Forehead/Brow Lift

Assuming you are healthy and do not have any medical conditions that would prevent you from undergoing the surgery, then the answer is yes, you could potentially do the "whole" face at one time. Starting from the top, that procedure would entail an endoscopic forehead/brow lift, upper and lower lid blepharoplasty, and a facelift /Necklift. During my consultation with you, we would consider your areas of concern. Then, I would perform a physical examination to determine which procedures would best address your concerns. We would discuss those procedures, including non-surgical options. One area of confusion is the term "facelift". I use this term to describe a short incision along the natural contours of the ear to re-position the jowls and define the jawline. Usually, this is combined with a necklift, which includes neck liposuction and re-positioning of neck tissues and skin achieve a more youthful neck contour. A side benefit of the facelift, in selected patients, is re-distribution of volume to the cheeks. For those individuals who have lost considerable volume, I may combine the facelift with volume restoration procedures, which include fat transfer or injectable fillers.

While scars such as the ones you describe would not preclude you from undergoing an endoscopic brow lift, the surgery might not improve upon the appearance of those scars. Treatment options for those scars include injectable filler or laser resurfacing.

If your heart condition is severe, you may not be a good candidate for an eyebrow lift; however, you might be a good candidate for non-surgical options that lift the eyebrow. These options include Botox, injectable filler, and minimally invasive procedures (such as Ultherapy, SkinTyte by Sciton, and/or Elixis) that achieve tightening/lifting of skin/soft tissue.

The risks in an endoscopic forehead lift include the risks of anesthesia, risk of infection (we provide antibiotics to decrease this risk), bleeding (avoidance of aspirin, ibuprofen, and certain homeopathic medications decrease this risk; management of blood pressure also decreases this risk). Other risks include temporary loss of hair at incision sites, numbness, hematoma (collection of bloody fluid), and paralysis of the forehead muscles. Though these risks are small, it is important to discuss the risks during consultation and prior to surgery as well as when reviewing the informed consent form.

Posted by Rami K. Batniji, M.D., F.A.C.S.

I perform forehead lift procedures through small incisions hidden within the hair. I use endoscopic equipment to re-position the eyebrows into a more natural appearance. This procedure also helps to smoothen the deeper lines in the forehead. Other potential options for addressing these lines include filling the lines with an injectable filler, softening the muscles that create those lines with Botox, and laser resurfacing of the skin.

Posted by Rami K. Batniji, M.D., F.A.C.S.

Essentially, there is no difference. Most of us plastic surgeons use the terms brow lift and forehead lift interchangeably. I perform this procedure with an endoscope through small incisions well hidden within the hair.

Posted by Rami K. Batniji, M.D., F.A.C.S.

There are 2 types of fixation that I currently prefer when performing endoscopic brow lifts. One is suture fixation with a dissolvable suture. Another is the use of the Endotine instrument, which is also dissolvable. The selection of type of fixation is dependent upon skin/soft tissue thickness of the scalp/forehead and hairline position.

Posted by Rami K. Batniji, M.D., F.A.C.S.