Facial Plastic Surgery Questions and Answers: Part 3

Question: Does lateral brow lift typically carry less risk of nerve injury since it is less invasive?
Answer: A lateral brow lift does have less risk of nerve injury, but also accomplishes much less lift because it is minimally invasive. It Cannot address forehead lines. A traditional coronal forehead lift can address lifting the entire forehead, making the eyebrows more symmetrical, softening the corrugator and frontalis muscles creating the vertical and horizontal lines in the fore head, and adjusting the hairline upwards or downwards.

Question: How long should I wait before moving forward with a rhinoplasty after a brow lift with buccal fat removal and chin lipo?
Answer: For patient safety reasons, it’s probably best to separate the procedures out by at least one month, since both these procedures are usually performed under general anesthesia. Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery, so choose your surgeon wisely based on extensive experience.

Question: Neck lipo help – what treatments would you recommend?
Answer: A full set of facial and neck photographs from all angles are required to make a determination about how best to proceed. It’s also important understand that there are two compartments of fat in the neck, and they’re located above and below the platysma muscle. Liposuction can only accomplish removal of the fat deposit above the muscle. If you have fat deposits below the muscle, that may require a neck lift procedure with a platysma plasty to significantly improve the jawline and remove that genetic fat compartment below the muscle.

Question: Is a blepharoplasty necessary with an endoscopic brow lift?
Answer: In most cases, no a blepharoplasty is not needed with a browlift. A full set of facial photots are required.

Question: Eyelid/eyebrow droopiness – what procedure(s) would be helpful?
Answer: You are not a candidate for upper eyelid surgery due to the fact that you have very low eyebrow position. Consider a brow lift procedure, which can accomplish lifting your eyebrows to a more natural position.

Question: What procedure would make the biggest difference in opening the upper part of my face? Brow lift? 
Answer: A brow lift procedure can accomplish lifting your brows and surgically softening the corrugator muscles that are also adding to the depressor function of your central forehead. A brow lift procedure can also improve some of the hooded appearance of your upper eyelids simply by raising the forehead.

Question: Am I a candidate for eyelid surgery? 
Answer: You have low eyebrows which are creating the hooded look on your upper lids. Consider a brow lift procedure to raise the eyebrows and lift your lower lids off your eyelashes.

Question: Do I need Lateral or full endoscopic brow lift? Or blepho?
Answer: From the limited photographs, it appears that the rows are low, and a brow lift could certainly be beneficial. There are pros and cons related to endoscopic lift versus a coronal lift.

Question: Mid facelift, brow lift, what would be the best approach to avoid any problems? 
Answer: We do not perform a mid facelift due to the fact that the mid-face looses volume, and does not descend vertically with aging process. For mid face rejuvenation, we place small cheek implants in the midface to augment the lost volume. The implants are placed thru an intra-oral approach under a brief general anesthesia. The height of your eyebrows is more than acceptable, and a brow lift be unnecessary. Also important to see a full set of facial and neck photographs to see if you are a candidate for a lower face and neck lift.

Question: Is it preferable to have eyelid surgery (upper, lower blepharoplasty, eyebrow lift) after I’m done nursing?
Answer: It is probably best to wait at least 3 to 4 months postpartum before looking to undergo cosmetic eyelid surgery.A full set ofUpper and lower eyelids photographs Are required to make A determination about how best to proceed.

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