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Browllifts after surgery to minimize bruising and swelling are best treated with a Medrol Dosepak started at the day of surgery. I have used this for 35 years with brow and facelifts, etc.
To some extent some bruising is inevitable but here are some things: Avoid medications or supplements that can promote bleeding Use local anesthetics with epinephrine that reduce bleeding Maintain low blood pressure during and after surgery Keep head elevated after surgery Use ice packs to forehead and temples after surgery Avoid bending and lifting after surgery
Regardless of the operation, pre-operatively I give patients a list of medicines, vitamins, and foods to avoid because they can thin the blood and interfer with natural control of normal intra-operative bleeding. I do have patients take Vitamin C, Arnica, and a Medrol Dose Pack. Having said that, follow your surgeon's instructions.
I have found a medrol dose pack and Arrnica 12-C oral as well as Arnica Gel to be the best at limiting post Brow Lift (and all plastic and cosmetic surgery procedures) swelling and bruising. You should ask your Brow Lift surgeon for specific recommendations.
I have performed Brow Lifts for well over 20 years and IMHO, save your money. Lateral Brow Lifts, suture Brow Lifts, Thread lifts and the like do not last or work reliably IMO.
If you try Botox again and still are not happy with the results, you might consider a "Brow-Pexy". This is a much less invasive procedure than the "Brow-Lift" and younger women are better candidates. The "brow-pexy" only lifts the "tail of the brow".
I stopped using endotine years ago for the following reasons: They can be felt as a firm bump for months after surgery They add a significant cost to the surgery which is passed on to the patient They show no benefit to other methods of fixation (i.e. bone tunnel)
At least 2 to 3 weeks before surgery and continue 2 to 3 weeks after surgery is about the standard guidline to stop smoking before most surgical procedures. This will ensure a much easier and better post op healing.
This is not an uncommon usually temporary issue after browlift, and almost always the nerve will regain its function. And no, Botox will not help with regaining of the nerve function.
I have tried many techniques of minimally invasive brow suspension and in my humble opinion they don't work any better (and at time not as good as) Botox injections and they don't last any longer than Botox injections.
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