As we age, there are several effects upon the eyebrows and forehead. The lines in the forehead deepen, leading to an aged appearance. Additionally, the eyebrows commonly drop below the upper edge of the eye socket, crowding the upper eyelid and cause a furrowed and sometimes angry look in the brows. These two factors contribute to a tired and worn look.
A brow lift is the proper procedure to handle this. With the use of precisely placed incisions, Dr. Brenner can raise the forehead skin and restore the brow tissue to its original location, bringing the eyebrows closer to the hairline and opening the eyes. There are several types of brow lifts.
- A coronal brow lift utilizes an incision made in the hairline from ear to ear. Once the incision is made, the forehead skin is lifted up over the scalp. The excess skin is removed and the tissues are sewn back in place. The incision is very well hidden in the hairline.
- A hairline brow lift (pre-trichal browlift) is used in the case of a high or receding hairline. The incision is placed immediately in front of the frontal hairline. This allows the excess forehead skin to be reduced without pulling the hairline too far back While this technique can significantly improve forehead creases, the resultant scar may be more visible than a coronal brow lift.
- An endoscopic brow lift is a minimally invasive form of the brow lift. Three or four are made behind the hairline, and through these incisions the forehead and brow are lifted up and back, eliminating creases in the forehead. This utilizes a small camera called an endoscope to allow precise dissection in the forehead. The scalp is then secured in its new location until it fully heals.
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Due to age, genetics, weight gain and a number of other factors, the skin around the jawline may become slack, detracting from a defined appearance. A neck lift is a surgical procedure designed to eliminate the sagging skin and fat, lifting the remaining skin to give a jawline that is crisp and clearly distinguished from the neck.
A neck lift is done on an outpatient basis under general anesthesia. A neck lift is essentially a lower facelift and can take anywhere three to five hours. Some patients may only require liposuction under the jaw, which is a shorter procedure. There are several methods of performing a neck lift, including:
- Liposuction, removing excess fat beneath the chin and jawline. This may be combined with another neck lift procedure depending on the elasticity of the skin.
- A neck lift, or cervicoplasty, serves to tighten the neck muscles and remove extra skin, creating a nice transition from the neck to the jawline.
- A mini neck lift (plastysmaplasty) can be used if the skin to be removed is minimal. A small incision is made in the curvature of the neck and the muscles are tightened. This is the shortest procedure, taking only 45 minutes.