Highlands Brow Lift doctors
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Robert T. Buchanan, MD
Highlands Plastic Surgeon
209 Hospital Dr Suite 202, Highlands |
29 answers |
Recent Answers
Do they test the skin for a possible allergic reaction?
Local anesthesia is easy for a brow lift since the sensory nerves are easy to block. No one worries about doing a skin test for allergy to the local, since a true allergy is extremely rare. If you know or suspect you have an allergy to a specific local anesthetic, there is another family of local anesthetics that can be used instead. Most of what people think are allergies to local are, in fact, normal reactions to a component in them to reduce bleeding. This is usually first appreciated from a dental injection, since they use very concentrated epinephrine in their injections. Most Plastic Surgeons use a dilute concentration that prevents the reaction. With the local you will generally need sedation so you do not care what is going on over your head. I generally prefer a gas rather than IV meds since the gas wears off faster. (This, of course, would be general anesthesia, but I believe it is safer, wears off faster and causes less nausea postoperatively. Very little is used since we use the local even with general anesthesia. All the general is for is so you do not feel the local injection and are comfortable otherwise.)
My brows have dropped below my browbone! I find myself literally lifting my forehead muscles at all times to lift the brow, which ends up with a very wrinkled forehead. Have already tried botox numerous times, but it left me looking evil. I'd like to avoid coronal browlift due to the possible hair loss & longer recovery (only have short time available). I'm OK with not getting an enormous raise from the lift, as I simply want it to look natural, not freakishly surprised.
If you do not mind the long forehead, you are an excellent candidate for an endoscopic forehead lift. Mist people like you do not mind keeping their natural forehead while elevating the brow out of the upper eyelids. If the long forehead does bother you, you can combine an endoscopic lift with excision of the upper forehead skin putting the incision just behind the hairline, beveling the skin and leaving the hair follicles. This puts the resultant incision just behind the hairline where it disappears. It also preserves the sensory nerves to the scalp.
I have a naturally low brow and am concerned with the excess skin and hooding (hereditary) that began to appear in my late 30's (I am currently 45 y.o.) A number of board certified cosmetic surgeons have agreed I need a brow lift in conjunction with an upper bleph. Aware that a brow lift will alter my appearance, I want to go very conservative with the brow lift. Botox has worked well, but I'm looking for something longer lasting. Thank you in advance for your advice.
The answer for you, because of your criteria of wanting “something more permanent,“ is easy. You need a brow lift. Almost all of full brow lifts today are done endoscopically. This, when done well, will not alter your appearance, only enhance it, and will be permanent. Treatments like Ultherapy, to my knowledge, have never, using controlled blinded studies, been shown to be more long lasting than a number of months.