Question : I notice that when I am not smiling, it looks like I am frowning. People actually comment that I seem angry. I don’t know if this involves just my mouth or both my mouth and eyes. Would a consultation help me identify whether I need a cheek lift, an eyelift or both?
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Posted in Browlift, Forehead Lift on May 12th
Question : Do you think that an endoscopic browlift will last a lifetime or would later surgery usually be needed?
Answer : Unfortunately, no lifting procedure is forever. Depending on your age, however, you may never need another. Younger patients (35-45)tend to have longer lasting endoscopic browlifts in my experience.
Posted in Browlift, Forehead Lift on May 7th
Question : My forehead is the oldest looking part of me. I have horizontal lines, frown lines, large pores and some age spots. Will a forehead lift help?
Answer : Unfortunately, it will do little for the large pores, age spots and horizontal lines. The frown lines may be improved. The horizontal lines are best treated with botulinium toxin or hyaluroinc acid injection. The large pores and brown spots can be treated in number of different ways, including laser resurfacing, plasma resurfacing or skin products.
Question : I prefer getting an endoscopic brow lift to the other brow procedures. In this procedure, is the muscle actually cut? Can dissolving sutures be used instead of regular sutures so I don’t need to come back to the doctor’s office?
Answer : Wait, wait a minute. This is a real operation and requires careful follow up. Yes, some muscles are cut and absorbable suture can be used. BUT, how do you know that this is the best operation for you. If you have a very heavy brow or thick skin, an open approach may be better. To help you find the procedure that is right for you contact us to schedule a consultation.
Take a look at our pages on browlift and endoscopic brow lift.
http://www.drbentkover.com/procedures/endoscopic_browlift-worcester-boston.shtml http://www.drbentkover.com/procedures/endoscopic_browlift-worcester-boston.shtml
Question : It’s been close to two weeks since my Botox treatment on my forehead. The lines in the middle of my forehead have disappeared, but the sides of the forehead lines are still present and look awful. Will this resolve itself or do I need to get this fixed?
Answer : A first botulinum toxin injection into the forehead is common to confine the injections to the central forehead. This is done to try to get some brow elevation. Injecting the outer portions of the forehead can actually drop the brow a bit. It is reasonable to consider topping off the treatment to decrease those lines understanding that the tail of the brow might drop. To help you find the procedure that is right for you contact us to schedule a consultation.
Question
What is a Botox brow lift and how effective is it?
Answer:
This is when a botulinum toxin is used in selected areas to try to elevate the brows. It can be very effective or moderately effective, depending on your expectations. A lot depends on how heavy your brows are to begin with, asymmetry of muscle action in your face and the specific does that you need. We start on the lower end of the scale so as not to elevate the brow too much. I add more if you want more once we see the result. It lasts about 3-4 months. Most of our patents are very pleased with the results. It is not a substitute for an endoscopic browlift or open browlift.
Question:
I am a 53-year-old woman and had a lower facelift last year. I am now considering a brow lift because I want to improve my upper facial area to match. Will this procedure have any complications with the previous surgery?
Answer:
There should be no problem other than perhaps the location of the incisions. You need to check with your surgeon to see where he or she places the temple incision.
Question:
I feel I am much too young to have droopy eyes. The drooping area is below my eyebrow and it sags down over my eyes, particularly my left eye. What is the cure for this, blepharoplasty or a brow lift?
Answer:
The solution can be one or both. If the excess upper eyelid skin is from your brow having descended, elevating the brow may be the solution. However, you still might need to have some skin removed from the upper eyelids. Sometimes just removing some of the upper eyelid skin is enough, and we can do that in the office with local anesthesia.
Question:
Where exactly are the incisions made for a browlift? Are they visible after surgery? What if you have a receding hairline?
Answer:
It depends on the type of browlift. In a direct brow lift the incisions are at the top of the brow. In a mid-forehead lift they are in a forehead crease. In an open browlift the incision is hidden at the hairline, In an endoscopic browlift, there are a series of small incisions at the hair line. A receding hairline can be a problem for the last two. Often a direct browlift or a midforehead lift is what is needed.
Check out these webpages:
http://www.drbentkover.com/procedures/browlift_foreheadlift-worcester-bo...
http://www.drbentkover.com/procedures/endoscopic_browlift-worcester-boston.shtml
Posted in Browlift, Temple Tuck on October 26th
Question:
I've heard of something called a temporal browlift that can be performed right in the doctor's office. How is this different from a traditional brow lift and how effective is it?
Answer:
It is called a temple tuck. Where it is done depends on your tolerance for have it with just local anesthesia. In my opinion, you are entitled to be more comfortable during your procedure than this. It does not lift the entire brow.
Question:
What exactly is an endoscopic browlift and how is it different from a regular brow lift or forehead lift?
Answer:
An endoscopic browlift (or endoscopic forehead lift) is performed through five small incisions hidden behind the hairline. Using a special sterile telescope called an endoscope, the surgeon can carefully identify and release the muscles which pull your brow down excessively. With an endoscopic browlift you can usually expect 3-5mm of elevation of the brow. The major advantage of the endoscopic approach is the small incisions and less post-operative numbness. If you need more elevation of the brow, an open technique may be better for you. The open forehead lift uses an incision hidden behind the hairline that extends from ear to ear (coronal incision), an incision hidden at the front of the hairline (pre-trichal incision) or a wavy, zigzag incision hidden in the fine hair of the hairline (trichophytic incision). Your incision may also be a modification that combines one or more of these types of incisions. The advantage of an open forehead lift is that it can give more elevation of the brow than the endoscopic technique, often 5mm to 1cm of elevation. The principle disadvantage of the open technique is a longer period of numbness of the scalp after surgery and sometimes some permanent numbness of the scalp.
Here is a link to some images: http://www.drbentkover.com/procedures/browlift_foreheadlift_photos-worce...
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