Facial Plastic Surgery Questions and Answers: Part 5

Question: Am I a good candidate for a brow lift? 
Answer: A brow lift can accomplish raising eyebrows and rejuvenating the upper one third of the face when there’s low eyebrows present. Also important to soften the coordinator muscles which create scowling and the 11’s between the eyebrows.

Question: Can endoscopic brow lift make my eyes worse? 
Answer: Much more in information is needed, such as a full set of facial photographs to determine if your candidate for the procedure, and it history of any eyelid or forehead surgery. Also important to know how dry your eyes are, if that is an issue already.

Question: Brow lift before or after eyelid surgery blepharoplasty? 
Answer: If the hooded and extra skin on your upper lids is all that is bothering you, then perform a conservative skin only upper blepharoplasty. This procedure can be performed under local anesthesia. The eyebrow position appears normal. When performing a browlift, the entire forehead comes up as a unit including both eyebrows.

Question: Can an endoscopic brow lift correct deep horizontal forehead lines? 
Answer: Deep horizontal forehead lines are corrected only through a coronal approach forehead lift with the incision placed behind the hairline. The frontalis muscle is softened. The corrugator or “scowling” muscle can also be softened as well as lifting the height of your eyebrows and adjusting eyebrow asymmetries, since your right eyebrow is lower than your left.

Question: Would an oculoplast be equally qualified (to a plastic surgeon) to perform a browlift?
Answer: The generalized answer would be a yes, but it depends on the individual oculo plastic surgeons training and expertise. Study their photo gallery for brow lift procedures to make sure that it is extensive with results that you like.

Question: Do I need eyebrow lift or/ and blepharoplasty to look less tired/angry? 
Answer: The photographs demonstrate hooded and excess upper eyelid skin for which an upper blepharoplasty procedure can accomplish significant improvement. The eyebrow position is totally acceptable and a brow lift is not required. A brow lift would only make you look surprised. The Horizontal wrinkles between your eyebrows are related to hyperactive corrugator muscles. Botox would be the most conservative treatment for those vertical lines.

Question: Do I need a brow lift or upper blepharoplasty? 
Answer: The eyebrow position is acceptable, and a brow lift is not necessary, because you look too surprised. Consider aconservative upper blepharoplasty to remove the excess eyelid skin and create more of a curvature to your upper eyelid fold.

Question: Temporal Brow Lift with Blepharoplasty? 
Answer: If you are just trying to improve the upper eyelid area, then consider a stand-alone upper blepharoplasty procedure to remove the hooded skin on upper lids. This procedure can be performed under local anesthesia. If you all are looking to raise the entire eyebrow and lower the hairline, then a pre-trichial coronal brow lift can accomplish not only lifting the eyebrow, but lowering the hairline and softening the frontalis muscle and the corrugator muscles.

Question: Endoscopic (trichophytic) browlift, any advantage to having this done under general anesthesia?
Answer: In our practice, we perform all brow lift procedures under general anesthesia monitored by a board-certified physician anesthesiologist for patient safety and comfort. We also perform mostly coronal approach brow lift procedures which can not only raise the eyebrows, but a address asymmetries, and soften both of horizontal and vertical frown lines in addition to raising or lowering the hairline.

Question: What is the difference between deep-plane and SMAS lower facelifts?
Answer: A deep plane facelift involves dissection in the cheek area in Direct proximity of the facial nerve branches, and has a higher incidence damaging those nerves. A SMAS facelift involves tightening the Facial muscles/fascia safely without seeing the facial nerve branches. Study your prospective surgeon’s before and after facelift photo Gallery, which should be extensive with natural results that you like. In our practice, we do not perform endoscopic brow lift, but perform a coronal approach which can address not only raising the eyebrows, but adjusting asymmetric eyebrows, raising or lowering the hairline, and softening the vertical and horizontal Lines in the forehead as well. A full set of facial photographs from all angles are required to make a determination about how best to proceed with both surgical procedures.

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