Plastic Surgeons

Miami brow lift surgeon, Dr. Sam Gershenbaum, provides expertise in creating the youthful, more awake appearance that brow lift surgery offers. The contour and position of the skin, fat, muscles, and brow around the eyes is largely responsible for facial expression. Wrinkles and lines often first appear in the brow and forehead area along low positioned eyebrows and heavy lids, which all become more prominent as time goes on. Sun exposure, genetic influences, weight fluctuations, and smoking can be contributing factors that together produce a tired, older, and even sometimes a scowling appearance.

A Brow lift (also called a forehead lift) can smooth out the lines and wrinkles and correct drooping brows and heavy eyelids to provide a younger, friendlier and more rested appearance.

Frequently, patients will present for surgical correction of upper eyelids when in fact it is the sagging or drooping of the brow that causes an overly tired appearance and “hooding,” or heaviness, of the eyelids. In some cases, upper eyelid surgery alone can make this appearance worse.

Miami brow lift patients often receive this surgery along with upper eyelid surgery and face lift surgery for a more complete correction.

Plastic surgeons use facial implants to improve and enhance facial contours. Frequently, these implants will help provide a more harmonious balance to your face and features so that you feel better about the way you look.

Cheek implant surgery usually takes about 30 to 45 minutes. When cheek implants are being placed in conjunction with another cosmetic procedure, such as a facelift, forehead lift or eyelid surgery, the implants may be inserted through the incisions made for those procedures. Otherwise, an incision will be made either inside your upper lip or your lower eyelid. A pocket is then formed and an implant is inserted.

After surgery, a dressing will be applied to minimize discomfort and swelling. The severity and duration of such side effects may vary, especially if another cosmetic procedure was performed at the same time.

If you are considering cheek augmentation in Phoenix Arizona contact cosmetic surgeon Robert Marouk. Facial plastic surgery procedures offered at the Cosmetic Surgical Art Center in Phoenix Arizona include facelift surgery, rhinoplasty, neck lift surgery, blepharoplasty, lip augmentation and ear surgery.

Are you considering a forehead lift in New York City? Forehead lifts are used when there is a sagging brow or deep furrows between the eyes. A forehead or brow lift tightens loose skin and in some cases, removes the excess, and forehead wrinkling and drooping brows can be modified. When necessary, part of the muscle that causes vertical frown lines between the brows is also removed. There are two basic techniques that we use in browlifting; the more traditional coronal brow lift and the endoscopic forehead lift.

For a coronal brow lift, we make an incision slightly behind the natural hairline, running from ear to ear across the top of the head. We usually make this incision well behind the hairline so that the scar is not visible. If your hairline is high or receding, the incision may be placed just at the hairline, so as not to move the forehead back. In patients who are losing hair, a mid-scalp incision may be preferred. For a browlift in New York City contact a board certified plastic surgeon.

The endoscopic forehead lift offers the advantages of minimal incisions within the scalp, and a potentially shorter recovery period. Rather than making one long incision, we can use three to five scalp incisions of approximately one inch in length. An endoscope, a small wand with a camera on the end connected to a monitor, is inserted to allow the surgeon to have a clear view of the muscles and tissues beneath the skin. Another instrument is then inserted through a different incision, the forehead skin is lifted and the muscles and underlying tissues are removed or released. The eyebrows may also be lifted and secured into their higher position by sutures beneath the surface of the skin or by temporary fixation screws and other methods placed behind the hairline. Finally, the incisions are closed with stitches or staples.

A brow lift is often performed with eyelid surgery and facial rejuvenation for the best results.

New York plastic surgeon Eric Sadeh offers browlifts, facelift surgery, rhinoplasty, blepharoplasty and other facial plastic surgery procedures. Located in New York City serving Manhattan, Queens and Forest Hills.

Your eyes are the most revealing feature of your face. When engaged in conversation, our eyes are the center of attention. Puffiness, dark circles around the eyes, or droopy upper eyelids give the appearance of fatigue and aging. In some individuals, the excess skin of the upper eyelids can actually obstruct the field of vision, which can be dangerous when driving for instance. A surgical correction can remove the excess fat and drooping skin of the upper eyelids, minimize bags under the eyes and tighten the lower eyelid skin. The result is a fresh, youthful, and more rested appearance. Eyelid surgery is performed on men and women of all ages who want to improve their self-image. The following concerns are easily addressed with eyelid surgery, blepharoplasty:
* Upper eyelid:
o Excess skin that hides the natural fold of the upper eyelids
o Loose skin that hangs down from the upper eyelids
o Puffiness in the upper eyelids that creates a tired look
* Lower eyelid:
o Excess skin and fine wrinkles of the lower eyelids
o Puffy “bags” and dark circles

In many instances, excess droopy skin of the upper eyelids is due at least partially to a lowered eyebrow. As we age, gravitational pull along with decreased elasticity of the skin leads to a downward fall or ptosis of the eyebrows. Naturally low set eyebrows may be genetic in some, in which case an endoscopic forehead lift or browlift is necessary at an earlier age. In others, an endoscopic forehead lift may be performed simultaneous to blepharoplasty. It is imperative, however, to address the low eyebrows in addition to blepharoplasty in order to avoid excision of excess skin of the upper eyelid. Returning the eyebrow to its aesthetic position decreases the amount of skin necessary for excision in the blepharoplasty. For eyelid surgery in Beverly Hills by a board certified plastic surgeon contact us today.

As people age, effects of gravity to the sun, and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth, the jaw line grows slack and jowly, folds and fat deposits appear around the neck. One should know that the face lift can’t stop the aging process. It can only “set back the clock”, improving the most visible signs of aging by removing excess fat, Tightening underlying muscles and re draping the skin of your face and neck. A face lift can also be done along with other procedures such as forehead lift, eyelid surgery or nose reshaping.

Suitable candidate for face lift:
* A man or a woman whose face and neck have began to sag but whose skin still has some elasticity.
* Whose patients bone structure is strong and well defined.
* Most patients are in their forties to sixties. But face lift can be done successfully on people in their seventies or eighties as well.
* A face lift can make you look younger and fresher may enhance your self confidence in the process. But it can’t give you a totally different look, nor can it restore the healthy and vitality of your youth.

Risks involved:
* When a facelift is performed by a qualified plastic surgeon, the complications and risks involved are minor. By following the doctors advise closely you can reduce your risks.
* Hematoma C a collection of blood under the skin that most be removed by the surgeon.
* Injury to the nerves that control facial muscles which are usually temporary.
* Infection and reactions to anesthesia.
* Smokers are usually affected by poor healing.

A forehead lift addresses the area of the upper face. It restores a more youthful, refreshed look to the area, making you look less tired, angry, or sad, by correcting drooping brows and improving the horizontal lines on your forehead. It is frequently performed with an upper lid blepharoplasty and can be performed with a face lift to provide facial balance and harmony.

The goal of the procedure is to raise the brow to a more aesthetically appealing position. It will also improve fullness over the outside corner of the lid, a scowling appearance of the eyes and horizontal frown lines of the forehead. It is not intended to create a look of surprise or what is commonly called the “deer in the headlights” look. Botox is not a substitute for a forehead lift, it can give you an idea of what to expect. Dr. Friedlander will show you potential areas of benefit during your consultation.

Several different approaches may be used, such as an endoscopic approach, a lateral brow and transblepharoplasy approach and rarely a coronal approach. Most often, only small incisions are required. The procedure is often performed with face lift and/or blepharoplasty. There may be some postoperative swelling or bruising, which resolves relatively quickly. You are able to return to work in a week if no other surgery is being performed.

Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat–usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift.

If you’re considering eyelid surgery, this information will give you a basic understanding of the procedure-when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don’t understand.

Your New Look
Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery. Eventually, though, they’ll fade to a thin, nearly invisible white line.

On the other hand, the positive results of your eyelid surgery-the more alert and youthful look-will last for years. For many people, these results are permanent.

Background
Over time, your skin’s elastic collagen degrades leading to wrinkles and excess skin laxity. Along with this change in the quality of your skin, gravity pulls your forehead and facial skin downward leading to an aging face with low set eyebrows. Some men or women have naturally low set eyebrows which they have inherited from their parents. The “correct” position of the eyebrows varies between men and women. In women the eyebrow should have the shape of an asymmetric arc, with its peak 1 cm (3/8 inch) above the superior bony ridge of the eye socket. The eyebrow in an aesthetic male should be a similar arc with its maximal peak at the bony ridge of the eye socket. It is very important to maintain these differences between the female and male eyebrows when performing a browlift in order to not feminize men.

The descended eyebrows of the aging face have several effects. They crowd the upper eyelid and give the appearance of a “busy” and tired face. A browlift can return the eyebrows to their correct position and thereby opens the face producing a fresh and well rested appearance. To compensate for the pressure and crowding effects of the descended eyebrow, the upper eyelid signals your brain to raise the eyebrow by contracting the frontalis muscle at the forehead. For this reason, all patients with low set eyebrows have lines across the forehead corresponding to the constant effort by the frontalis muscle to correct the position of the brows. In such cases, your face becomes fatigued over the course of the day, as it constantly attempts to lift the eyebrows making mild headaches very common in late afternoons. A browlift returns the eyebrows to their correct position, opening up your eyes and face, and alleviating the constant need to contract the frontalis muscle. If desired, the frowning muscles can be weakened with this procedure correcting frown lines, making BOTOX injection into the forehead no longer necessary.

Dr. Sayah performs most of his browlifts endoscopically through small hidden incisions in the hair-bearing scalp. An entire facelift can in fact be performed through these same incisions if desired. Numerous advantages distinguish this modern technique for browlift from older ones. Standard browlifts are associated with long scars at the hair line or across the top of the head from one ear to the other. Hair loss and numbness of the scalp making you unable to feel a brush going through your hair are common complications of standard browlifts. The endoscopic technique preserves the nerves and blood vessels at your scalp, preventing numbness and hair loss. Other advantages of this new technique include faster recovery, and minimal “down time.”

Procedure
Small hidden incisions are made at the hair-bearing scalp. The endoscope (camera) is then introduced under your skin. Using special endoscopic instruments, Dr. Sayah performs the procedure in layers. The deepest portion of the scalp is released. The next most superficial layer of your forehead scalp is then incised to provide greater upward mobility to your eyebrows. If desired, the frowning muscles between your eyebrows are next weakened such that you no longer require BOTOX® to prevent frown lines. The next layer of your forehead is released last, and the forehead is elevated to its aesthetically correct position. The eyebrows are shaped at their correct position, taking into account your preference, particular needs, and sex. This position is different in every person, and is determined in detail prior to the procedure. At the end of the procedure, the incisions are closed with plastic surgery techniques to minimize scarring, and bandages are placed.

While the shape of your nose is usually the result of heredity, the appearance may have been altered in an injury or during prior surgery.

Also known as rhinoplasty, surgery of the nose improves the appearance and proportion of your nose, enhancing facial harmony and self confidence.

Surgery of the nose may also correct impaired breathing caused by structural abnormalities in the nose.

What can surgery of the nose accomplish?

Rhinoplasty can change:
* Nose size, in relation to the other facial structures
* Nose width, at the bridge
* Nose profile, with visible humps or depressions on the bridge
* Nasal tip, that is large or bulbous, drooping, or too upturned
* Nostrils that are large, wide or upturned
* Nasal asymmetry and deviation

Is it right for me?

Nose surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image. Surgery of the nose is a good option for you if:
* Your facial growth is complete and you are 13 years of age or older
* You are physically healthy
* You stop smoking
* You have specific, but realistic goals in mind for the improvement of your appearance

Dr. Robert Hein in Oklahoma can help you to achieve your goals. He specializes in procedures relating to rhinoplasty in Oklahoma including procedures such as brow lifts, breast augmentation, ear pinning, liposuction, and tummy tucks. To schedule an appointment or to learn more about rhinoplasty, please contact us today.