I understand nerves in the forehead are often cut as part of migraine mitigation and brow lifts. I don't need a full brow lift, only the wrinkle control. I love the effects of Botox but they keep giving me more and more and it lasts less and less time, maybe two weeks or so now. I've tried different doctors, nurses, amounts, and the different brands. When I am completely frozen my eyebrows do not droop so I don't think they would with cutting the nerves. Who does this? What is it called? Cost?
Answer: NO cutting nerves! Facial Sculpting with Fillers | Brow Ptosis | Browlift | Upper Blepharoplasty | Eyelid Lift Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your exact situation. For less significant issues, there are nonsurgical treatments: To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling. Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if there is more substantial eyebrow drooping. You do NOT want to cut the nerves, as the ones involved in migraines (as you mentioned) are sensory only, and if you cut the motor nerves for the forehead, you would not get the results you desire! I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles. Best, Dr. Emer
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Answer: NO cutting nerves! Facial Sculpting with Fillers | Brow Ptosis | Browlift | Upper Blepharoplasty | Eyelid Lift Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your exact situation. For less significant issues, there are nonsurgical treatments: To give the eyebrows a nice lift, we use injectable fillers to improve the eyebrow, upper eye, forehead and temple. A filler is placed on the bone and in the fat pads of these areas to contour and lift without it looking overdone. We use cannulas to limit pain and swelling. Surgery (browlift and/or upper blepharoplasty) is a great option for more significant improvement- for example if there is more substantial eyebrow drooping. You do NOT want to cut the nerves, as the ones involved in migraines (as you mentioned) are sensory only, and if you cut the motor nerves for the forehead, you would not get the results you desire! I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Donald Groves; we are both located right here in Los Angeles. Best, Dr. Emer
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November 18, 2018
Answer: Brow lift Hello mnumannThe specific procedure your brow lift entails will depend on your needs. Factors such as whether entire brow or only the outer brow is to be raised, repositioning of the hairline, and the patient’s individual facial contours will determine the placement and extent of the incisions. The cost of a brow lift can vary quite a lot because brow lifts themselves can be done in a variety of ways. The factors which contribute to the cost of a brow lift are: Type of brow lift performedSurgeon’s feeFacility feeMedications
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November 18, 2018
Answer: Brow lift Hello mnumannThe specific procedure your brow lift entails will depend on your needs. Factors such as whether entire brow or only the outer brow is to be raised, repositioning of the hairline, and the patient’s individual facial contours will determine the placement and extent of the incisions. The cost of a brow lift can vary quite a lot because brow lifts themselves can be done in a variety of ways. The factors which contribute to the cost of a brow lift are: Type of brow lift performedSurgeon’s feeFacility feeMedications
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August 27, 2017
Answer: Brow Lift Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy for various surgical and non-surgical techniques. Best wishes,
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August 27, 2017
Answer: Brow Lift Thank you for your question. I suggest that you move forward and consult with a board certified facial plastic surgeon to determine your candidacy for various surgical and non-surgical techniques. Best wishes,
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July 11, 2017
Answer: Looking for an alternative to Botox for managing wrinkles on my forehead The corrugator muscles and the frontalis muscles of the forehead can be softened, but not paralyzed otherwise you have a frozen forehead, and look like you had a stroke. Softening of the corrugator muscles between the eyebrows helps with the depressor action of the eyebrows and the vertical lines between them. Softening the frontalis muscle of the forehead helps with the horizontal lines. These muscles are softened at the time of a forehead lift. For more information and many before-and-after examples, please see the link and the video below
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July 11, 2017
Answer: Looking for an alternative to Botox for managing wrinkles on my forehead The corrugator muscles and the frontalis muscles of the forehead can be softened, but not paralyzed otherwise you have a frozen forehead, and look like you had a stroke. Softening of the corrugator muscles between the eyebrows helps with the depressor action of the eyebrows and the vertical lines between them. Softening the frontalis muscle of the forehead helps with the horizontal lines. These muscles are softened at the time of a forehead lift. For more information and many before-and-after examples, please see the link and the video below
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July 11, 2017
Answer: Alternative to Botox for managing wrinkles on the forehead. The nerves that are sometimes cut are to the corrugators, which cause the frown lines. No one cuts the nerves to the frontalis muscles, which lifts the brows. The frontalis muscle is responsible for the horizontal wrinkles across the forehead. A non-surgical injury to the nerves can be done with radio-frequency devices (Thermi-Rase). I don't know of anyone in Colo Spgs doing this, and my understanding is its only partial effective. Through an upper eyelid approach the corrugator muscles can be partially removed, which yields about a 50-60% improvement to the frown lines. Nothing works better than botulinum toxin neuromodulators (Xeomin, Botox, Dysport). Another option that you might consider is to to try some Zytaze before your next injections. In many patients it can potentiate the effects to be more powerful and last longer. It is also not very expensive relative to the costs of getting "Botox." Another issue is that your injectors may be placing the injections in a suboptimal manner and/or dosing. I get a fair number of poor wrinkle blocker responders that come to my office and with optimal dosing they do better. Without an in-person consultation it is hard to give any additional specifics. I practice in Colo Spgs if you wish to come in for a consultation. I also have published on neuromodulator injections and taught at national symposia on wrinkle blocker injecting techniques. Unfortunately there are a few small percentage of patients that don't respond well to wrinkle blockers, but this number in my experience of 20 years is very small. Best regards.
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July 11, 2017
Answer: Alternative to Botox for managing wrinkles on the forehead. The nerves that are sometimes cut are to the corrugators, which cause the frown lines. No one cuts the nerves to the frontalis muscles, which lifts the brows. The frontalis muscle is responsible for the horizontal wrinkles across the forehead. A non-surgical injury to the nerves can be done with radio-frequency devices (Thermi-Rase). I don't know of anyone in Colo Spgs doing this, and my understanding is its only partial effective. Through an upper eyelid approach the corrugator muscles can be partially removed, which yields about a 50-60% improvement to the frown lines. Nothing works better than botulinum toxin neuromodulators (Xeomin, Botox, Dysport). Another option that you might consider is to to try some Zytaze before your next injections. In many patients it can potentiate the effects to be more powerful and last longer. It is also not very expensive relative to the costs of getting "Botox." Another issue is that your injectors may be placing the injections in a suboptimal manner and/or dosing. I get a fair number of poor wrinkle blocker responders that come to my office and with optimal dosing they do better. Without an in-person consultation it is hard to give any additional specifics. I practice in Colo Spgs if you wish to come in for a consultation. I also have published on neuromodulator injections and taught at national symposia on wrinkle blocker injecting techniques. Unfortunately there are a few small percentage of patients that don't respond well to wrinkle blockers, but this number in my experience of 20 years is very small. Best regards.
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