Saint Louis Brow Lift doctors

	Laxmeesh Mike Nayak, MD Saint Louis Facial Plastic Surgeon 607 S. Lindbregh, Saint Louis		5 answers
	Samer W. Cabbabe, MD Saint Louis Plastic Surgeon 10004 Kennerly Road Suite 365B, St. Louis		3 answers
	William H. Huffaker, MD Saint Louis Plastic Surgeon 17300 N Outer Forty Road Suite 300, Chesterfield		2 answers
	Herluf G. Lund, Jr, MD Saint Louis Plastic Surgeon 17300 N. Outer 40 Road Suite 300, Chesterfield
	Christian Prada, MD Saint Louis Plastic Surgeon 17300 North Outer 40 Road Suite 300, Chesterfield

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

Why Won't Brow Lift Incision Completely Heal? The incision goes from temple to temple along the hairline. One side at the temple oozes a slight amt of serosanguinous fluid daily. Some area of the incision will itch and then a small amt of yellowish fluid can be easily expressed every day or so.

There is no pain, redness, heat, or fever. The surgeon says the yellowish fluid is dissolved fat. The incision is pink. When can I expect the whole thing to completely heal? I use Mederma 3x daily on it. What else should I do? Hope the pics went.

A: Slow healing areas are common in certain browlift incisions

Your particular type of browlift incision - right at the hairline - is intended to grow hair through the incision line. As the hairs grow out, they can often become "ingrown" and cause the symptoms you describe.

Also, deep, dissolvable sutures often extrude instead of dissolving, resulting in exactly the same symptoms.

Be patient, let your doctor help you , and you will be fine.

Laxmeesh Mike Nayak, MD

Saint Louis Facial Plastic Surgeon