Annapolis Brow Lift doctors

Most physicians now perform endoscopic browlifts, which involves placing about 4 small incisions in the hairline. The bulk of the surgical work is done through these ports, and then the brow is fixated to the bone in its new position. Usually the amount of bleeding is minimal. Bruising is usually noted in the lower eyelids, because that's where the blood pools. It takes about a week for all the bruising to resolve.

Before surgery, make sure you discontinue foods and vitamins that can cause increased bleeding (your physician should provide a list to you), as well as aspirin, motrin, advil, blood thinners, etc. You may benefit from the use of Bromelain postoperatively, which helps decrease the bruising. You may hear about taking Arnica montana, but in my experience, it does not help as much as Bromelain.

Are surgeons still recommending coronal browlifts? That is amazing to me, since surgical and non-surgical options are now so superior to the older techniques. To clarify, a coronal browlift involves making an incision across the scalp or along the frontal hariline-- basically from ear to ear. The corrugator muscles(muscles that cause the brow to scowl) are transected. Then, a large section of scalp or forehead skin is removed. This can result in the overdone or "deer in the headlights" look that concerns prospective patients.

The newer technque of performing this procedure endoscopically can also allow for corrugator muscle  weakening, without requiring the removal of scalp tissue. I have been able to perform the endoscopic tecnhique for all patients, even those who have a "high forehead."  The recovery is quicker, the scarring is minimal,and the results are more natural than those of the traditional coronal browlift. I have found my patients to have results that have lasted at least 15 years, so I have not seen and issues with long-term results.

Of course, the non-surgical option of Botox (or other neurotoxin) injections to the corrugator muscles works just as well in most patients, and can also result in a slightly elevated brow (chemical browlift).

There are multiple ways to adjust the eyebrows. The most aggressive approach is a coronal brow lift, which requires creating an incision across the scalp, basically from ear to ear. This does seem like a lot of surgery to go through just to adjust the position of one eyebrow. Less aggressive surgeries involve placing an incision in the mid-forehead or above the brow. However, these techniques will produce visible scars and are usually used to elevate the entire brow complex, not just the tail of the brow.

I have had success manipulating the brow by using either the endoscopic brow lift approach or through an incision through the upper eyelid (like cosmetic eyelid surgery). These techniques will not produce visible scars. When I only have to reposition the tail of the eyebrow,  I usually perform this maneuver through an incision in the upper eyelid. If the asymmetry is minor, the brows can even be "fine-tuned" with the appropriate placement of Botox.

 Remember, a temporal lift will only reposition the tail of the eyebrow. Before you choose the right surgery and surgeon, make sure the anatomical deformity has been accurately diagnosed.