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Facelift and Lateral Brow or Eye Fillers First?
asked 2 years ago by BrookeinCO in Colorado
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 766 times
Tags: combination
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.
17 answers to Facelift and Lateral Brow or Eye Fillers First?
+2
Facelift and lateral browlift vs. fillers
If you are contemplating surgery, it is best to undergo the surgery first rather than put in temporary fillers first. It may also be possible to add autologous (from your own tissues) fillers during surgery.
You would not want to confuse the issue by having filler in an area that otherwise might be correctable by surgery.
Hyaluronic acid fillers are fine for after surgery for small areas that were not corrected by the surgery.
+1
Surgery or Fillers First?
Typically, surgery first and then utilize the dermal fillers to refine the appearance. The same surgeon can generally perform the surgery and fillers.
+1
Timing of Facelift, Lateral Brow/Temple Lift and Fillers
This is a tough question to answer without examining you. In general if a limited lateral brow lift (also called short scar temple lift) is performed at the time of your facelift it is possible to add filler in depressed areas that were not undermined (or else deep to the undermining surgical plane). I do this often in selected patients.
On the other hand when a more extensive temple/lasteral brow lift is required, I recommend doing the lift first then waiting at least 3-6 or more months...
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+1
Facial fillers and lifting brow
Facial filler can temporarily lift the lateral brow a bit but can also make the lateral brow look a bit prominent.
+1
Facial surgery or fillers first
Fillers are not used to raise the eyebrows. They are used to augment nasolabial folds and wrinkles around the lips. A lateral brow lift typically does not hold if only skin is removed. Your forehead is a very complex and dynamic area of the face with both elevator muscles and depressor muscles. These need to be surgically softened, balanced and addressed through a formal brow lift procedure. This is not done through an endoscopic brow lift. ...
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+1
Fat transfer versus facelift with temoporal lift
Lateral brow ptosis does occur sometimes after endo brow lift. I feel that fat transfer will correct a mild degree of ptosis, but if you are in need of additional facelift surgery, the I would recommend a temporal lateral brow lift be considered as a better long term solution.
+1
Facelift vs Fillers
I hear two different issues. while I agree with many of my colleagues on this board - surgery then fillers, I think the inner eye is a seperate problem entirely for which none of the surgeries you mention will address. If you are considering a Face/Neck plasty then certainly go ahead. The lateral brow can be revised/lifted at the same time.
Although some patients like the hollowed out upper lid so makeup is easy to apply and one gets that doe eye look, many women and plastic surgeons...
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Clayton L. Moliver, MD
Houston Plastic Surgeon
Houston Plastic Surgeon
+1
Fillers are a nice way to lift tissue
Fillers are a nice way to lift tissue and often patients don’t need a facelift after they receive this treatment. This is what is known as a liquid facelift. Sculptra is not a filler but is a superb product for contouring and lifting the face without surgery. The lateral brow is an excellent place where fillers can be used to lift the brow and often eliminate the need for a surgical browlift. BOTOX can also be used in the lateral brow to lift and re-train the muscles that shape the...
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+1
Fillers and Facelifts
Fillers, in general, should be done after the surgical procedure (in this case facelift plus browlift) has been completed. If done prior to surgery, the appearance of the filler may become distorted. It is best to wait several weeks after surgery, so that most of the postoperative swelling has resolved. However, if fat grafts are used to correct volume loss instead of fillers, the grafts are placed at the time of surgery, immediately after the facelift and/or browlift are finished....
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Pamela B. Rosen, MD
Coral Springs Plastic Surgeon
Coral Springs Plastic Surgeon
+1
Upper Facial Surgery and Fillers CAN be done at the SAME Time
It would make more sense cosmetically to first lift and secure the upper face structures to where they should ideally be located. Then, in the same operation, either fat or fillers can be used to FURTHER enhance the appearance and give it a fuller more youthful appearance. This can easily be done by the Plastic surgeon.
+1
Fillers and Surgery
In general, I rcommend surgery be done first and later use fillers as a secondary procedure for refinement. Although some recommend any fat augmentation be done with surgery, I feel this procedure can be done under local anesthia at a later date.
+1
Surgery first
I would agree with your doctor about lateral brow lift . I would also do the surgery first and do fat injection at the same time . You have a great surgeon and he didn't want to press the issue the surgery first because of conflict of interest . You may ask your doctor about fat grafting at the the time of the surgery
+1
Lateral brow hollow
Without pictures it would be hard to tell what is best but in general the endoscopic brow lift is not as reliable as other techniques and the lateral brow hooding is common. At the time of a face lift it is reasonable to do a lateral brow lift on someone who has hooding of the lateral brow an this holds up well with time.
After these two procedures are done it would be appropriate to touch p the face with fillers as needed, if needed.
+1
Facelift and Lateral Brow or eye fillers
If you want to see how you would look without surgery , just an idea of your appearance, than fillers first. If happy I would proceed to the surgery.
From MIAMI Dr. B
+1
Fillers and Facelift
In general, it would be best to have the surgery first and the fillers later. However, since you would be having a different area filled versus operated on, you could have the fillers placed at the same time as the surgery. Without pictures, it is impossible to give you specific advice. Good luck.
+1
Facelift and lateral brow lift
Without photos or a face to face examination your question cannot be answered reliably. I also do not understand why the surgery and fillers have to be done by 2 different doctors. Is that because one doctor promised you what the other said cannot be delivered? If you have what we call lateral hooding (drooping skin just past the outer corner of the eyes) that may be amenable to botox if it is not severe. If you have anything more than slight lateral hooding that can only be treated with...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
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...
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