Facial Plastics Procedures
Forehead Lift / BrowliftA forehead lift, or browlift, is a surgical procedure that can revitalize a drooping or lined forehead, helping you to look less angry, sad or tired. Performed in our state-of-the-art Beverly Hills and Los Angeles facilities using either traditional (open) or minimally invasive (endoscopic) methods, browlifts involve the removal or alteration of the muscles above the eyes to smooth lines and raise the eyebrows for a more youthful and refreshed appearance. The browlift procedure is often combined with other operations such as blepharoplasty (eyelid surgery) and facelifts to improve the look of the eyes and other areas of the face. While browlifts are typically performed on patients aged 40-60 to counteract the effects of aging, anyone with lined or inelastic skin on the forehead – whether it’s caused by repetitive muscle activity or inherited conditions – is eligible. The browlift procedure is usually performed in our Los Angeles or Beverly Hills facilities under local anesthesia and sedation. If you are unsure of whether or not you want a browlift, try standing in front of a mirror and placing the palms of your hands to the sides of your eyes above the eyebrows. Then pull the skin back from the eyes, raising the forehead. This is approximately how the procedure will make you look. Browlifts may be performed in one of two ways: with conventional methods, in which the incision is hidden beneath the hairline (for patients with thinning or receding hair, who are bald or who have had previous surgery in the area, the incision will likely be moved somewhere less conspicuous); or with a minimally invasive endoscope, in which a tiny camera and instruments are inserted through a few small incisions. Both techniques produce similar results of a youthful, smoother appearance. You and your surgeon will discuss which option is better for you. Note: Patients with very short hair may want to let it grow before surgery to better camouflage the healing scar. For a traditional browlift procedure: First, the patient’s hair is tied with rubber bands near the incision site. Then the surgeon makes a coronal (headphone-shaped) incision behind the hairline, stretching between the ears and across the top of the forehead. The incision may be placed further back or made along the skull bone joints to minimize visibility in patients with thinning hair or those who are bald. Then the forehead skin is lifted, tissue is removed, muscles are adjusted and the eyebrows may be lifted. Excess skin is trimmed and the incision is closed with stitches or clips. The site is washed and the rubber bands are removed. Some surgeons will protect the stitches with gauze or bandages. For an endoscopic browlift procedure: After the hair is tied as with the traditional procedure, the surgeon makes three to five short incisions (less than an inch long) behind the hairline. The endoscope is placed in one incision so the surgeon can see beneath the skin without having to make a large incision, while he or she lifts the skin and adjusts muscles through the other incisions. If the eyebrows are lifted they will be stitched or screwed (temporarily) into place. The site is washed and the rubber bands are removed. Some surgeons will protect the stitches with gauze or bandages. Traditional browlift surgery patients may experience some numbness and discomfort at the incision. Numbness could be replaced by itching, which will subside within six months. Your head may need to be elevated for two to three days to reduce swelling. Bandages are removed in one to two days, and stitches or clips are taken out in two weeks. Hair near the incision may fall out or thin, but normal growth should return within weeks or a few months. Endoscopic browlift surgery patients may experience some numbness, discomfort and swelling around the incisions, though there is less itching than with traditional surgery. Stitches or staples are removed in a week; temporary fixation screws are taken out within two. With both browlift procedures, you will be on your feet and able to wash your hair in a day or two, and many patients return to work or school in 7-10 days or less. Swelling and bruising should fade by the third week.
Blepharoplasty (Eyelid Surgery)Eyelid surgery, also called an eyelid lift or blepharoplasty, can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and/or lower eyelids. Eyelid surgery may be performed at either of our two California locations for cosmetic reasons, to restore a smoother, more youthful appearance, or to improve sight by lifting droopy eyelids out of the patient’s field of vision. Blepharoplasty at Osborne Head & Neck Institute is ideal for the correction of:
- Loose, sagging and/or folded upper eyelids that may limit vision
- Puffy fat deposits in the upper eyelids
- Under-eye bags
- Sagging lower eyelids that may show the white of the eyes below the iris
- Excess skin in the lower eyelids
- Fine wrinkles in the lower eyelids
- Are generally healthy
- Do not smoke
- Have realistic expectations
- Do not have any serious eye conditions
Click on the images above to view our photo gallery.One of our experienced doctors will talk to you about whether you are a good candidate for eyelid surgery. Eyelid surgery is performed in either or Los Angeles or Beverly Hills facility, usually with local anesthesia and IV sedation. The procedure often takes less than 45 minutes to perform. Incisions are made along the eyelids in inconspicuous places: in the natural creases of the upper lids for upper eyelid blepharoplasty and just below the lash line on the lower lids for lower eyelid blepharoplasty. If no skin needs to be removed, the surgeon will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars. In all cases, your surgeon then removes excess skin from the eyelids using a scalpel, laser or radiofrequency (RF) tool. Fat may be removed as well. He then closes the incisions with fine sutures, tissue glue or surgical tape. Bruising, swelling and a sense of tightness in the eyelids are common after eyelid surgery. These should subside within 2-4 weeks. Most patients resume activities in 3-5 days, when non-absorbable stitches are removed, and return to work in about 10 days. By one to two months after surgery, you should see the true results of your eyelid lift: a more awake, youthful and cheerful look around the eyes, and greater self-confidence. Contact lenses may not be worn for two weeks. Eyes can be sensitive to light and wind and may be slightly irritated for a short while; your surgeon may prescribe eye drops and cool compresses to ease any discomfort.