The lateral component is related to the positioning of the brows, which may be at the level of the brow bone and reflect a more masculine look. When the brows are raised over this height, they appear more arched and feminine.

     

    What is Barbie Line Upper Facial Surgery?

    Facial feminization surgery (FFS) is a crucial step in the male-to-female transition.   Specialists recognize the significance of this procedure and its function in assisting patients in transforming their faces to better reflect their inner selves. FFS is one component of a comprehensive feminization strategy that may involve hormone therapy and additional surgical procedures in other regions of the body. FFS refers to a collection of procedures that aim to give the face a more feminine appearance. The doctors construct a surgical plan with the patient's direct participation and desire after a detailed discussion and evaluation of each patient, including a detailed 2-D and 3-D assessment. This highly tailored surgical strategy aims to make the patients look and feel more feminine. Barbie Line upper facial surgery is a three-procedure package that includes brow bone reduction, brow lift, and forehead fat graft.

     


    Brow Bone Reduction

    Brow Bone Reduction

    A brow bone reduction is a cosmetic procedure that alters the form of your forehead. This minimally invasive surgery involves physically reshaping the bones that make up the forehead. Because our forehead is such a prominent feature of our face, being self-conscious about its appearance can be distressing. However, brow bone reduction, also known as forehead contouring or forehead enhancement, is a relatively simple procedure. Choosing to have your forehead contoured can be intimidating at first. Finding the best doctor and clinic, balancing price and quality, and deciding whether to get a brow bone reduction in Korea or abroad are all crucial considerations.


    Brow Bone Reduction Types

    Brow Bone Reduction Types

    Once you have decided to get forehead contouring surgery, you must select the appropriate surgical approach. Depending on the causes and goals of your treatment, there are several different types of brow bone reductions that are feasible.

     

    Brow Bone Reduction with Shaving

    A surgeon uses this method to smooth out the forehead by shaving, also known as burring, a little bit of bone away. This treatment is best suited for people who have a little bone ridge around the upper border of their eye sockets that can be decreased to give them a more feminine appearance.

     

    Brow Bone Reduction with Shaving and Filling

    The same shaving procedure as in the previous method is employed for this kind of forehead contouring. However, the surgeon will also use specialized bone cement to improve the contours of the brow.


    Brow Bone Reduction with Forehead Reconstruction

    This is the most prevalent method of enhancing the brow. The frontal wall of the sinus bone is removed as part of the procedure. This is then reshaped and reattached to modify the shape of the brow.


    Brow Bone Reduction with Forehead Reconstruction and Filling

    The fourth approach of forehead contouring employs the same reconstructive method as the prior one. However, in addition to the reconstructive approach, bone cement is employed to enhance the contours of the brow.


    Brow Bone Reduction Indications

    Brow Bone Reduction Indications

    Brow bone reduction surgery is appropriate for healthy persons who have prominent brow bones:

    This is a critical component of facial feminization surgery (FFS) for transgender women.
    Men with a very projecting brow ridge (also known as frontal brow bossing) frequently desire to keep some brow prominence while looking less excessive or aggressive.
    Women with typically masculine forehead shapes frequently want the upper face and brow area to appear as feminine as possible, with a smooth, rounded forehead shape as the goal. Reducing this bone also helps to brighten the area around the eyes.

    The kind of brow bone reduction operation that is best for you will be determined by your goals and anatomy. The elevation of the bone in relation to the level of the forehead above it and the radix (where the brow bone joins with the nasal bones) below it is used by doctors to measure brow bone prominence.

    They constantly look at the face as a whole while performing any facial operation. A rhinoplasty with radix correction may be required if the radix is excessively deep or too high. Likewise, brow bone reduction is frequently followed by a brow lift (also known as a forehead lift) to strengthen the brows and prevent sagging.


    Brow Lift

    Brow Lift

    A brow lift is a type of cosmetic surgery used to elevate a sagging or heavily furrowed brow. The procedure is frequently used to eliminate wrinkles, or frown lines, that appear across the forehead and the bridge of the nose. It can also make the brows appear more alert and youthful. This procedure is often referred to as a forehead lift.

    Facelift surgery (to repair aging abnormalities in the middle to lower face and neck areas), eyelid surgery (to revitalize aging eyes), and skin resurfacing procedures are other rejuvenation or cosmetic procedures that are frequently performed alongside a brow lift. There are options if you are self-conscious about your appearance or consider cosmetic treatments to increase your confidence. These could involve making lifestyle modifications or loving yourself as you are.


    Brow Lift Indications

    Brow Lift Indications

    Brow lift surgery is a highly customized operation that may not be appropriate for everyone. Before making any decisions, speak with your Specialist Plastic Surgeon. Your doctor will evaluate your problem and overall health before recommending the best treatment for you. Before you opt for a brow lift, bear the following points in mind:

    If you are particularly concerned about the region around your eyes, eyelid surgery may be preferable to or combined with a brow lift. Ask your surgeon about your options.
    Brow lift surgery does not turn back the hands of time. After the procedure, the regular aging process will continue. Any major changes in your habits, including your weight, after surgery, may have an impact on how you look.
    Smokers are more likely to experience complications from any procedure. If you intend to get plastic procedures, you should stop smoking.

    The brow lift procedure may be suitable for you if:

    • Your brows have begun to droop.
    • You have significant creases on your brow.
    • At the base of your nose, you have crow's feet or deep forehead wrinkles.
    • You are physically well and have no medical issues that could delay healing or raise your risk of surgery.
    • You have reasonable expectations of what the brow lift procedure can produce.
    • You are a nonsmoker or stopped smoking.


    Forehead Fat Graft

    Forehead Fat Graft

    There are various options for restoring a more appealing and youthful facial appearance. Most people are aware of facelifts and dermal fillers as restoration options, but facial fat graft is also becoming more popular. A fit young face can be compared to a smooth fresh grape that loses moisture with time and eventually becomes a dried raisin. However, the raisin retains the ability to absorb moisture and become plump and juicy once more. A dried and worn face can also be volumized by introducing fat cells into the chosen place. Fat cells are extracted from the patient's own body and perfectly replace face fat cells that have been lost over time.

    Tiny amounts of fat are extracted, typically from the belly or thighs, before being administered into targeted facial areas using a micro-droplet technique. Facial fat grafting has a lengthy track record of success and is perfect for volumizing and contouring around the eyes, jawline, and cheeks. The little amount of fat extracted should not be compared to liposuction, and the facial fat grafting operation can be combined with other cosmetic rejuvenation techniques like a facelift or eyelid surgery.


    Forehead Fat Graft Indications

    Forehead Fat Graft Indications

    In some ways, we are all potential candidates for this procedure. Facial fat transfer improves the appearance of a face that has aged over time. Wrinkles, frown lines, furrows, hollows, and even acne scarring are among the aspects of the face that can be addressed. By the time we reach our thirties, our full and round facial form has shifted to a more angular appearance. Many individuals appreciate the transition from baby fat to a more adult appearance with prominent cheekbones and jawlines. However, this is merely a phase, and persistent fat loss leads to an undesirable appearance.

    Fat grafting is an interesting choice for prospective patients because it requires no facial cuts and is minimally invasive. An extremely thin needle is used to inject fat with small droplets. The microdroplet technique ensures that grafted fat receives adequate blood supply, resulting in smooth and plumped outcomes. Some facial areas may only need one fat injection therapy to achieve long-term results, but others may necessitate multiple visits to the doctor.


    Barbie Line Upper Facial Surgery Preparation

    While preparing for the facial feminization procedure, there are numerous steps to follow. Your surgeon may order a medical assessment or laboratory testing for you. New prescriptions may be required, or your existing prescriptions may need to be modified. You will be urged to quit smoking and refrain from taking any medications that raise your risk of bleeding, such as anti-inflammatory drugs, aspirin, and herbal remedies. FFS is performed under general anesthesia in a hospital or surgery setting. Some operations may be performed as an outpatient. The doctor will provide you with more details about what you need to do before the surgery.


    Brow Bone Reduction Procedure

    Brow Bone Reduction Procedure

    The contours of your forehead are reshaped during brow bone reduction surgery. While the procedure varies depending on the type of brow augmentation, there are a few steps that are always followed.

    Consultation before surgery. Your doctor will talk with you about why you are having the procedure, as well as your goals and expectations. A general health evaluation, as well as a CT scan, may be performed to study the shape, placement, and size of the bone and determine whether you are eligible for therapy.

    Surgery preparation. The majority of brow bone reductions are performed under local anesthetic. This means you will be fully awake throughout the treatment but won't feel any pain or discomfort. However, depending on your circumstances, your doctor may decide to utilize a general anesthetic. This is something you can talk about during your preoperative appointment.


    Brow Bone Reduction Procedure

    The precise procedure used by your doctor will be determined by the type of surgery you have. Most brow bone reductions, however, entail some common steps. Your doctor will:

    • To access the brow bone, cut the brow, usually along the hairline.
    • Repair the brow and eliminate any bone mass required to reshape the brow.
    • To minimize any scarring, close the wounds with stitches or sutures.


    Brow Lift Procedure

    Brow Lift Procedure

    Brow lift surgery can be done with either general or local anesthesia. There are two procedures available, each of which can take up to two hours to complete. There are two types of brow lifts:

    Open brow lift. A lengthy incision (cut) across the forehead is made by the doctor, either around the hairline or in one of the forehead wrinkles. The skin is separated from the underlying tissues by being lifted. Muscles are relaxed, and fat is removed. The extra skin is removed, the remaining skin is pulled down, and the brow is sewn into its new position. Classic, coronal, and trichophytic brow lifts are among other names for this procedure.

    Endoscopic brow lift. The surgeon introduces an endoscope (a tube with a camera at the end) through many tiny incisions. The procedure is similar to that of an open brow lift, except that the surgeon views the tissues beneath the skin via a tv screen rather than through an open cut.

    Suture brow lift (thread lift) is an alternate form of facelift surgery that is frequently performed under local anesthesia. The surgeon inserts fine threads with microscopic teeth via very thin tubes (cannula) so no incisions are made in the skin. These threads are constructed of a non-absorbable Prolene fiber that has been used successfully in surgical procedures for many years. Following placement of the threads via the microscopic puncture wounds, the threads are gently pushed upwards and fastened to the facial tissue and skin. After that, the insertion place is sewn shut.


    Forehead Fat Graft Procedure

    Forehead Fat Graft Procedure

    The method is completed in a few simple steps:

    • Fat removal. Narrow cannula liposuction removes a tiny amount of extra fat, usually from the buttocks or thighs. Low suction is utilized to collect fat cells that are mostly intact.
    • Fat cell isolation. Fat cells are collected and separated from the surrounding fluids. Any damaged cells are eliminated during the transfer, keeping only healthy and clean fat cells.
    • Fat injection. Your doctor will have chosen face areas for fat injection, and he will then introduce fat at a depth that gives the best effects for facial rejuvenation.
    • Recovery. Any swelling or redness will go away within a day or two. Your doctor will prescribe pain medication, and because it is an outpatient treatment, you will be able to go home the same day and return to work shortly after. The results will be visible as soon as the swelling subsides.


    Barbie Line Upper Facial Surgery Recovery

    Barbie Line Upper Facial Surgery Recovery

    Bandages or gauze may be applied to your incisions following surgery. To prevent swelling following significant surgery, a supportive garment or elastic bandage will be employed. To remove blood or other fluids, a tiny drain may be positioned beneath the skin. Specific instructions will be given regarding medications to be taken orally or topically, what to look out for and when to contact the surgery center, and when to follow up on the surgery.

    Swelling will be noticeable for several days or weeks. Ice packs are highly beneficial in the first 48-72 hours following surgery. This is your chance to discuss any questions you may have. Recovery usually takes several weeks. During this period, the facial contour will improve and swelling will diminish. Follow your surgeon's instructions and attend all follow-up appointments.


    Barbie Line Upper Facial Surgery Risks

    The risks differ depending on the surgery. Hemorrhage, infection, poor healing or scar tissue formation, imperfection, malposition, poor bone healing, unexpected fracture of facial bones, contour irregularities, dental injury, nerve injury (with facial numbness or weakness), injury to the brain or facial sinuses, and the need for revision are all general risks of facial skin and skeleton surgery. A CT scan is typically used to analyze your facial anatomy to prepare and maximize your safety during the procedure.


    Conclusion

    Upper facial feminization surgery is intended to give the upper third of the face a more feminine appearance, and it is tailored to each individual's transition desires. The upper third of the face, like the lower third, is a significant aspect of femininity. As a result, numerous hospitals developed Barbie Line Upper Facial Surgery to define and femininize the upper face.