Pleasanton Brow Lift doctors

	Steven H. Williams, MD San Francisco Plastic Surgeon 4000 Dublin Blvd Suite 300, Dublin		3 answers
	Robert M. Lowen, MD Bay Area Plastic Surgeon 305 South Drive Suite 1, Mountain View
	Robert G. Aycock, MD Pleasanton Plastic Surgeon 1855 San Miguel Drive #4, Walnut Creek
	Eric P. Bachelor, MD Pleasanton Plastic Surgeon 1387 Santa Rita Road, Pleasanton
	Jeffrey C. Friedman, MD Pleasanton Plastic Surgeon 911 Moraga Road Suite 205, Lafayette

Recent Answers

How Long to Wait After Botox to Have Brow Lift? I'm planning on having a facelift/browlift later this year. Given uncertainty as to when I can take time off from work for surgery, yesterday I impetuously opted for the immediate gratification of Botox for the "elevens" and above the brows to lift them slightly. Now, I am greatly regretting my impetuousness in not just patiently waiting for surgery. To get the best result from surgery, how long do I have to wait after Botox to have a browlift? (I swear Botox seems to last at least 6 months for me).

A: How long to wait for Botox to wear off

Thanks for the great question -

You're right to think about the effects of Botox before a brow/facelift.

In our San Francisco area practice we typically wait 6 months for fillers and botox/dysport type treatments to resolve before proceeding with facelift and browlifts.

Be sure to talk to your surgeon about surgically weakening the muscles that you're getting treated ("your 11s") with botox during your brow lift to make sure that you don't need botox after!

I hope this helps.

Steven H. Williams, MD

San Francisco Plastic Surgeon

How Long is the Recovery from Brow Lift? I am getting a Brow lift in 2 weeks and I am wondering how long the recovery is?
How much pain will I be in after the procedure and how safe is it?

A: brow lift recovery time

Thanks for the question -

It sounds like you're already scheduled for surgery. This is a question your surgeon should have gone over with you already.

In our San Francisco area practice we tell patients that it an endoscopic brow lift recovery is usually very straightforward with some pain for the first few days that is well controlled with pain medication. Patient sutures usually come out at one week and swelling and bruising usually resolves at about two weeks.

I hope this helps.

Steven H. Williams, MD

San Francisco Plastic Surgeon

Forehead Numbness After a Brow Lift? I've had an endoscopic brow lift along with an upper and lower eye lift. It has been 10.5 months and I still have numbness on the right side of my forehead, and the eyebrow is slightly lifted. The area under the eyebrows seems to be thicker or swollen, even though my doctor says that it's impossible at this time. I have tingling sensations in my forehead, my eyebrow area and between my forehead, which I'm told is a good thing to feel. I just want to make sure, is everything okay and will things eventually get better for me?

A: Tingling and Nerve Injury

Thanks for the question -

It is unusual to have numbness on your forehead 10 months after endo brow lift. Sometimes the trochars or the dissection can stretch the nerve. These injuries will usually resolve on their own.

A nerve called the supraorbital nerve provides sensation to the forehead and scalp. (You have one on each side that arises from the level of your eyebrow. If you push with your finger at about midbrow you can actually feel the hole in your skull that this nerve exits (the hole is called a foramen).

You may have actually described a key part of the healing process. The tingling you're feeling may be something known in the medical community as Tinel's sign. It signals where sensory nerves may be healing. The tingling should travel away from your eye towards your scalp if this was the nerve that was injured.

Unfortunately at this time all you can do is wait. But take some comfort in the fact that permanent injury is rare.

I hope this helps.

Steven H. Williams, MD

San Francisco Plastic Surgeon