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Harmonious rejuvenation of the eye area
The conventional lifting method - upper eyelid surgery to remove excess skin and fat tissue - has the decisive disadvantage of often making the eye appear smaller. This method further shortens the distance from the eyebrow to the upper eyelid. The result is often an unattractive expression caused by sunken, hollow and shaded eyes.
The “eyes-open look” thanks to the innovative brow lift operation technique
Professor Sailer therefore developed a new technique to give the entire eye area a naturally radiant expression. For this purpose, a small incision is made just behind the hairline on the forehead, leaving no visible external scar later on. The sunken eyebrow is slightly raised, which also combats “crow’s feet” at the side of the eye. At the same time, any surplus fat in the upper lid area can be removed without fat reduction: if too much fat is removed, the eye appears smaller. The eye “opens” again, and appears larger and more friendly. This rejuvenates and restores a natural harmony to the entire eye area.
Lower and upper lid blepharoplasty for a radiant appearance
In addition to elderly patients with sagging skin tissue, young sufferers also often decide to have surgery to correct the lower eyelids or bags under the eyes. In Professor Sailer’s clinic, lower eyelid surgery is performed through a small precision incision in the interior mucosal area of the lower lid (transconjunctival approach), which is not visible from the outside, allowing direct access to the bags under the eyes. This is a routine operation at Professor Sailer’s clinic, which is risk-free for the eyes and leaves no visible scars. The conventional method using external incisions can lead to inverted eyelids (ectropion).
If there is still a lot of excess skin in the area of the eyelids, upper lid blepharoplasty can be carried out at the same time. This enhancement is a simple surgical procedure that can even be performed under local anaesthesia. The incision is placed in the upper eyelid crease such that when the eye is opened even the fresh scar can hardly be seen, and after healing it is almost completely invisible.
Accurate analysis before surgical enhancement
An accurate analysis of the situation is extremely important before any surgical enhancement. Eyelid surgery is not the best way for every patient to freshen up the appearance around their eyes. Lifting of the eyebrows is often recommended in order to achieve a natural, more youthful appearance.
As we age, our skin loses elasticity, causing the brow to droop. Sometimes the outside of the brow sags, resulting in a sad expression. In other cases, the central portion hangs, mimicking anger. Many people operate under the misconception that these symptoms require an eyelift, since brow droop can cause hooding of upper eyelid skin, when the solution is actually a browlift. What causes brow tone to change? Typically, photodamage (sun), gravity, and facial tension. Sun changes the actual structure of the skin, reducing elasticity. Gravity exerts constant force on the entire body. Facial tension caused by life’s everyday stressors, places deep wrinkles in our brow.
Here’s a reliable test: Using a mirror, observe the positions of your brow and eyelid skin. Next, gently lift the skin above your eyebrow into a pleasing position—not too high—with your thumb and forefinger. If that eradicates most of the excess skin in the upper eyelid, a browlift may be indicated. Another common sign of brow droop: no surface to place makeup on the upper eyelid with increasing age.
Yes. Patients frequently face both brow droop and surplus upper eyelid skin. These patients require both a browlift and an upper eyelift.
First, there are two types of brow wrinkles. Glabellar, or vertical, wrinkles, fall between the eyebrows. They are caused by corrugators, active little muscles located between the brow that exhibit anger or tension. Frontalis, or horizontal wrinkles, fall across the forehead and are caused by contractions in the frontalis muscle located in the central part of the forehead. Whether between the brows or centered in the forehead, it is tension that causes wrinkling.
A browlift is for women whose eyebrows are low and wish to improve the appearance of their forehead and eyes. Patients must be healthy enough to undergo an elective operation.
The aging of the face must be considered as a unit. Often – but not always – when the face ages so does the brow. A facelift only treats from the cheeks down; it does not affect the forehead and brow area. For a face to look harmonious and beautiful, it should look balanced. But though brows do drop with age, they usually drop less than plastic surgeons lift them. Overly high and arched brows or a wide gap between the brows is the most obvious telltale sign of plastic surgery. So for browlifts, tasteful and conservative should be the approach.
Like all surgery, it is a question of risks versus benefits. Dr. Teitelbaum can analyze your appearance and help you decide the extent and manner in which a browlift would improve your appearance. That needs to be weighed against costs, risks, and recovery.
The indication for a browlift is not age; it is just a question of when the brow is low enough for the procedure to be of benefit.
In the past decade, science has developed a number of approaches that specifically address different brow problems.
Transpalpebral surgery is conducted entirely through eyelid incisions, usually with an accompanying eyelid lift. No incisions are made in the scalp, and only limited raising of the eyebrows is possible. This procedure is ideal for correcting vertical wrinkles between the eyebrows.
The temporal browlift requires two small incisions in the scalp. This procedure lifts the eyebrows and is performed only with a concurrent eyelid lift. The between-eyebrow muscles are reached through the eyelid incision; brow elevation is achieved through the scalp incisions.
When appropriate, I most often choose the endoscopic browlift. Using 2-5 small incisions in the scalp, the muscles are shortened and the eyebrows elevated using an endoscope, a tool for visualizing the internal structures of the forehead skin on a monitor. No eyelid incisions are needed, vertical wrinkles are minimized, and the eyebrows can be elevated.
The traditional bicoronal browlift relies on a single longer incision across the top of the scalp. This approach provides the best visualization for correcting horizontal wrinkles, addressing the deepest vertical wrinkles between the brows and for relocating the eyebrows.
Somewhat. For instance, if eyebrows need to be higher, there will be a slight elevation of the anterior hairline. If no repositioning is needed, or only lateral eyebrow droop needs fixing, the hairline change is usually imperceptible.
If a patient presents with a too-high or receded hairline, a forehead reduction can be done with the browlift. Moving the scalp hair forward surgically will lower the upper forehead hairline.
The procedure itself is painless, as anesthetic is used during the operation. At your consultation, we will determine whether full general anesthesia or “twilight” sedation is best for you. You may experience some swelling and tightness for a week or two following surgery, but little pain is expected. Most patients require little medication.
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First off, they recently did a study surveying facial plastic surgeons all across the country trying to define that exact question. And what they found with it is that there is no consensus about what the difference is except that a mini facelift has a shorter scar. As far as the techniques and recovery and those sorts of things, they all differ from surgeon to surgeon.
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The average cost of cosmetic eyelid surgery is $3,163, according to 2018 statistics from the American Society of Plastic Surgeons. This average cost is only part of the total price – it does not include anesthesia, operating room facilities or other related expenses. Please consult with your plastic surgeon’s office to determine your final fee.
A surgeon’s fee for cosmetic eyelid surgery will be based on his or her experience, the type of procedure used and the geographic office location.
A Botox brow lift is a type of procedure that treats frown lines between your brows. It also elevates the height of your eyebrows with Botox Cosmetic (botulinum toxin type A) injections. These shots work by relaxing underlying muscles to smooth your skin on the outside and relaxing the muscles between the brows. This allows the forehead muscles to pull up the now-relaxed muscles between the brows, thereby elevating the brows and opening up the eyes.
Additional Botox injections can be placed at the ends of the eyebrows to help relax those muscles as well. This allows the forehead muscles to now pull up that area, too. The amount of lift you get will vary, depending on your age and tone of the muscles that are left active to pull up the now-relaxed muscles.
For stubborn frown lines between the eyebrows, this procedure can help smooth out deep wrinkles without surgery. These types of wrinkles are also called glabellar frown lines.
Botox is a nonsurgical procedure. It’s different from a traditional brow lift, which is a type of cosmetic surgery that involves incisions and removal of your skin.