Kansas City Brow Lift doctors

	Laxmeesh Mike Nayak, MD Saint Louis Facial Plastic Surgeon 607 S. Lindbregh, Saint Louis		5 answers
	Hannah Vargas, MD Kansas City Facial Plastic Surgeon 930 Carondelet Drive Building C, Suite 102, Kansas City		5 answers
	William H. Huffaker, MD Saint Louis Plastic Surgeon 17300 N Outer Forty Road Suite 300, Chesterfield		2 answers
	David Finkle, MD Omaha Plastic Surgeon 4911 South 118 Street, Omaha
	Eric Swanson MD Leawood Plastic Surgeon 11413 Ash, Leawood

Recent Answers

Very Low Eyebrows in Male, Would I Be a Candidate for a Trans-Blepharoplasty? I am a 23 year old male with a very low eyebrows. I inherited it from my father and I appear sad and mad all the time. I would like to ask about trans-Blepharoplasty procedure as I have a receding hairline. Is it suitable for men and what are the changes I will see ? Regards

A: A Transblepharoplasty Approach with an Endotine Device Works Well

I perform many of these procedures on patients through an upper lid blepharoplasty incision. An Endotine device is secured into the bone just above the eyebrow. The periosteum over the entire forehead is raised through the same incision so that when the device dissolves in 4-6 months, the forehead sticks to the new position. I also treat my patients with Botox before surgery to decrease movement in the forehead during the healing process.

William H. Huffaker, MD

Saint Louis Plastic Surgeon

Unfavorable Side Effects with Ultratine Endo Brow. What's Your Opinion? My plastic surgeon uses Ultratine for endo brow lift. I've read some bad reviews with this product and makes me uneasy about the possible side effects. Little horns poking thru the scalp and pain, itching even after 8-12 mos. I mostly have droopy brow on outside ends of brow & I know I need an upper bleph. Should I just have the bleph, even though surgeon recommends endo brow? Any other techniques for endo brow with less complications?

A: Securing an Endoscopic Browlift without Ultra/Endo tines

Judging from your description, you have lateral brow hooding, and skipping the brow lift in favor of aggressive upper eyelid surgery alone is unlikely to give you the best possible cosmetic result.

The key to an effective endoscopic brow lift is safe and appropriate release/repositioning of the entire drooping forehead and scalp to create the appropriate brow shape without "tension" holding the brows up. The anchoring device is entirely secondary, and maybe even totally unnecessary!

Rather than skipping the brow lift altogether to avoid the Ultratine device, request your surgeon use a different anchoring method - bone tunnels, biomet bone plug, external fixation screw, or bioglue. All of these techniques are well within the skill set of an accomplished endobrow surgeon, and none use the Ultratine device.

Laxmeesh Mike Nayak, MD

Saint Louis Facial Plastic Surgeon

What is a "Botox Lift" or "Botox Brow Lift"? I thought that Botox could make your face sag more, so how is a Botox Lift even possible? How does a Botox Brow lift work?

A: BOTOX Browlift

Yes, some muscles of the upper face lift the brow and some lower the brow. If we weaken the muscles that lower the brow a modest elevation will occur. It is a nice lift and will give you an idea of what a brow lift can do for you. In addition, weakening the muscles that pull your brow and lateral eyelids down is helpful to maintain the results of your browlift. Good luck!

Hannah Vargas, MD

Kansas City Facial Plastic Surgeon