Boston Brow Lift doctors

	Frank P. Fechner, MD Worcester Facial Plastic Surgeon 428 Shrewsbury Street, Worcester		8 answers
	Brooke R. Seckel, MD Boston Plastic Surgeon 131 Old Road Nine Acre Corner - Suite 700, Concord		3 answers
	Jeffrey M. Darrow, MD Boston Plastic Surgeon 170 Commonwealth Avenue, Boston		2 answers
	G. Gregory Gallico III, MD Boston Plastic Surgeon 170 Commonwealth Avenue, Boston		2 answers
	Mark B. Constantian, MD Nashua Plastic Surgeon 19 Tyler St #302-304, Nashua

Recent Answers

Why is a Coronal Forehead Lift Best for Women? Is a coronal brow lift a better option for removing frown or scowl lines?

A: What is "Best" for Rejuvenation of the Forehead

There are a multitude of options for rejuvenation of the forehead. Comprehensive treatment should include repositioning and reshaping of the brows (not just raising them up!), treatment of deep wrinkles and furrows of the forehead, softening of hyperactive and undesirable muscles (i.e. "permanent" Botox) and possibly contouring of tissues with fat injections (and sometimes bone modification).

The gold standard continues to be the coronal (open) browlift with the main disadvantage being that it will, by definition, raise the hairline. Although the incision is long, plastic surgeons know that this incision will heal up extremely well.

The endoscopic browlift (aka endo-browlift) uses usually 5 incisions (their total length is often not much different from a coronal incision). Surgical dissection has to be significantly MORE extensive than with the open browlift. Control of the brows will only be comparable with the open approach in truly expert hands. Many surgeons have been disappointed with the longevity of the endoscopic browlift. In addition, control of muscles (permanent Botox) is not as good as with the open approach.

Other techniques include the hairline browlift (used to lower the hairline or keep it stable), the temporal browlift, mid-forehead browlift and brow-releases through an upper eyelid lift incision.

As you can see, there is not one "best" techniques but rather options with their pros and cons. When a surgeon broadcasts one as best, it usually means best in his/her opinion or hands.

Look at before and after photographs taken 1 or 2 years after surgery and talk to a few experienced facial plastic surgeons.

Frank P. Fechner, MD

Worcester Facial Plastic Surgeon

Endoscopic Browlift Versus Hairline Browlift? How long will each of these last?

A: Endoscopic vs hairline browlifts.

Both types of browlifts, if done well should last long periods if not permanently. Each type of lift must be applied to the correct patient. An endoscopic browlift may increase the height of the forehead so is avoided in patients with high foreheads to begin with. A hairline browlift can be done simply, with the patient awake, under local anesthesia and hides the scar at the hair junction. I've found this simple procedure to be very effective, long lasting and very well tolerated by my patients.

Jeffrey M. Darrow, MD

Boston Plastic Surgeon

Lateral Brow Lift for Crow's Feet? How Efficient is a Lateral Brow Lift to Treat/improve Crow's Feet? Thank You!

A: Lateral brow lifts effects on crows feet.

In most cases, the lateral brow lift is done to elevate the lateral part of the brow which may be hanging to low. As crows feet are due to flexing and creasing of the skin of the area lateral to the eye( from the contraction of the muscle around the eye), Botox or Dysport is usually used to correct this problem.

Jeffrey M. Darrow, MD

Boston Plastic Surgeon