Dr. Batniji reviews upper and lower eyelid procedures. read more>
I favor the use of Botox in conjunction with browlift surgery. The reason for this preference is that I like to minimize the activity of the muscles that pull the forehead down...the frown muscles. This way, those muscles are not working against our desire to elevate the brow. I prefer to inject the depressor muscles with Botox approximately 1 week prior to surgery so that the Botox has enough time to work on those muscles as it takes approximately 4-7 days for the Botox procedure to have effect.
What sort of complications do you encounter most often with the brow lift and how do you address them?
Bruising and swelling may occur after brow lift surgery. We recommend you avoid aspirin, aspirin-containing products, ibuprofen, ibuprofen-containing products, and certain homeopathic/herbal medicines that may increase the risk of bleeding, bruising, and swelling. High blood pressure may increase the risk of bleeding, hematoma formation, and bruising; if you have a history of high blood pressure, we recommend you consult your primary care physician to gain proper control of the blood pressure prior to surgery. Headaches and nausea may occur after surgery. We provide patients with several medications before/during/and after surgery to minimize this experience.
I would like a brow lift. I have forehead wrinkles, and I think it would pull up my brows just a bit so that they don't overshadow my eyes as much. I have read about the endoscopic browlift. I understand that the incision is in the hairline, but I don't understand the procedure after that. What happens and what type of sedation is necessary?
It sounds like your brow is slightly lower in position, causing the appearance of hooding of skin in the upper eyelid. A browlift can re-position the brows to a more natural position, thus alleviating the heaviness of the upper eyelid/brow complex. You are correct in that the incisions for a brow lift are within the hair, so the incisions are well hidden. Through these incisions, I release the attachments of the brow, elevate the brow into a more youthful position, and fixate the brows in that elevated position. There are 2 methods I currently use to maintain elevation of the brow. One is with a device called an Endotine, which is a dissolvable material that holds the brow in its elevated position. The other method I use is a suture. The suture is also dissolvable. It takes several weeks for the brow to re-attach to the bone of the forehead in this more elevated position; therefore, the fixation method (Endotine or suture) needs to last for those weeks. Both of these fixation methods last enough time to maintain the more youthful position of the brow.
Posted by Rami K. Batniji, M.D., F.A.C.S.
|Rami K. Batniji, M.D, F.A.C.S. Facial Plastic Surgeon||949-650-8882||361 Hospital Road, Suite #329, Newport Beach, CA 92663|