Facelift: Q&A
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What Brow Lift Options Are Just As Effective As a Face Lift to Get Rid of Droopy Eyelids?
Will Botox injections lift and smooth my brow as effectively as a brow lift?
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18 Doctor Answers |
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Brow lift not the same as a facelift
A facelift rejuvenates the cheeks, neck, and jowl area, while a brow lift (also called a forehead lift) elevates the eyebrows. When looking at the upper eyelid area, it is important for the plastic surgeon to determine whether heaviness there is from droopy eyelids or the brow pushing down into the upper eyelid. If the latter, it cannot be corrected by an eyelid procedure alone (blepharoplasty.) I use an endoscopic technique for most browlifts in order to keep the scars minimal, but if the...
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Browlift versus Blepharoplasty
These are completely different operative procedures. If you have brow ptosis then an endotemporal or lateral temporal browlift is indicated versus if you have dermatolysis (excess sagging) of eyelid skin. This can be determined by a physical exam. If one places the brow in the normal position and you have redundant skin then you need a combination of both operative procedures. This should be performed by a Board Certified Plastic surgeon with experience and expertise in Oculoplastic surgery...
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Effective brow lift
The most long-term and effective brow lift is the trichophytic hairline brow lift such as the one performed in the link below.
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What Brow Lift Options Are Just As Effective As a Face Lift to Get Rid of Droopy Eyelids?
There's seems to be a bit of a confusion on what a Face Lift can and can't do. A Face Lift will remove excess facial and neck fat and skin while tightening the underlying SMAS and Platysma muscle layers, however it will have zero effect on the eyelids and eyebrows.
If the upper eyelids appear full, the position (height) of the eyebrows need to be evaluated in order to determine what is really causing the excess skin of the upper eyelids before the peroper procedure can be...
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Eyes look tired? This is best treated by a blepharoplasty. Sad or Angry eyes? A browlift is better
There are a number of ways to distinguish when a Blepharoplasty (eyelid tuck) is the treatment of choice vs. Browlift. If your eyes look "tired" a Blepharoplasty is usually the treatment. If you look angry or sad, this is more a result of overactive frown lines which response to Botox but when the tail of the brow goes down, a browlift is best. In selected patients, Botox can also help raise the tail of the brow for a few months. I find that for a very effective browlift, surgery...
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Is Botox as effective as surgery for a browlift?
I don't think so. Botox, or Dysport, if done properly, can give your brow a bit of a lift. For many people, especially young people, this is enough. It usually lasts about 3-4 months and is very safe. It can be repeated indefinitely without any problem. Surgery however would give you a more powerful longlasting solution. Many people don't want to have surgery for a number of different reasons and for them Botox or Dysport is a great alternative.
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Browlift versus Facelift for droopy eyelids...
When evaluating droopy eyelids, it is important to determine if the problem is excess skin up the upper eyelids, or a droopy brow or both. If the problem is simply lines on your forehead, I would suggest Botox to give a smooth appearance. For excess skin on the upper lid, a Blepharoplasty would freshen the lids nicely while a browlift would be performed for a droopy brow. They can both be performed at the same time if necessary. Botox can give a little lift of the...
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Eyelid improving procedures
If I am correct in assuming that your droopy eyelids are your upper eyelids, there is one more procedure, apart from Botox and browlifts, which should be considered. The transbleph browpexy provides elevation of the "tail" or outer part of the brow, which can be combined with an upper eyelid lift. By arching the brow and reducing the amount of upper eyelid skin, the transbleph browpexy will yield a longer lasting result than Botox but less than an endoscopic browlift.
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Droopy eyelids best corrected with a browlift.
Droopy eyelids best corrected with a browlift. Botox lasts 3-4 months. Facelifts do not elevate the brow.
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Forehead and Eyelid Fixes
Okay. To simplify things, I divide the facial options into midface, upper and lower face. The lower facelift addresses the jowl and neck areas while a brow lift addresses the forehead and brow. Options completely depend on your aging changes. If you have only mild to moderate forehead changes BOTOX can be used for a lift. If moderate to severe then a browlift is offered. BOTOX is often used, in conjunction with surgery, to help extend the results of...
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