Ventura Brow Lift doctors

Michael C. Pickart, MD Michael C. Pickart, MD
Ventura Plastic Surgeon
1746 S. Victoria Ave. Suite 250, Ventura
1 answer

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Endoscopic or Full Forehead Surgery to Lift Eyelids?

Is endoscopic or full ear to ear forehead surgery the best choice to lift the eyelids? I have no forehead wrinkles but skin over (outside) of brow needs lifting

A: Botox and Fillers for Eyebrow Lifting

Dear Freddietz11,

Plastic surgeons call the "full ear to ear" brow lift a coronal brow lift.

  • Nowadays, this procedure is rarely indicated.
  • I recommend this technique only when the patient has severe eyebrow drooping:
    • both medially (in the upper nasal region)
    • and laterally (at the tails of the eyebrows)

What may be better options are limited surgical procedures:

  • The limited techniques can effectively raise the outer/lateral eyebrows by 3-5 millimeters:
    • endoscopic brow lifting
    • lateral/temporal brow lifting
  • Which is better? I prefer the lateral/temporal procedure, but both are about the same. Your doctor should perform the technique with which he is more comfortable.
  • Even though they are limited, both are "real" surgeries.
    • They should be performed only by appropriately trained physicians, such as Board Certified Plastic Surgeons.
    • Make sure that the operating room is also accredited--not just the back room of some charlatan's office.
    • I recommend deep anesthesia too.

And what may the best options are non-surgical procedures:

  • Botox or Dysport can frequently lift the outer eyebrow by 1-2 millimeters.
  • Fillers can lift the outer eyebrows by another 1-2 millimeters.
  • With non-surgical procedures, you may be able to achieve 2-4 millimeters without surgery at all!

Find a doctor whom you can trust. You need to have a good relationship with that surgeon, so that you can get customized advice for all of your "aging issues."

Michael C. Pickart, MD
Ventura Plastic Surgeon
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