A brow lift, also known as a forehead lift, is a procedure that reduces wrinkle lines and loose skin that is caused by aging. A brow lift can improve frown lines, reduce droopy skin, and raise sagging brows that are hanging over the eyes that can cause vision impairment.
A brow lift can address these types of concerns:
• Deep forehead wrinkles
• Droopy and sagging forehead skin
• Hooded upper eyelids
• Horizontal wrinkles across forehead
• Overhanging skin that impairs vision
Brow lifts are also commonly paired with facelifts for total facial rejuvenation or with blepharoplasty to target excess eyelid skin that has further affected the patient’s vision or led to an aged appearance. Dr. David Shokrian will work with you to achieve your beauty goals and formulate an individualized aesthetic plan that will bring your vision to life.
A brow lift can be completed under general anesthesia or local anesthesia with intravenous sedation. Multiple brow lift methods exist, including the endoscopic method and the coronary incision method. While the endoscopic brow lift has become the preferred choice, both techniques have their advantages. Dr. Shokrian will determine which option is best for each patient individually during an initial consultation.
Endoscopic Brow Lift
After the patient has been properly numbed using an anesthetic, several small incisions are made within the hairline. An endoscope, a long, thin metal tube with a camera attached at the end, is inserted through the incisions to provide visual access to the tissues of the forehead. The underlying muscle tissue is then pulled and repositioned to eliminate wrinkles, and any excess fat or skin is trimmed away. The incisions are closed using sutures.
The endoscopic method is less invasive than other techniques, resulting in a faster recovery with fewer risks. The incisions are safely made within the hairline and are completely hidden by surrounding hair.
Coronary Incision Method
The coronary incision brow lift method, also referred to as an open brow lift, was the traditional technique for forehead lifts before the endoscopic method gained prevalence in recent years. Once the patient has been numbed, one long incision stretching from ear-to-ear is made within the hairline. The forehead is then pulled upwards and any excess skin or tissue is removed before suturing the incision closed.
This method is more invasive than the endoscopic method but may be the preferred choice depending on the patient’s desired results and the recommendation of the surgeon. Despite the larger incision, scarring is still not visible since the incision is kept within the scalp and hidden by natural hair growth. This method provides a mild and more uncomfortable recovery but can produce effective results.
Recovery and Results
Brow lifts are completed as an outpatient procedure, allowing patients to return home the same day as their surgery. The surgery typically lasts one to two hours. Bruising, pain, swelling, numbness and itchiness are common side effects that can last two to four weeks, depending on the procedural method used.
Patients can return to work in seven to ten days and resume exercise and other strenuous activities in three to four weeks. Stitches will be removed about one week after the procedure. Makeup can be used to cover visible side effects while the patient recovers. Final results will continue to develop over the course of about three months as swelling diminishes and incisions continue to heal, although immediate results will be noticeable right after the procedure.
Q&A with Dr. Shokrian
Which brow lift technique is best for me?
We evaluate patients individually during an initial consultation to determine the extent of the patient’s loose skin and better understand any specific concerns that the patient would like addressed. We will explain each procedure with you and let you know ahead of time which method we will perform. The endoscopic method is the preferred method because of its minimally invasive nature and ability to produce subtler but very effective results.
Am I a good candidate for a brow lift?
Patients in good health who are bothered by forehead wrinkles, loose skin, and impaired vision are good candidates for a brow lift. Patients of most ages can benefit from a brow lift. We will determine if you are a good candidate for a brow lift during an initial consultation.
Will the position of my eyebrows change after the procedure?
The skin of the forehead will be pulled upwards to eliminate wrinkles and create smoother, more youthful skin. Doing so can cause a slight raise of the eyebrows but can be kept minimal with the skill of an expert surgeon. We will take great care during your procedure to ensure you achieve your desired results without an unnatural or unwanted change in your appearance.
Will there be noticeable scars?
Incisions will be kept within the scalp or the hairline, ensuring they remain non visible.
Will a brow lift eliminate my crow’s feet?
A brow lift is not meant to target crow’s feet but may make a small change in their appearance. If you are truly interested in eliminating crow’s feet, ask us about how injectable fillers can restore volume during your initial consultation.
How long will the results last?
A brow lift can eliminate wrinkles for many years to come, but it will not stop the effects of aging. The exact longevity of brow lift results varies depending on the patient, but most patients can expect to enjoy their results for seven to 10 years.
FaceTite is a minimally-invasive procedure, a non-surgical alternative for face lift that is a safe and effective solution to contour the face. FaceTite uses radiofrequency (RF) to address areas with fat and loose skin on the face and neck. From only one treatment, FaceTite can give patients a youthful appearance from its power to melt excess fat while tightening the skin.
The common concerns that can be addressed through FaceTite:
Sagging and loose skin in the face and neck area Unwanted wrinkles and fine lines Marionette lines around the mouth Decreased collagen and elastin production
At Millennial Plastic Surgery, Dr. David Shokrian is proud to offer a minimally invasive procedure that provides facelift-like results with no surgery or scars. If you are interested in combating the effects of aging with the latest nonsurgical methods, FaceTite may be the perfect solution.
FaceTite treatments are performed under local anesthesia with sedation. Once the patient has been numbed, a small hole is made in the skin at the edge of the jaw just below the ear. The incision is minimal and will not leave behind a scar after healing. A thin probe is then inserted beneath the skin to provide thermal energy to the underlying tissues of the face. The probe is capped off with a plastic tip to prevent accidental skin perforation and unnecessary damage.
After the probe has been inserted, an external electrode is placed overtop the outer skin. The probe and the electrode work in unison to create a contained thermal field that simultaneously targets the outer and inner layers of the skin for a comprehensive treatment. The FaceTite devices are slowly moved along the jawline, liquefying fat and contracting the collagen and elastin in the skin along the way.
The FaceTite system is equipped with numerous safeguards that provide active monitoring of the skin’s external and internal temperatures, ensuring the treatment is safe, precise and effective. Uniform heat distribution throughout the treated areas provides results that are even and smooth. The entire procedure lasts about one hour, and patients can return home immediately after.
Recovery and Results
As a minimally invasive treatment, FaceTite does not require an overly lengthy or uncomfortable recovery period. Patients can return to work in three to five days. Common side effects include swelling, soreness, bruising, numbness and itchiness in the targeted areas. Most side effects improve drastically within the first week, include swelling. Patients may also notice an uneven skin texture that lasts two to three weeks as the skin adjusts and contracts.
Compression wrappings may be used to minimize swelling and provide comfort during the first week or two of recovery. The minor incisions will heal quickly without the need for stitches and will not leave behind noticeable scarring. Patients are generally able to resume regular activities about 48 hours after the procedure, although moderate swelling will be visible for the first three to five days and patients may want to stay home during this time.
Results are immediate, although swelling will distort the new facial contours. Once swelling subsides during the first week, the tightened contours and more youthful appearance will be visible. Final results will continue to develop over the course of six months, as increased collagen and elastin production result in a continuous improvement in skin laxity.
Q&A with Dr.Shokrian
Am I a good candidate for a FaceTite procedure?
If you have wrinkles, fine lines, loose skin or excess fat in your lower face and neck, then you are a good candidate for FaceTite. FaceTite patients are generally those who are interested in facial contouring anti-aging treatments but who wish to avoid surgery and the lengthy recovery and scarring associated with it. We can determine if you are a good candidate for FaceTite based on an in-person evaluation where we examine your skin laxity and discuss your desired results.
What is the ideal patient age for a FaceTite treatment?
FaceTite can be performed on adult patients of any age. Because FaceTite is minimally invasive, it often appeals to middle-aged patients who are not quite ready for aesthetic surgery but would like to eliminate signs of aging. FaceTite is also great for older patients who have already undergone a facelift procedure and are interested in maintaining their results without a second surgery.
How many FaceTite procedures are necessary for optimal results?
FaceTite offers significant improvement and effective results in just one treatment. Results continue to develop and improve over the span of six months.
How long do FaceTite results last?
FaceTite results last an average of three to five years. The treatment may be repeated when needed as the effects of aging continue to develop.
Can FaceTite be combined with other procedures?
Absolutely. FaceTite can be combined with treatments like BodyTite, injectable fillers and neurotoxins, and neck liposuction. The compact FaceTite device can also be used on smaller areas of the body, like the upper arms, to provide nonsurgical fat loss and skin tightening alternatives to procedures like brachioplasty.
Are FaceTite treatments painful?
Local anesthesia is used at the beginning of the FaceTite appointment to numb the treated areas and ensure patients feel completely comfortable throughout the procedure. You may experience some facial soreness and tenderness during the first week of recovery, but this can be managed with pain medication.
Does FaceTite leave behind any scarring?
As a nonsurgical treatment, FaceTite does not create any scarring. The incisions made in the jawline below the ears are minimal and heal without the need for stitches.
Follicular unit extraction (FUE) is a surgical procedure that targets hair restoration that is minimally invasive. Hair loss is a common problem for both men and women that affects about 80 percent of men and 50 percent of women. At Millennial Plastic Surgery, Dr. David Shokrian treats hair restoration with FUE to address the concerns of hair loss and pattern baldness for men and women.
What Causes Hair Loss?
Several factors that can influence hair loss:
Genetics, family history of hair loss Gender, male more likely to have hair loss Stress Emotional/Physical Trauma
The main culprit behind hair loss is the male hormone dihydrotestosterone (DHT), which is present in both men and women. For an unknown reason, the growing cycle of hair follicles becomes more sensitive to DHT with age and can be halted by the hormone, eventually leading to baldness.
Men only experience the hair loss effects of DHT along the top of the scalp, creating viable donor sites on the sides and back of the scalp filled with hair follicles that are DHT-resistant. Women, unfortunately, have no DHT-resistant areas, decreasing but not eliminating the likelihood that they can be good candidates for hair transplants.
FUE is performed using local anesthesia to ensure patient comfort throughout the procedure. Individual follicular units containing an average of one to five hairs each are removed from donor sites on the scalp. The strands of hair within each follicular unit share the same root system, so removing the entire unit provides a high survival rate for the donor grafts. The follicular units are removed using a small handheld device that makes a circular punch in the scalp. The grafts are stored and kept hydrated to keep them properly preserved as the procedure continues.
Once a sufficient amount of grafts has been harvested, the implantation part of the surgery can begin. Grafts are precisely implanted into the balding parts of the scalp to fill in bald spots, rebuild hairlines and otherwise restore sections that have been affected by hair loss. Great care will be taken to transplant the grafts in natural patterns so they blend in seamlessly with surrounding hair.
Recovery and Results
Following surgery, the scalp will be red and very sensitive. Patients will need to not touch their scalp to avoid dislodging new grafts and harming their results. Sleeping with an elevated head for the first 48 hours will help the scalp heal and reduce swelling. Side effects, including redness, swelling and scabbing will diminish over the course of one to two weeks. FUE rarely produces much scarring, although faint circular marks may be visible in the sections of the scalp that were used for harvesting grafts. Surrounding hair growth will completely hide any residual signs of the surgery.
Results will take some time to develop but will be worth the wait. Newly implanted follicles will shed their hair around two to three weeks following the surgery and enter a resting phase for up to three months. At this point, new hair growth will begin and start to become visible. Results are most evident around six to nine months after the procedure and continue to improve for up to 18 months. Patients should expect to wait around one year before enjoying their natural, thicker hair.
Q&A with Dr.Shokrian
Do results from FUE look natural?
Outdated hair transplant procedures produced an infamously unnatural look and were referred to as hair plugs. Doctors could not harvest smaller grafts and had to rely on transplanting larger clusters of follicles that did not blend well in with surrounding hair and did not provide natural-looking results. Unlike past procedures, FUE uses individual follicular unit grafts, creating natural results indistinguishable from the real thing. If you are interested in hair restoration but scared of receiving a “pluggy” hairline, schedule a consultation with us to learn more about how modern hair transplant procedures have advanced in recent years.
How long do hair transplants last?
Hair transplants are a lifelong investment that you will enjoy for years to come. The hair that has been transplanted will retain its DHT-resiliency, despite being transplanted to balding areas of the scalp. While hair transplants can successfully restore thicker hair, it is important to note that transplants do not prevent future hair loss. Any further hair loss can be mitigated using medicated products to maintain results following hair transplantation surgery. We will discuss all of this in more detail during an initial consultation and provide professional advice to you throughout your hair restoration process.
How visible are scars?
Scarring following FUE is minimal and easily covered by surrounding hair. Proper aftercare following surgery will ensure a prompt recovery that results in less scarring. We will provide you with plenty of information following your procedure to assist your recovery process.
How long before I can go back to work?
As a minimally invasive procedure, FUE patients can technically return to work the day following their surgery. However, due to visible side effects, patients should plan on taking a few days off from work or schedule their surgery at the end of the week to allow their scalp time to recover before resuming normal activities.
Can women receive hair transplants?
Because women do not have DHT-resistant donor sites, they are not always good candidates for FUE. Despite this, some women are still able to provide enough donor grafts and undergo hair transplantation surgery. Schedule a consultation with us to receive a proper evaluation and determine if you are a good candidate for FUE.