Endoscopic Brow Lift
Deep creases in the forehead, lowered brows, and "crow's feet" around the eyes can make patients look old, tired and angry. Every year, many patients seek Dr. Slupchynksyj to not only improve the appearance of the skin along the forehead and around the eyes, but to help them look as good as they feel.
What is an Endoscopic Brow Lift?
An excellent way to describe an Endoscopic Brow Lift is to contrast it to the "classic" coronal Brow Lift. In earlier decades, plastic surgeons lifted the brow line by making an incision that stretched from ear to ear along the hairline. The longer incision increased the chances of infection, hair loss and scarring after the procedure. A Browlift is the surgical procedure used to help rejuvenate the upper third of the face.
The advanced endoscopic technique used by Dr. Slupchynksyj employs a series of tiny incisions in the scalp, rather than a long, continuous incision along the hairline. The endoscope (a small camera at the end of a flexible tube) is inserted into an incision. The camera allows Dr. S. to see how the muscles, tendons, and skin connect. A blade at the end of another flexible tube is inserted in a different incision. Dr. S. follows the image from the camera to make the proper surgical maneuvers, then he anchors the muscle and skin in place.
Benefits of Brow Lift
Lines along the forehead and along the brow line are either reduced or eliminated. Before the surgery, patients may have a dour, angry look due to lowered eyebrows, which actually sit below the browbone. After the procedure, the eyebrows sit correctly on the brow bone, which opens up the eyes and restores a youthful look of enthusiasm and energy.
The endoscopic procedure allows for more accurate and subtle changes to the brow line without the need for a long incision. The smaller surgical cuts, along with the endoscopic camera, enable Dr. Slupchynksyj to operate at a level of precision not available in the classic form of the procedure. Also, the small incisions heal faster and carry less noticeable scarring, with a recovery period of only a few days.
The benefits of a Brow Lift has extended beyond those related to external appearances, as reported by Dr. Slupchynskyj's patients. A patient can often translate their refreshed appearance into an internal source of energy that can carry over into other aspects of life. The boost in self-esteem from the new facial features can lead to improvements in business efforts, social situations, and personal relationships.
Good Candidates for a Browlift
Numerous prospective patients tell Dr. Slupchynskyj that their friends, family and business associates often tell them that they appear aggravated, worn out or distressed, even at times when they are cheerful and have had a good night's sleep. A Brow Lift can decrease or remove the wrinkles and furrows that appear along the forehead, as well as those that show up at the top of the bridge of the nose. A Brow Lift also treats what are typically known as "frown lines" and shifts a low or drooping brow line.
Besides the cosmetic reasons, patients also consider Brow Lift Surgery to repair other defects in the facial structure. One of the defects that occur with age is brow ptosis, the lowering of the brow and the fat pads along the brow line. Brow ptosis can also occur as a symptom of diseases that result in facial paralysis, such as Bell's palsy, myasthenia gravis, and some forms of muscular dystrophy.
The Brow Lift can also be performed in conjunction with other forms of facial plastic surgery procedures such as Eyelid Lift or Belpharoplasty Surgery, as well as Facelift Surgery. When combined, these procedures can produce a more complete and consistent appearance to the patient's new look. Our mission is to make the patient look younger and healthier, and never to replace their entire appearance with a new, or unrecognizable face.
Risks of Brow Lift Surgery
The risks of a Brow Lift procedure are greatly reduced when the patient is working with an experienced Board Certified Facial Plastic Surgeon. Browlift Surgery involves the intricate and delicate muscles of the face, which only a Facial Plastic Surgeon is formerly and properly trained to operate on. Patients who had Browlift Surgery with another surgeon have sought out Dr. Slupchynskyj for help since, in some of the cases which he has seen, the nerves that connect to the muscles around the eyebrow have been damaged on either side or both sides. This situation can occur due to surgical errors. This damage can inhibit or prevent the patient from creasing the forehead or raising the eyebrows. The problem can be temporary, but could last for several months or it becomes a permanent condition. For the most part, patients should only experience minor bruising or swelling, and tenderness in the areas around the incisions for about a week after the procedure, but this is a normal part of the healing process.
Another potential risk is the "perpetually surprised"
expression that can occur if a surgeon incorrectly removes too much skin around the brow area. Patients may also experience hair loss near the incision areas due to scarring. In the "classic" Brow Lift procedure, patients also reported a loss of feeling in the brow area, but these incidents are greatly reduced in the endoscopic form of the surgery Dr. Slupchynskyj, a Double Board Certified Facial Plastic Surgeon, performs.
Anatomy of the Brow and Forehead
The major muscle in the area, the frontalis muscle, runs the entire span of the forehead. This muscle controls the lift of the eyebrows and the creasing of the forehead, allowing for a full range of facial expressions from surprise to anger to worry. When this muscle gets overworked, the activity can create deep wrinkles in the skin along the forehead.
The glabella muscles sit between the eyebrows and above the bridge of the nose. Doctors often tap on the glabella muscles to test a patient's blinking reflex. The proceurus muscle lies along the bridge of the nose and pulls down the skin between the eyebrows. Both of these muscle groups are also affected during the Brow Lift procedure, as their movement can cause lines between the eyebrows.
The nerves that lie between the eyes are also responsible for sensitivity in the forehead and hairline. As a consequence of the procedure, these nerves can be damaged to prevent the patient from developing further wrinkles. The damage typically heals in a few weeks to a few months, allowing sensation to the area to return slowly and prevent more wrinkles from occurring.
Brow Lift vs. Botox®™
Many patients go to Dr. Slupchynskyj to receive Botox®™ injections, which can elevate the brow area in addition to reversing crow's feet around the eyes. While Botox®™ injections are less expensive than a Brow Lift operation, and results last are temporary (lasting 3 to 6 months), Botox®™ is not entirely effective at removing forehead wrinkles present at rest especially with patients who have extensive aging in that area.
A Brow Lift procedure can bring a more youthful and vital expression to a patient's face. The improvements in both external appearance and internal gratification often bring patients a high level of satisfaction.