My husband is in his late 30s and has severe wrinkles around his eyes and forehead. He is very expressive and his wrinkles are getting bad so quickly.He has done Botox and it helps, but it is very expensive for him. They use so much with him that it is usually around $500-700 and only last a few months.We just can't afford to that 3x a year plus some of the other stuff he is doing. Is there a more permanent option that he could be working toward (Blepharoplasty and Forehead lift) or is just Botox?
Answer: Permanent solution for forehead and eye wrinkles There are alternatives to Botox for wrinkles in the upper face. Brow lifting can help with some of these wrinkles, but surgical brow lifts usually do not eliminate forehead wrinkles long-term (even with aggressive treatment of the forehead muscles). Certain resurfacing procedures (like lasers or deep chemical peels) can help to improve forehead wrinkles, but even still may not eliminate them altogether. Unfortunately, Botox is still often needed even with some of these procedures. These procedures could potentially increase the effectiveness of the Botox or allow for lower dosing to be used, but be wary of surgical options that promise to remove all wrinkles in the upper part of the face. All the best,
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Answer: Permanent solution for forehead and eye wrinkles There are alternatives to Botox for wrinkles in the upper face. Brow lifting can help with some of these wrinkles, but surgical brow lifts usually do not eliminate forehead wrinkles long-term (even with aggressive treatment of the forehead muscles). Certain resurfacing procedures (like lasers or deep chemical peels) can help to improve forehead wrinkles, but even still may not eliminate them altogether. Unfortunately, Botox is still often needed even with some of these procedures. These procedures could potentially increase the effectiveness of the Botox or allow for lower dosing to be used, but be wary of surgical options that promise to remove all wrinkles in the upper part of the face. All the best,
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April 21, 2014
Answer: Facial Rejuvenation for Wrinkles There’s no permanent solution for forehead and eye wrinkles. Even surgical procedures that are commonly used to address these issues don’t provide a permanent solutions. Facial rejuvenation procedures frequently set the clock back, but never stop it from ticking. Although brow lift surgery can occasionally treat forehead wrinkles by dividing the procerus and corrugater muscles, there’s really no surgical procedure that effectively treats crows feet. Botox represents the best available option for treating crows feet. When brow descent is present, a brow lift can be performed that simultaneously lifts the brow and divides the procerus and corrugater muscles. In some cases elevation of the lateral brow may help crows feet as well. Consultation with a board certified plastic surgeon would be an appropriate next step. This surgeon can advise you regarding the best option for achieving your aesthetic goals.
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April 21, 2014
Answer: Facial Rejuvenation for Wrinkles There’s no permanent solution for forehead and eye wrinkles. Even surgical procedures that are commonly used to address these issues don’t provide a permanent solutions. Facial rejuvenation procedures frequently set the clock back, but never stop it from ticking. Although brow lift surgery can occasionally treat forehead wrinkles by dividing the procerus and corrugater muscles, there’s really no surgical procedure that effectively treats crows feet. Botox represents the best available option for treating crows feet. When brow descent is present, a brow lift can be performed that simultaneously lifts the brow and divides the procerus and corrugater muscles. In some cases elevation of the lateral brow may help crows feet as well. Consultation with a board certified plastic surgeon would be an appropriate next step. This surgeon can advise you regarding the best option for achieving your aesthetic goals.
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November 7, 2011
Answer: B
Be very careful when asking for a brow lift, you might get it. If you look up brow lift results in published papers and before and afters you will see that many surgeons successfully lift the brow. Unfortunately a true brow lift makes patients look scared or surprised! It is almost never necessary to elevate the medial third of the brow. Many women actually benefit aesthetically from a slight lowering of the medial third. On the contrary, there are few women even at your age that would not benefit from elevation of their lateral brow. The reason for this is probably not what you think. Much more important than the brow positionand shape is the infra brow skin. If you look at yourself in the mirror you will see some bunching of skin under the brow next to your eye and a flat shape. I call this the lateral hood. The only kind of brow lift that I typically perform I call a lateral hood lift. If you gently pull up on your forehead skin above the lateral brow, you will see that a very subtle elevation makes you look younger. This is mostly because it cleans up the lateral hood. It is usually necessary to also restore brow volume at the same time as a lateral hood lift to create a beautiful rejuvenated shape. I hope this helps!
All the best,
Rian A. Maercks M.D.
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November 7, 2011
Answer: B
Be very careful when asking for a brow lift, you might get it. If you look up brow lift results in published papers and before and afters you will see that many surgeons successfully lift the brow. Unfortunately a true brow lift makes patients look scared or surprised! It is almost never necessary to elevate the medial third of the brow. Many women actually benefit aesthetically from a slight lowering of the medial third. On the contrary, there are few women even at your age that would not benefit from elevation of their lateral brow. The reason for this is probably not what you think. Much more important than the brow positionand shape is the infra brow skin. If you look at yourself in the mirror you will see some bunching of skin under the brow next to your eye and a flat shape. I call this the lateral hood. The only kind of brow lift that I typically perform I call a lateral hood lift. If you gently pull up on your forehead skin above the lateral brow, you will see that a very subtle elevation makes you look younger. This is mostly because it cleans up the lateral hood. It is usually necessary to also restore brow volume at the same time as a lateral hood lift to create a beautiful rejuvenated shape. I hope this helps!
All the best,
Rian A. Maercks M.D.
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January 13, 2010
Answer: Solutions for forehead or brow lifting and alternatives to botox As stated there are options available such as Forehead lift with or wtihout corrugator resection. Brow lifts can be achieved using at least 5 different approaches transblepharoplast (throught the eyelid) direct (above the brow) through an existing line in the forehead in front of the hairline in the hairline (coronal) endoscopic limited incision (temporal) Approaches can pass over the bone, under the muscle or under the skin. The best option for your husband will be determined after consulting with a plastic surgeon. Other alternatives include the use of radiofrequency destruction of the temporal branch of the facial nerve. Although we thought this would be permanent, it typically resutls in a long term correction (1-2 years).
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January 13, 2010
Answer: Solutions for forehead or brow lifting and alternatives to botox As stated there are options available such as Forehead lift with or wtihout corrugator resection. Brow lifts can be achieved using at least 5 different approaches transblepharoplast (throught the eyelid) direct (above the brow) through an existing line in the forehead in front of the hairline in the hairline (coronal) endoscopic limited incision (temporal) Approaches can pass over the bone, under the muscle or under the skin. The best option for your husband will be determined after consulting with a plastic surgeon. Other alternatives include the use of radiofrequency destruction of the temporal branch of the facial nerve. Although we thought this would be permanent, it typically resutls in a long term correction (1-2 years).
Helpful
January 12, 2010
Answer: Forehead wrinkles are sometimes from low brows or extra eyelid skin Botox is a good treatment to relax frown lines, brow lines and crow's feet. Patients seeking a longer lasting result may be a candidate for surgery. The frown lines can be softened by surgically removing some of the muscle called the corrugator. Horizontal lines may be from the need to hold up ones brow to keep drooping eyebrows or overhanging eyelid skin from leaning on the eyelashes. in that case, a browlift or blepharoplasty is the surgical alternative. I suggest you seek a consultation with a specialist in surgical facial rejuvenation to see what is best for you.
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January 12, 2010
Answer: Forehead wrinkles are sometimes from low brows or extra eyelid skin Botox is a good treatment to relax frown lines, brow lines and crow's feet. Patients seeking a longer lasting result may be a candidate for surgery. The frown lines can be softened by surgically removing some of the muscle called the corrugator. Horizontal lines may be from the need to hold up ones brow to keep drooping eyebrows or overhanging eyelid skin from leaning on the eyelashes. in that case, a browlift or blepharoplasty is the surgical alternative. I suggest you seek a consultation with a specialist in surgical facial rejuvenation to see what is best for you.
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