Brow Lift
Sagging of the
eyebrow and forehead is one of the early signs of aging. This is manifested
by drooping or furrowing of the forehead, as well as the development
of horizontal and vertical forehead creases. The brow may descend
and seem to lie on the eyelashes resulting in an appearance of excess
eyelid skin. Patients often complain that their eyes appear to be
getting smaller and that their mascara or eyeliner usually ends up
high on the upper part of the lids. This condition can be greatly
improved with a forehead lift.
A forehead lift can be thought of as the upper facelift.
Forehead lifts previously involved long incisions made across the forehead.
Now with the development of endoscopic surgery, the operation is usually
carried out through small inconspicuous incisions. Endoscopic surgery
is a technique that uses optical telescopes with video imaging to
allow visualization of surgical sites not readily accessible.
The operation is usually carried out through five
short incisions above the hairline. Special instruments and a small
telescope are inserted and dissection is carried out with video monitoring.
The forehead is freed down to the brow. The muscles creating the wrinkles
and frown lines are treated with a laser or electrocautery. This allows
pinpoint accuracy with minimal bleeding. After mobilization, the brow
and forehead are rotated to the desired position and fixed with sutures.
No skin is removed.
After surgery there may be some swelling and bruising
around the eyes and upper face. With the use of the endoscope and
the laser recovery is fairly quick. One of the possible complications
reported with this operation is damage to one of the fine motor nerves
that control movement of the forehead. This is rare, and in most cases
it resolves spontaneously, although it may take a few months.
An endoscopic forehead
lift can be performed as an isolated procedure or in combination with
a facelift and / or blepharoplasty. We feel that this technique is
superior to the older techniques of forehead, brow or coronal lifts
by minimizing incisions and allowing faster recovery. Our patients
have been highly satisfied with this procedure.
Eyelid
Surgery Los Angeles
The eyes account for a
large part of the expression of the human face: they project an array
of emotions including happiness, sorrow and fear. It is the contour
of the skin, muscles, fat, hair and lashes around the eyes that convey
these expressions.
Eyelid surgery or blepharoplasty is an operation that corrects sagging
eyelids as well as bags and bulges about the eyes. These conditions
may occur as a result of aging or as a result of genetic predisposition
in younger individuals, which leads to laxity of the eyelid skin and
protrusion of fat around the eyes. The result can be marked changes
in expression causing a tired and an older appearance and in severe
cases of skin laxity, visual impairment. The blepharoplasty procedure
that we perform can restore your youthful look and improve the way
people see you.
Surgical Procedure:
The operation can be performed
under general anesthesia or under local anesthesia in which the area
is numbed. Following the natural lines and creases an incision is
made in the eyelid skin. Through these incisions excess skin, fat
or muscle is removed based on the individual problems. In certain
cases, a laser can be used to perform the operation. The laser helps
minimize post-operative swelling and bruising.
Transconjuctival Blepharoplasty:
In cases where
there is bulging fat without excess skin in the lower eyelid, the
procedure can be carried out through an incision inside the lower
eyelid. This procedure is called transconjuctival blepharoplasty.
In addition to avoiding a scar on the lower eyelid it minimizes chances
of developing post-operative complications such as lid lag. This procedure
can be combined with laser resurfacing or a chemical peel of the lower
eyelid, to help decrease the lines in the lower eyelid skin and crows
feet area.
