Facial Plastic Surgery Questions and Answers: Part 6

Question: Would I be a good candidate for ptosis surgery, blepharoplasty or a brow lift? 
Answer: A full set of eyelid photographs from all angles that are unadulterated are going to be required to make a determination about how best to proceed. From the limited photograph, your eyebrow position appears normal, And a brow lift is unnecessary. An upper blepharoplasty procedure can accomplish removal of excess skin on the upper lids. Ptosis surgery involves tightening the eyelid muscles when the upper eyelid margin is cutting across the black part of your pupil.

Question: How long after deep plane facelift, endoscopic brow lift, and quad blepharoplasty can I put in beaded row hair extensions?
Answer: A month after your surgery should be an adequate amount of time to Start using hair extensions again. Always best to check with your operative surgeon.

Question: Brow lift or blepharoplasty? 
Answer: From the limited photograph presented, the eyebrow position is normal, and a brow lift is unnecessary. Just consider an upper blepharoplasty procedure to get rid of the excess skin touching the eyelashes.

Question: Coronal vs Endoscopic brow lift?
Answer: In our practice, we usually perform a coronal brow lift due to the fact there are significant limitations with the endoscopic lift. With the coronal approach, the goals are to either raise or lower the hairline, soften the horizontal and vertical lines in the forehead, adjust eyebrow asymmetry and simultaneously raise the eyebrows to the desired position. When there is significant dermal atrophy between the eyebrows, fascia grafts are placed.

Question: Do you have to get Fillers dissolved before Brow lift and Upper Eyelid Surgery?
Answer: Depending upon how much filler material is present, you might want to consider getting the filler dissolved in the eyelids and forehead, since you have inflated the normal anatomy. The temporal filler does not need to be dissolved.

Question: Does the Glide Lift really work?
Answer: Much more information is needed, such as a full set of facial photographs to make a determination about whether or not you’re even a candidate for a brow lift procedure. There are many reasons to get a brow lift which include Raising low-set eyebrows, adjusting asymmetrical eyebrows, raising or lowering the hairline, softening the vertical and horizontal wrinkles in the forehead and softening both the corrugator and frontalis muscles. We do not use any type of quilting stitch, since it can cause necrosis of the skin flap. We use drains that are left in place for 24 hours.

Question: Upper (maybe lower) eyelid lift and brow lift options? 
Answer: The photographs demonstrate hooded upper eyelids and low-set eyebrows. An upper blepharoplasty can accomplish removal of the hooded extra skin, while a Coronal approach forhead lift can accomplish adjusting the asymmetry of the eyebrows, lifting the eyebrows, and surgically softening the muscles that create the 11’s between your eyebrows. Based on the placement of incision, you can actually lower your hairline if so desired.

Question: Will a brow lift smooth out scar tissue between my brows caused by extractions? 
Answer: From this one photograph, the scar tissue is not evident, and the height of your eyebrows looks perfect. You’re not a candidate for a brow lift procedure. If you get a brow lift, you will look very surprised permanently.

Question: Would I benefit from a brow bone reduction? Or just a brow lift? 
Answer: The central part of your eyebrows are certainly low compared to the outer portion of your eyebrows, therefore a brow lift would be of some benefit. Also important to evaluate how strong your corrugator muscles are just above the inner part of your eyebrows which dynamically pull down the central component of your eyebrows themselves when scowling.

Question: Should I get eyebrow lift or blepharoplasty on my upper lids? 
Answer: You do have facial and orbital asymmetry which is quite normal. Everyone has some degree of asymmetry. The position of your eyebrows is great, therefore an eyebrow lift is not necessary. Consider an upper blepharoplasty procedure to remove the extra skin creating the hooded look along with some fat deposits on the inner corners of your upper eyelids. This can be performed under local anesthesia in the office setting.

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