June 24th, 2009
This is directed to a question that I answered for a patient that had a browlift from another surgeon. This person had problems moving one of her eyebrows after the procedure.
The nerves that innervate your eyebrow are very sensitive to pressure and stretching which can make them weaker for a time after a browlift. This happens to a lot of surgeons. Sometimes the muscles themselves can suffer trauma that makes them weaker.
Time is important. It could take up to 6 months or more for it to come back. The longer it takes, the greater the possibility of weakness in the nerve and muscle. I’m confident that it will come back though. Your body does amazing things. I would avoid steroids for this and I would eat a well balanced diet to insure that the nerves get nutrition to regenerate.
Posted in Browlift / Eyebrow Lift / Brow Lift | Comments Off on Question regarding one brow not moving after a browlift
June 24th, 2009
When I think of the one stitch lift, I think of something that might be a quick fix to something that might need more than that.
Using one stitch to lift the face is like trying to build a house with one pillar for the foundation. The face and what it looks like cannot be naturally changed with one stitch.
If you were to use one stitch, it would likely make the face appear significantly abnormal. I have done over 1200 facelift and I know that using just one stitch would not allow the lifting process to pull a wide enough area to pull the face naturally.
Posted in Browlift / Eyebrow Lift / Brow Lift, Facelift / Face Lift / S lift / Mini Lift / Weekend Face Lift / Quick Lift / Image Lift | Comments Off on Can a “one-stitch” lift elevate the brows
June 24th, 2009
It depends on where your eyebrow sits above your eye. Your eyebrow should sit above your eyelid margin about the size of the width of your iris. So depending on where your eyebrow sits, you will be a better candidate for an eyebrow lift or just an eyelift.
If your eyebrow sits below the distance of the width of your iris, you could benefit from an eyebrow lift. If it sits above this distance, an eyebrow lift could make you look surprised. That distance determines whether you look suprised or maybe more stern-looking or tired-looking.
If you elevate the eyebrow much more than the width of the iris you could have that surprised look. A little more than that distance is okay, but once you start approaching 1 1/2 times the distance of the iris, the suprised look takes on more prominence. After elevating your eyebrows, you are then more able to determine how much skin to take.
Another way to make the eyebrow and upper eyelid area look more youthful is by volumizing the whole area. By replacing volume in the forehead and eyebrow area you can lift the eyebrows subtly and naturally while taking away the extra skin by filling it! You can check out my YoungVitalizer on my main website!
Posted in Blepharoplasty / Eyelift / Eye Lift / Dark Circles / Eye Bags, Browlift / Eyebrow Lift / Brow Lift | Comments Off on Is a browlift or blepharoplasty a better procedure to do?
June 24th, 2009
Browlifts and forehead lifts are the same terms for essentially the same procedure. Both describe elevating the eyebrows to a point that increases the aesthetics / beauty of the eyebrow / eye region to help with tired eyes and extra eyelid skin and drooping brows.
There are many ways to approach the brow lift. You can make an incision along the hairline, behind the hair, or in a forehead crease and the extent of each differs. Importantly, knowing exactly how much to pull up the eyebrows are essential for a great result. You may have seen results in the media of people who don’t look natural. You may have seen Joan Rivers, Pamela Anderson, etc. with brow lifts that leave them looking surprised. The reason for this is that our understanding of aesthetics is not solid at this point. We really don’t know how much the brow should be above the eyelid margin.
Posted in Browlift / Eyebrow Lift / Brow Lift | Comments Off on Brow lift and Forehead lift are the same thing
June 24th, 2009
This is a question that I addressed for a person who had numbness after a browlift by another doctor. The old technique which required an incision above the eyebrows will cause a lot of numbness in the forehead and scalp area. This approach goes directly through these larger nerves to cause this numbness. To get the feeling back your nerves have to grow over all of the areas and sometimes this doesn’t come back fully. So this could be a permanent thing. Nerve grafting could be a possibility but would be a significant procedure and the results are variable. This option is a complicated approach. Time and waiting can eventually help to allow the nerves to grow back.
Posted in Browlift / Eyebrow Lift / Brow Lift | Comments Off on Brow Lift numbness may take a while and could be permanent
June 24th, 2009
Botox Cosmetic weakens the muscle that pulls your eyebrows down. This allows your muscles that elevate your eyebrows to work with less inhibition. This is how the Botulinum Neurotoxin or a Botox brow lift works. Botox weakens the muscles between your eyes and around your eyes to allow the frontalis muscle to lift the eyebrows up more. It takes experience to do this but knowing where to put the botox can make a huge difference with the results. Dysport is a new product that works just like botox and has been shown by some to last longer and take less time to actually work.
Dr Young is located in Bellevue near Seattle, Washington
Posted in Botox, Dysport, Botulinum, Browlift / Eyebrow Lift / Brow Lift | Comments Off on How does botox elevate your eyebrow?
June 24th, 2009
This is a question that I answered for someone who had a procedure by another physician.
This is directed to a question regarding botox that caused her mouth to droop and how long it will last. The person also had a history of bells palsy.
Botox typically lasts anywhere from 3-6 months. Although certain high movement areas are more likely to get better faster, your current situation could last up to or longer than 3 months.
The key is knowing the particular person’s state. People with Bell’s palsy are likely to react to Botox more than someone who doesn’t have this. The reason for this is that people with Bell’s Palsy have lost some functioning nerves from the condition and hence when it comes to a neurotoxin they are going to be more sensitive to Botox’s effects.
In this situation, you have to start at a much lower dose and have the patient come back in 2 weeks to see what the effects are. Botox typically starts to work at 4 days and has its maximum effect at 2 weeks.
Posted in Botox, Dysport, Botulinum | Comments Off on Botox and Mouth drooping?
June 24th, 2009
Browlifts can elevate the eyebrow and also can be used to treat the muscles so that they don’t work as well. When the muscles don’t work as well, they are less likely to form wrinkles. It really depends on what indication you are using the Botox and where. If its for wrinkles, you will still have them after a browlift but just less of them.
It also depends on where the wrinkles are located. If they are in between the eyes, then a browlift with muscle altering ancillary procedures can be incorporated to weaken the muscles in between your eyes and lessen the wrinkles from being recreated. If they are in your forehead then this is a little more difficult.
More recently, surgeons are leaving alone the muscle that lifts your brows. Doing so allows this muscle to elevate your brows and avoid the eyebrows from drooping into your eyes, which can give you a tired look.
Volumizing the forehead area can also help with improving the wrinkles. It is like recreating the grape from a raisin. Once the volume has been restored resurfacing can improve the area with the wrinkles that are still etched into the skin but has improved through the volumizing. The YoungLift is a great way to volumize the face and forehead area to decrease wrinkles and create a more youthful appearance.
Consulting a board certified Facial Plastic and Reconstructive Surgeon would be something that I would highly recommend. We specialize in the face and neck so we are ideally suited to help you in this area.
Posted in Botox, Dysport, Botulinum, Browlift / Eyebrow Lift / Brow Lift, Fillers / Facial Fillers | Comments Off on Botox after a browlift?
June 24th, 2009
Fillers like Restylane and Juvederm are really for filling up your lips. Botox can give a little element of filling by relaxing the lip muscles to allow them to volumize through the relaxation. But this effect is subtle. If you really want to volumize your lips, go with a filler. One thing you should know is that botox can again relax the lip muscles, but a benefit includes decreasing the lip lines through the muscle relaxation.
Another way of augmenting or plumping up the lips is to fill them with fat through fat injections. Once the fat survives it can last for years. I have a unique way of volumizing areas of the face through what I call the YoungVitalizer. I incorporate my theory on aesthetics to bring out the best results for my patients for the most natural appearance without the Hollywood look.
Consulting a Board Certified Facial Plastic Surgeon would be something that I would recommend. We specialize in the face and are highly qualified to help you with this.
Posted in Botox, Dysport, Botulinum, Fat Transfer / Fat Injections, Fillers / Facial Fillers | Comments Off on Can botox plump up the lips or what is the best lip plumper?
June 24th, 2009
Getting rid of forehead wrinkles can be challenging. There are many options. Botox can prevent your muscles from working and can prevent the wrinkles from getting deeper and in the long run can decrease the appearance of the wrinkles.
A forehead / browlift can pull up your brows so that you don’t have to raise them yourself to increase your visual space and this can eleviate some wrinkles as well. The wrinkles in between your eyes can be improved with botox and as well as manipulating the nerve that makes them work. This second procedure can be done through an incision in your eyelid crease and can last much longer than Botox.
Also, various approaches through a brow lift / forehead lift can take away the muscles that work in between your eyes and weaken them so they don’t keep producing wrinkles there. The prolem with taking away muscles is that it can cause a depression there that already exists from losing volume naturally there through aging. This increased loss of volume can sometimes make your appear more aged in some instances.
One way to also improve the wrinkles in the forehead area is to consider volumizing the area. What this does is create a space that used to be there when you were younger that exists between your muscles and the skin. This puts the muscles further away from the skin and hence less action to create the wrinkles. Volumizing is a very natural way to improve the wrinkles in your forehead. Volumizing can be done through fat injections. I developed a new way of volumizing the face by using a person’s own tissue that called the YoungLift. This is an amazing procedure that I also incorporate my new theory on facial aesthetics to get thebest and most natural results.
Posted in Botox, Dysport, Botulinum, Browlift / Eyebrow Lift / Brow Lift | Comments Off on Improving the wrinkles on your Forehead