Endoscopic Eyebrow Lift Beverly Hills
Forehead lift Los Angeles
There have been several advances in brow lift technique in recent years. The most modern is the minimally invasive method called
endoscopic brow lift. Several small incisions are made in the hair and small endoscopes combined with video cameras are placed underneath the skin. Using this indirect instrumentation, the muscles and underlying structures are re-suspended. No skin is removed and the hairline stays in approximately the same position, while the eyebrows are moved up.
With the older method called a coronal eyebrow lift, hair-bearing scalp was removed and the hairline moved up, often unnaturally high. Since her coronal lift, Liz Taylor has been forced to wear bangs. If you look closely, you'll see how receded her hairline is.
An alternative method, a direct brow lift, results in visible scars directly at or over the eyebrows themselves. Sylvester Stallone and Jack Nicholson had a direct eyebrow lift before endoscopic techniques were widely available. The incisions can also be placed within the forehead creases and become less noticeable with aging, but that isn't exactly the point, is it? Dr. Simoni believes "the endoscopic brow lift is the technique of choice today. In the right hands it offers ever advantage: less scarring, no hair loss, faster healing."
Since the eyes are the first to show signs of aging, it makes sense that the brow lift is popular. The brow lift is much more common than a facelift for the 35 to 45 year-old. Take your finger and feel along your eyebrow. That bony ridge underneath is called the orbital rim. With age, the eyebrow drops to or below that rim, creating a tired or angry look. Taking out upper lid skin with a eye lid plastic surgery would not raise the brow and might even lower it further. To create an open, alert expression requires repositioning of the eyebrows with a forehead lift.
Los Angeles Brow lift Risks
Some things should be avoided. If too much glabellar muscle (the one that furrows the brows) is removed the eyebrows spring apart and give the appearance of being too widely spaced--just like a bad pluck job. Pictures after Jessica Lang's surgery make her appear different, not younger, for this reason. Destroying the frontalis muscle (responsible for the horizontal forehead wrinkles) can give a frozen, expressionless appearance to the upper third of the face (look at Barbara Walters). And surgically pulling the eyebrow up medially results in a perpetually surprised look, not glamour.
The positioning of the eyebrow requires careful consideration of aesthetics. Skilled makeup artists often shape the eyebrow by tweezing and makeup, accenting the arch to flatter the shape of the eye. Look through the glamour magazines and study the contour of the models' eyebrows. In most, the arch is placed in the outermost third, not the middle. Keep in mind, most male physicians spend little time working with eyebrow pencils, so choose your surgeon carefully. Video imaging may be the best way to guarantee that your surgeon's taste matches your own.
Frequently Asked Questions
Q: I have an extremely low hairline, only 1.5 inches over my brows and lots of wrinkles; what do you recommend?
A: If your goal is to raise your hairline, then the coronal lift will accomplish that more dramatically than the endoscopic lift (which only moves the hairline up about 0.5 inches). In the coronal lift the incisions are planned so that the temple area is changes the least and the forehead dimensions are changed the most. A great deal depends on age as well as the thickness and color of hair, all of which are assessed during a consultation.
Q: This doctor intends to take out some of the muscle from the area between my brows during a forehead lift; what your advice?
A: Taking the muscle out of the furrow area between the eyebrows can leave a depressed area which looks unnatural. It will also 'spring' the brows apart. While Jessica Lange seems to be shaving a few years form her published age, her brow apparently lost some of its underpinnings as well. In our practice the corrugator muscle may be deliberately weakened (cut) during the endoscopic brow lift, but it is not removed.
Q: I had an eyebrow lift and the incisions over both eyebrows are extremely visible; can the scars be made less prominent?
A: While forehead wrinkling may eventually conceal the horizontal scars above the eyebrows, they will always be visible. However, the appearance can be softened by laser resurfacing. We also strongly recommend that you use a 30 SPF or higher sun block every day, prior to leaving the house. This will prevent the skin around the scar from darkening and the scar itself from reddening. There are various filler materials that can be injected underneath the scars if they are depressed. The fillers create a smoother, flatter skin surface which will catch less shadow. Shadowing, along with color disparity, are two major factors in making a facial scar more visible.
Q: Which is better, a coronal brow lift or an endoscopic brow lift?
A: If your brows are sagging and you want the most natural appearing result, there's only one choice the endoscopic brow lift. According to Dr. Simoni the endoscopic brow lift generates the most authentic rejuvenation. And, the endoscopic technique does not remove any hair or skin. The coronal lift, on the other hand, actually removes a wedge of scalp, raising the hairline and leaving a long scar (less of a problem for those with thick, dark hair). The endoscopic brow lift rarely results in an overdone, 'startled' look after surgery, the recovery is much quicker, and there is less post-operative numbness from which to recover. If still in doubt, ask a hair stylist which procedure they would prefer to undergo!