Worcester Brow Lift doctors

Frank P. Fechner, MD Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester
8 answers
Kimberley O'Sullivan, MD Kimberley O'Sullivan, MD
Boston Plastic Surgeon
14 Denton Road, Wellesley
Stuart H. Bentkover, MD Stuart H. Bentkover, MD
Worcester Facial Plastic Surgeon
123 Summer Street Suite 675, Worcester
David W. Connors, MD David W. Connors, MD
Worcester Plastic Surgeon
10 Winthrop Street, Worcester
Deborah Ekstrom, MD Deborah Ekstrom, MD
Worcester Plastic Surgeon
39 Salisbury St, Worcester

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
Is It Possible to Restore Original Brow Position After Endoscopic Forehead Lift?

I had an endoscopic forehead lift 3 years ago. I am very unhappy with the result. My brows are lifted too high. I would like to restore brow original position. I don't like the new shape of my eyes as well. In August 2010 I had an endoscopic correction of brow position but, unfortunately, nothing has changed. Is it feasible to get brows to what they were before surgery? Can it be done endoscopically? Thanks in advance.

A: Reversal of Browlift

Your surgeon did a good job lifting your temporal (sides of) brows. Unfortunately, this is a feminizing look. THerefore, I would agree that lowering the brows would be aesthetically pleasing.

Brow-lowering foreheadplasty is certainly possible. It can be performed both endoscopically or as an open procedure. If your last procedure was in August 2010, I would wait at least another 5 months before embarking on the next (and last) surgery. Best of luck.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
Facelift and Lateral Brow or Eye Fillers First?

I had an endobrow lift over a year ago, lateral brows have fallen. My inner upper eyelid junctions are more hollowed out. From an aesthetic standpoint, does it make more sense to have the upper eyelid junctions filled in, and some type of filler placed under the lateral brow to try to raise first, or have the facelift and necklift first? The doctor who would be doing the surgery said he could also do a lateral browlift at the same time. Does filling in under lateral brows work? Surgery and fillers have to be done by two different doctors. Thanks.

A: Droopy lateral brows after endoscopic browlift

Unfortunately, you are not the only patient who experienced that the brow tails (= lateral brows) went down after endo browlift.

For best aesthetic outcome, it sounds to me that you want a combination of volume restoration of the brow/ upper lid region (we usually use fat grafting for this) with a lift of the temporal brows. I have seen many patients in whom the central brows are too high and should be brought down.

If you have fillers done for the lids/brows, I would recommend the browlift first followed by the volume.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
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