An ideal looking forehead

There should be four finger breadths of forehead before the hair line.The forehead should be smooth without horizontal wrinkles.If there are wrinkles during contraction of the forehead then it is normal.There should be no frown lines or creases between the eyes at rest.

Fact:

A high forehead is considered attractive in females adding an open exposed look to the face.

How you can self evaluate:

You can measure the width of your forehead by four finger breadths.Relax completely your face for 30 seconds .Make no motion .See if lines are left.

How much improvement can be done :

The forehead can be restored to laying flat without wrinkles at rest .The hairline can be altered .With surgery it can be raised easily or lowered less easily.The contraction of muscles around the wrinkles can be eliminated.

The options available for forehead:

With age the forehead develops fine wrinkles that can be very thick and disturbing .The horizontal lines are created with frontalis muscle that form a large sheet across the forehead and lifts up the brows.Frown lines between the eyebrows may be more noticeable and persist at rest as people age .The frown lines are  created by the corrugator muscles that attach skin to the nose.

The standard forehead lift:

The forehead lift is the most common technique performed to improve the forehead and the eyebrows.In this process the skin of the forehead is lifted up .After the entire forehead skin is elevated , the muscles between the eyebrows that make the frown lines are usually cut so that this area of forehead no longer creases .This alone will greatly reduce the depth of the lines.Next,there are several processes that can be performed to weaken the forehead from contracting.Usually the muscle is cut into a checkerboard pattern which greatly reduces its strength or strips of the muscle may even be removed.
In the end , the surgeon may remove a strip of excess skin near the incision and sew the skin closed.

Hairline versus in the hair incision:

The standard forehead lift may be done with the incision right at hairline or about an inch behind the hairline which is known as coronal incision.If the incision is behind the hairline.,it is hidden but some hair may be lost if the surgeon removes excess skin at the edge .Also the the hairline will be moved higher depending on how much bskin is removed usually less than an inch .In some patients this is desirable,in others it may not be .If the incision is at the hairline ,the hairline will stay the same.However the scar may show particularly if excess skin is removed and there is tension on the hairline.Lately surgeons have focused more on reducing muscle function and  less on skin removal since the muscles are the reasons for the problem.

Complications in Forehead lift:

Elevation of hairline,if the incision is made in the hair the hairline may be elevated.Scarring may be noticeable if the incision is at the hairline and the hair is worn up.It improves a lot with time.May be designed so that the hair grows through the scar.Numbness or loss of sensation:The nerves which give sensation to the forehead run vertically from the middle of eyebrows .Surgeons are careful to avoid them.Paralysis of forehead muscle:If this happens the forehead lays flat.Usually the other side is cut so that the two sides match .The goal is the reduced muscle function of forehead.Persistent wrinkles:If the muscle function is reduced enough , the improvement is excellent .The muscle tend to heal back together and create more wrinkles.