Bethesda Brow Lift doctors
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Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon
110 Irving St NW Suite 1A-01 301-277-4844, Washington |
9 answers | |
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C. Coleman Brown, MD
Bethesda Plastic Surgeon
5454 Wisconsin Ave. Suite 1250, Chevy Chase |
1 answer | |
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Nia Banks, MD, PhD
Washington DC Plastic Surgeon
8116 Good Luck Road Suite 215, Lanham |
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Eric Chang, MD
Baltimore Plastic Surgeon
8860 Columbia 100 Parkway Suite 206, Columbia |
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Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
5454 Wisconsin Ave Suite 1710, Chevy Chase |
Recent Answers
Can an expert tell me how a browpexy differs from the browlift?
Most plastic surgeons would say that a BrowPEXY is a procedure performed through the eyelid approach that is done in an effort to enhance a blepharoplasty and give an improved elevation to the brow. It doesnt last long, isnt very powerful but can add a benefit to the procedure. A BrowLIFT is a procedure from a variety of approaches (endoscopic, coronal, direct, pretrichial, temporal, etc.) that will be more definitive in elevating the position of the brow. These approaches are more powerful and precise in what they can provide.
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?
There are two nerves that run under the brow that supply sensation that run a risk to be damaged from a brow lift: The supraorbital and supratrochlear nerves. There are several things that can happen during surgery to these nerves:
1. The nerve may be cut completely: When this occurs there is usually permanent numbness that does not change over time
2. The nerve may be stunned: When there is manipulation of the nerves, sometimes they can get irritated and shut down. Over time they come back to life. Usually within a year.
3. The nerve can be partially cut: When this occurs one of two things can happen. First, the nerve can partially work or two the nerve can develop a neuralgia. A neuralgia occurs when a nerve is damaged and pain sensation is stimulated.
For all of these, a tincture of time is what works best. For neuralgias from trauma or surgery it may resolve in time or may necessitate complete resection of the nerve resulting in permanent numbness (which is usually preferable to pain).
I have read very promising results in regards to Dr. Bahman Guyuron's work at Case Western University in Cleveland Ohio and my fiancee has suffered from Intractable Migraines ever since she was little (she is 37 now) and nearly always has some degree of pain. Dr. Guyuron says that his operation is very short and needs only a 2 centimetre incision and it takes about half an hour. Do most plastic surgeons know of this technique and the trigger sites to cut?
Dr Guyuron has written many articles on the surgical treatment of migraines. Case Western is a short drive up I75 from Cincinnati. I would make the trip. It is worth hearing what he has to saw. You never know it may change her life for the better. Good luck!