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Answer: yes, but a CAT scan is a little more accurate. Just need to get a good lateral view is all. JG 6.30.10
Answer: it can be done in many cases as long as the bone is thick. JG 6.8.10
Answer: that would involve two surgeries, one to place the tissue expander, and then a second one. The cost for the second one is the $7000 and the first one is about $4500. While the expander is in place you will also need to live with a large swelling on the front part of your scalp that can be quite disfiguring also, so one needs to be prepared for that. JG 4.7.10
Answer: the scar might show, yes, might need hair transplants to hide them. JG 2.17.10
Answer: no I do not believe so. JG 1.28.10
Answer: well, it might be able to be undone if the area is dissected again, any sutures that were placed are cut and the scar tissue released and the forehead pushed back down. If there was no skin or scalp removed, it can work. It is just reversing all the maneuevers that were done the first time. Sorry to hear about the problems. JG 1.25.10
Answer: I would wait a bit to see if it really works. JG 12.30.09
Answer: maybe my answer initially was too cryptic, I do not nor have I ever nor do I see a reason to endorse it, in short, I suggest you not have it done. I understand your desire to have something without cutting, but I feel what they are hyping will not be truthful. If you are looking to lift your brows on a long standing basis, you will need cutting surgery, sorry. JG 10.16.09
Answer: I see no reason that it would be any better than any of the older tested and effective techniques. JG 10.16.09
Answer: lots of hype to make it sound unique and new and different, no significant difference from what has been done for 10-15 years. JG 10.16.09
Answer: well, it can be done with a hairline reverse forehead surgery where the scalp is brought forward, that leaves a thin line at the hairline. Otherwise you can have hair grafts placed to advance the hairline downwards.The qualifying for the surgery is what scars you are willing to live with. JG 9.21.09
Answer: no, that muscle, although cut, will heal and can function at a later time once healed in many but not all cases. JG 5.8.09
Answer: I ses no way that it is any better than other more established more studied suspension techniques, the recovery is certainly no less because the same operation has to be performed, the only difference is in the support placement. And Hello Canada! JG 5.6.09
Answer: 6 months or so. JG 4.26.09
Answer: yes, both of those will help, best of luck. JG 3.3.09
Answer: this issue of falling is due to inadequate release or inadequate fixation. You can, if you desire, attempt the brow lift through the upper eyelid incision, there will not be any skin removed though and then it will depend on the method of fixation. If you are going to do that, I suggest using an Endotine device if you are going that route to give you the best and most reliable fixation, but there are still no guarantees.JG 2.13.09
Answer: well, at times, but usually in males as their skin is thicker and heals better, the problem is the scar will be pale and will likely need make up to cover it. There is no real reliable non-surgical alternative, that is why many surgeons, myself included, have stopped doing endoscopic lift. It sounds cool and sexy, but it has its drawbacks. All the best. JG 2.13.09
Answer: I do not think the bioglue would work and I think fillers do give some lift, but it is subtle, a few millimeters is about all, and that is if done at the brow itself. If injected higher up, the amount of lift is less and could look lumpy as there is likely not much tissue loss of the forehead but there is of the brow region. I think likely what is needed is a traditional open forehead lift, with a small amount of scalp excised and numerous points of fixation rather than the customary two from an endoscopic lift. Best of luck. JG 2.13.09
Answer: well, it sounds like it failed endoscopically once, could it be done endoscopically again, yes, but I question why you would do something the smae way if it did not work correctly the first time. The Botox will raise the outer 1/3 to 1/4, correct. All the best. JG 2.7.09
Answer: the muscles that cause the frowning have likely not reattached so it is too early to tell of the wrinkles will coem back, as to the lids looking saggy, the only thing that might be able to be done is more surgery, no way to tell without seeing you in person whether only the outer part needs lifting or the whole thing. Botox can lift the outter brow some but if the tissues have not healed in the correct position the Botox will need to be repeated every few months. JG 2.7.09
Answer: essentially, yes. JG 2.6.09
Answer: the revision is usually exactly the same as th first one, in terms of healing. Ihhtink if it is visible that it needs to be redone, there is no sense in waiting as the tissue will not move higher with time. JG 2.6.09
Answer: well, if it dropped after the bump, but even then, something that small should not cause it to drop, it is likely not the casue. JG 2.3.09
Answer: yes, they can. JG 2.3.09
Answer: well, it can be due to swelling and it also can be due to inadequate suspension used. If there is asymmetry, a single side can be repaired, yes. In general, once it is decided that it is needed, the sooner the better. Best of luck. JG 2.3.09
Answer: depends on your personality I guess.JG 1.27.09
Answer: it will run, in our office, about $7000, all inclusive. It needs to be paid in full prior to the procedure. All the best. JG 1.21.09
Answer: I do not because they do not hold up, there are many shown at large medical meetings where the elevation is too extreme at times, I think the purported advantages of lesser down time are not true, I think the purported advantages of no elevation of the hairline are not true, I do not think the purported claims of no hair loss and no numbness are true, I do an open foreehad lift and find that it works for many years as I get multiple points of fixation to get it to last, no hair loss and no numbness.JG 1.20.09
Answer: I think the vast majority of people are happy with the anterior hairline approach if that is what is needed in their case. The amount of forehead reduction varies with the loosenss of the scalp tissue, no way to predict. Most visible swelling is gone in 4-6 weeks but you look pretty good after 2 weeks. The blood supply usually returns to a normal state after a few weeks. All the best. JG 1.3.09
Answer: might need some medication like the ones used for sympathetic dystropy or neuroma pain. Wish I had more. JG 1.2.09
Answer: the area between you eyes is likely a small depression from where the muscle was cut or torn. As to the other pain, it might be a neuroma has formed where the muscle was cut, coudl try some injections of local anesthesia to see if it help or cortisone if it cna be confined and localized to a single spot. JG 12.30.08
Answer: at this time, whether open or endoscopic, the area around the eyes is very swollen and will settle down in time but it will take a couple more weeks before you even start looking like the new you. All normal for this amount of time. Best of luck. JG 12.13.08
Answer: no, might have a suture left or something else going on. JG 10.6.08
Answer: most likely cysts of some kingd, hard to say without seeing you in person, they could be cut out but would leave scars over the bumps. JG 10.3.08
Answer: we can perform it for you after seeing you in consultation but you would need to be seen every two weeks for the expansion and you will look quite deformed while the expander is in place. I say that because if you do not live in Las Vegas it could be a burden to have me do it, as to other surgeons, you would need to call surgeons in your locale, sorry. JG 9.8.08
Answer: the incision needs to be opened and the suture removed, as to the looking sad, hoepfully it is still swelling but I doubt it after 4 months, if not, then it needs more lifting is all. Best of luck. JG 9.2.08
Answer: the facelift can attempt to improve that but in some cases the downturn is due to the muscles of the jaw pulling it down and the muscles cannot be weakened without certain risks. As to the browlift, I would conjecture it is one of the supporting sutures that are poking through, it can likely be removed now without a problem. JG 8.25.08
Answer: I think in some cases it will help, yes, but all fillers there are a compromise as the problem is not that the area is sunken, it is that the skin of the cheek and jowl have sagged and fillers into the fold do not lift the cheek skin. It is for that reason that not all patients get a good result with fillers in the marionete or nasolabial fold area. As to the second question, if it is an eyelid issue it should be corrected with an eyelid procedure, a brow lift, open or endoscopic, will lift the eyebrows primarilly and only indirectly lift excess eyelid skin. Hope that helps.JG 8.21.08
Answer: I think for tissue expanders to make a difference it is a matter of 2-3 mntths, not weeks. As to how much it can be lowered, it all depends on how much looseness there is in your scalp. Hard to say without an in person examination. JG 8.18.08
Answer: that feeling is normal, yes. The electrical impulses are the nerve impulses coming back. JG 8.11.08
Answer: it is normal due to the stress of surgery and also due to the temporary reduction in blood flow to the scalp after the brow lift. It normaly grows back over time. You can use Rogaine or ScalpMed to speed it along. JG 6.2.08
Answer: I think either eye specialist can see you and make the diagnosis, it seems like there has been some excessive swelling causing it or over aggressive lifting/tightening/repositioning I am afriad. It might be covered under insurance to fix it but many insurance policies will not cover revision of procedures originally done for cosmetic reasons, what you are describing is not common at all I am afraid. JG 6.2.08
Answer: fillers are an option but it will make your forehead larger. I think trying with the Restylane is good to start to see if you like it and it will dissolve and then you can fill it in with something long term. JG 6.1.08
Answer: in most cases it is not recognized at the time of surgery. JG 5.31.08
Answer: I personally do not think you can get a good result without a traditional open forehead lift approach. Fat transfers are an option but cannot be done at the same time as the burring procedure. JG 5.31.08
Answer: the nerve injury itself will not cause the other issues, those are due to manuevers during the surgery and in most cases smooth out over time, and the nerve typically comes back as in most cases it is just stretched and not cut. JG 5.31.08
Answer: sorry but I no longer perform them. JG 5.27.08
Answer: hard for me to say without seeing you, at times hair transplants can decrease the appearance of height of the forehead, subtle small cahnges can be done to the bone in a subset of patients too. JG 5.14.08
Answer: in most cases it takes time for the function to come back as the muscles need to get re-attached to the bone, give it some time. JG 5.13.08
Answer: as long as it is not getting bigger, it can wait, yes. The bumps on the top of the head could be the incisions or the points of fixation where the doctor attached the scalp to keep it in position. The yellow is frm the blood being broken down and you absorbing it. Best of luck. JG 5.4.08
Answer: the incision shoudl heal on its own in time if the seperation is not too large. Best of luck. JG 5.4.08
Answer: sounds like you might have a hematoma on the forehead where the swelling is and that might prolong the healing and also cause that side to drop sooner, I think you should see your surgeon when the office opens. JG 5.4.08
Answer: sounds like a small hematoma that has not dissolved yet and is acting like a piece of soft jello, it should all go away in time on its own. JG 5.1.08
Answer: it should all drop back down with massage and time. You can call my office and ask the ladies to make you an appointment at that time, tell them we have been discussing things here so they will know. JG 4.25.08
Answer: it is hard for me to say what you will need without me examining you, as to your surgeon doing it for free, I am not sure he will be happy that you want what he did undone, but every surgeon has different policies on redo and touch ups. JG 4.23.08
Answer: the sooner the better, if you can do it in the first 4-6 weeks and then massage it down, it should all drop back to the way it was before. JG 4.23.08
Answer: yes, if the endoscopic lift does indeed rotate the eyebrows up, it has to by definiton do one of two things, either shift the hairline back or cause wrinkles in the forehead, because the skin has to go somewhere. I will say that many surgeons that use that technique say that neither one happens, and in some cases it does not because the amount of lift of the eyebrows is so small that nothing changes, for the good or for the bad. The eyebrows looking angled is due to the direction of the lift and the fixation, hopefully as the swelling goes down that will improve for you. The release is fast and easy and quick healing, if done soon enough after the first it adds almost nothing to the recovery. JG 4.23.08
Answer: no way to do that in a safe manner that would warrant the risks for a cosmetic procedure, I know of no one that would do calvarial remodeling if not for a birth defect that was causing a medical problem. The forehead recontouring you have read about is likey just the bones around the eye socket. Gortex could be placed but it does not feel like bone and could shift if it is a piece of that size. Bone cement would not hold its shape. JG 4.17.08
Answer: yes,I do perform that surgery, the forehead bone can be burred down at the area of the eyebrows only, the approximate fees are $6300, all inclusive. JG 4.16.08
Answer: well, no normal but not uncommon as the degreee of muscle transection or removal is less accurate and less complete, at times, with an endoscopic brow lift. If the muscles are properly treated, the need for Botox should not exist, you are correct. JG 4.14.08
Answer: I would use hydroxyapatite or Artecol as it will not need to be re-injected for a very long time. It will not create any future sinus problems. JG 4.13.08
Answer: typically if the surgery is done it should not need to be done again, at least for the muscle action. The surgery needs anesthesia so you might want to wait until that is all done. Good luck with the IVF too. I apreciate all the kind words to. If you are going to stop or hold off on the IVF, then you can do the surgery, and then resume the IVF later. JG 4.6.08
Answer: the reverse forehead will bring some hair into that area but you also might benefit from hair transplants after the reverse forehead lift too. JG 3.31.08
Answer: at this point the only thing it could be is nerve irritation, it being encased in scar tissue, might want to see if injecting local anesthesia into the area helps, or using Benadryl at night. JG 3.31.08
Answer: lifting the eyebrows does in some people, especially if their brows were in their normal position to begin with, leave you looking surprised. Lifting the brow can reduce the excess skin of the upper eyelid but it is not always a good trade off. The browlift will settle with time but after one year you are likely stuck there for a long time. JG 3.29.08
Answer: might add 6-12 months to a filler, not much more, if that much. JG 3.27.08
Answer: I think more likely not enough muscle was cut or removed. The second doctor is correct. The endoscopic lift, if it works, should correct both horizontal and verticla lines. Best of luck. JG 3.24.08
Answer: I think it is possible to stil do it, he might just not want to take your case on as he was not the fisrt surgeon, some surgeons feel that way because then any dissatisfaction you migth have had relative to the first surgeon would end up directed to the second surgeon. I think you can certainly seek care by someone else. All the best. JG 2.21.08
Answer: it varies, the greater the mobility of the scal, the greater the distance it can be brought foreward or downward. JG 2.17.08
Answer: I think the height can be reduced but I do not think there is much that can be done for the width, I would need to see pictures to give you an accurate quote and understand the incision for the forehead reduction woud be right at the hairline so it might be slightly visible. JG 2.5.08
Answer: because they were likely growing before the surgery and the shock of the surgery pushed them out and they fell out as part of their normal phase but were actually already programed to fall out before the surgery.The lighter hair in front has different cycles and falls out with less trauma, they are genetically controlled to be less sturdy and be finer. JG 1.29.08
Answer: actually could be either one, no way for me to tell. Women do have more fine hair at the edge, just not as visible as in men. JG 1.29.08
Answer: pressure could have caused the blood flow to diminish and coud have caused it, yes. JG 1.25.08
Answer: not, it is a small percentage in most cases. JG 1.23.08
Answer: the blood supply will improve with time but might not go back 100%, hair transplants are certainly an option but I would give it at least 6 months or more so that the blood supply will improve enough to support the hair grafts. JG 1.23.08
Answer: I feel it is likely due to the fact it fell out later and the hair follicle was in a more latent stage, yes. I think the hair will eventually come back in most cases, the only thing that would prevent that would be a loss of blood suply and that would be rare that far away from the incision. They all go into the resting phase due to the shock, correct. Hang in there. JG 1.23.08
Answer: visible scar at the hairline and loss of sensation posteror to the incision on the top of the scalp. JG 1.22.08
Answer: yes, it does and it should last 10 years or more in most cases. The forehead should not receed unless you experience hair loss in that area. What happens if anything is that the eyebrows droop, usually. JG 1.22.08
Answer: all the way across form one temple to the other, and then behind the hair on the sides. The scalp only gets advanced forward during a forehead reduction surgery, not all the time. The forehead reduction can be done during a forehead lift if indicated, all at the same time. JG 1.22.08
Answer: I think if it removed something has to be placed in that area to avoid a depression in the same area. JG 1.20.08
Answer: I do not have permission from the patients that I have done to post their pictures on a public site, sorry. All I can suggest is to use Google Image search, sorry. JG 1.19.08
Answer: should look presentable in about 2 to 2 1/2 weeks. Complications are numbness of the scalp, wider scars and temporary hair loss behind the scars, along with the brows dropping earlier than one expects. The complications with the coronal lift are less because the scars are hidden in the hair and less visible. JG 1.19.08
Answer: in most cases the scars heal well, but are pink for a few months, can be hidden by bangs or a little makeup. The surgery takes about 1-2 hours to do and the scars reach their best appearance in one year. I think for people with long foreheads it is a good choice. I would do the forehead first and the eyelids later in order to properly measure the amount of skin needed too be removed, the position of the brows is most important and then the eyelid skin can be altered after that. JG 1.19.08
Answer: yes, I would drain it. I think the downside of not draining it, like forming a bursa that will feel hard, is not worth watching it, so I would drain it. JG 1.13.08
Answer: I think the risks of draining it are small and far outweigh the potential of anything bad due to its size. A hematoma of that size will likely take weeks to resorb. As to fat injection to the lower yes, I do not perform it for the reasons you describe and its poor retention, I think massage and warm moist heat should help though. Early scar tissue can usually be softened, yes, so I think massage is good. Thank you for the kind words but you all teach me so much it is a great experience for me also. Best of luck. JG 1.13.08
Answer: it can be done during an endoscopic lift and they will likely not move once they are removed, it will be stuck in one position. I think taking the muscle out can leave you looking a little expressionless, but that is my personal view. JG 1.10.08
Answer: I prefer open brow lifts, with their choice of fixation. Best of luck. JG 1.10.08
Answer: if totally removed, yes, you will no longer need the Botox. JG 1.9.08
Answer: the surgery, all inclusive is $6300. JG 1.7.08
Answer: the lumps on the eyelids will settle down but I would go see the surgeon about the bleeding, all the best. JG 12.5.07
Answer: yes they can at times but since there is no muscle causing the descent, in certain cases they actually need it less often after the first one. JG 11.15.07
Answer: most likely. JG 11.15.07
Answer: impossible to tell, too many variables. JG 11.15.07
Answer: again please
Answer: oh, sorry, yes, another lift. JG 11.15.07
Answer: well, it depends on the strength of the fixation, the amount of scarring and the function of the muscles that pull the forehead down. Lots of variables. JG 11.15.07
Answer: eventually, maybe, no way to tell now. JG 11.15.07
Answer: yes, it can be scarred in or weakened and not functional yet, or the nerves might have been cut and it is non-functional forever. JG 11.15.07
Answer: the frontalis starts above the glabella and the width varies from patient to patient. JG 11.15.07
Answer: well look at what the movement is and then compare it to the purpose of each of the muscles you are concerned about, corrugators bring the eyebrows closer together, the procerus pulls the eyebrows down toward the bridge of your nose, frontalis lifts the eyebrow up. JG 11.15.07
Answer: usually by 6 months you should have an idea of which muscles are working. Depending on what motion you have it can be determined which muscles are working, your surgeon can tell you that when they see you move them. JG 11.15.07
Answer: migth need fillers and Botox both, to get what you are looking for the glabella and the crow`s feet area need to be injected. JG 11.15.07
Answer: it can take a while for the muscles after a forehead lift to start functioning again even if they were not cut or removed, just the trauma of lifting them off the bone can cause that. No way to tell for a number of months unless you read a copy of the operative report the doctor dictates after the surgery which describes the procedure in detail. JG 11.14.07
Answer: skin can sag with or without those muscles, the skin will sag faster if the muscles are not weakend or removed becasue they pull the skin over them downward. JG 11.14.07
Answer: most likely swelling and should all get better in time. JG 11.14.07
Answer: I think it is just the sutures below the skin that are absorbing, one side always heals slower than the other, just have to hang in there. JG 11.12.07
Answer: yes, still normal I am afraid. I think it best if the surgeon removes the sutures. All that is temporary and will get better over the first 6 months, best of luck. JG 11.12.07
Answer: I am not sure but anyone that does forehead lifts should be able to do it for you. JG 11.9.07
Answer: as to the foreheead making your eyes more open, it likely could, as to butt lifts, I am only doing them in cases of massive weightloss as for just lifting a smaller amount I feel the poor quality scar is not worth the trade off. I am not sure who is doing them to refer you to though.JG 10.21.07
Answer: it might have to be cut and sutured using a small incision and that will leave a small scar. JG 10.15.07
Answer: I do not think a revision will have worse scarring and I think waiting 3-6 months would be best to allow the tissue to soften. JG 9.16.07
Answer: well,you might be a candidate, it is all a matter of how dramatic of a change you desire. JG 9.16.07
Answer: well the forehead incisons and muscle release can be done, along with the muscles behind the incision and then push the skin forward and in most cases that will allow some drop of the eyebrows. JG 9.5.07
Answer: well, it can be done intentionally but I would hope that would have been discussed before surgery. If it does not return then the sutures that were placed will need to be removed and the tissues dissected and released so they can drop back into their previous location. The risks are not differnt than for the original procedure. JG 9.4.07
Answer: well, it always feels and looks a little too tight for the first month or a little more and that should slowly relax and feel better soon. I would not try to relaese the tissue for at least 6 months as I think it will all go away on its own. Hang in there. JG 8.31.07
Answer: well if you make a hole in the bone and thread the suture through there they are all about even, if the suture is just placed to the tissues and not the bone then the endotine or screws are better. JG 8.30.07
Answer: a type of facelift where the tissues are seperated off the bone and lifted in the usual direction of a facelift, it is an attempt to stay away from nerves of the face. JG 8.30.07
Answer: well I do not think the cortisone shots will help and nerves do not influence hair growth, but altered blood supply can, you can try Rogaine or a product called ScalpMed to see if the hair will begin to grow again though. JG 8.30.07
Answer: well it depends on what the cause is, that can be from the suture suspension and if it does not resolve they can be cut out if needed since enough time has passed since the surgery. JG 8.26.07
Answer: I think the muslces in the glabella can be done through the eyelid incision, as to other muscles being resected for migrianes, I think it is iffy. JG 8.22.07
Answer: no, the are done together and the price range is about $6500-$7000 in my practice. JG 8.21.07
Answer: for fixation you can use sutures, some peoepl use screws, some others use and Endotine. The advantage to the lateral brow lift is some pateints do not need the central part lifted so it makes the recovery less. A temporal forehead lift will not adjust a high forehead, for that an anterior hairline incision with potentially an advancement of the scalp foreward at the same time as lifting the eyebrows cna be done. You should not lose hair if poperly done. JG 8.21.07
Answer: see adjacent answer, most people are in public in 12-14 days. JG 8.21.07
Answer: where the scalp is advanced forehead in order to reduce the size of the forehead, to bring the hairline forward. The scar is right at the edge of the hairline. It can be done at the same time as a forehead lift. JG 8.21.07
Answer: a temporal brow lift. They Work by lifting the outer part of the eyebrow only. They can last a long time if anchored or supported with adequate measures. JG 8.21.07
Answer: unusual, you can try to loosen it with a litle hydrogen peroxide. I also suggest you see your surgeon to make sure all is OK. JG 8.21.07
Answer: well it can be removed with a small scar and the boen would need to be burred down with a surgical instrument, would need general anesthesia and should look pretty good in a couple of weeks. Would also need an X-Ray first to see how thick it was too. JG 8.18.07
Answer: well open forehead lifts in general last longer than endoscopic ones. JG 8.10.07
Answer: I prefer the anterior hairline approach as the scar is much easier to hide. JG 8.9.07
Answer: it is an open lift. JG 8.9.07
Answer: the direct brow lift leaves a scar right above the eyebrow and that is why some people do not like it. It should last years though. Healing from a direct brow lift should be about 3-4 weeks, but it will look even better 6 months later as the scar fades. JG 8.9.07
Answer: it is not automatically done because not all patients need it, but they should know how to do it. In general they last 10-15 years. JG 8.9.07
Answer: well the tissues falling is one sign potentially of the endotine breaking, or the little shaper points might be gone. Lifting the tissues will essentially mean having the lift done over again I am afraid. JG 8.7.07
Answer: the tissues will need to be lifted once again and attempted to be impinged on the endotines in a higher location if the endotines have not broken. JG 8.7.07
Answer: well, there is likely some swelling, as to why it has not dropped, it all depends what type of fixation was done the first go round and how it was reversed, the scar tissue from the first surgery also will at times hold things up. JG 8.7.07
Answer: very unusual, I would go back and see the surgeon. JG 7.2.07
Answer: the fact that you are getting opposing points of view tells you that there is no one correct ansewer. I think the bi-planar lift will give you some improvement in the short run but I am not sure how long it will last. There will also be more sensory changes with a bi-planar lift than a subperiosteal lift. JG 6.27.07
Answer: it can if the tissues had not adhered adequately to cause them to be stable. JG 2.2.8.07
Answer: well a direct lift will work but will leave a scar on your forehead, a Threadlift will not last, so I think the best is half of a forehead lift to elevate and secure the tissues. Scars are in the hair. JG 2.22.07
Answer: well, lets take it a piece at a time. I think Thermage is a waste. As to a blepharoplasty, if done properly it should not preclude a forehead lift in the future but it might not give you enough visible change if done properly if the brows are lower. In terms of a high forehead, an anterior hairline incision forehead lift would be best to avoid expanding your forehead and making it look longer, and as to the position of the forehead and eyebrows after a forehead lift, that is all up to the surgeon and how aggressive he lifts, it certainly can be left not looking surprised but for the first week or two due to swelling all patients will look a little surprised. The downtiem for a forehead lift is a couple of weeks though. JG 2.11.07
Answer: well if that is the case I would go with the open forehead lift. I would save your money on the Fraxel and erbium. JG 11.15.06
Answer: well, as to the endoscopic forehead lift, although it is marketed as less problematic, all the issues you are concerned about have been described with the endoscopic procedure and I feel the open technique is more accurate. At the same time, if your brows were never higher than they are now, then a browlift is not the correct issue and a eyelid surgery would be better I feel. I do agree about lasers in olive skin though. JG 11.14.06
Answer: the degree of lift can be well controlled with an open browlift, to a much greater extent than with an endoscopic lift. I would wait 6-12 months between though, at least. JG 11.8.06
Answer: I think in certain people the lateral limited browlift is the way to go, just keep looking for the right surgeon, it is better than the threads, for sure. JG 11.6.06
Answer: it is basiclaly a different kind of threadlift and I cannot endorse it. JG 10.30.06
Answer: because since no skin is removed and fixation is difficult they will not last very long. It lasts the least of any brow lift technique. JG 10.29.06
Answer: thanks for the kind words and good luck. JG 10.21.06
Answer: I have have heard of those and I do perform the blepaharoplasty or eyelid surgey that way many times. As to the mini-lift, the forehead lift he is doing sounds like a mini version of the routine one so I guess one could call it a mini lift although most times that term refers to a mini facelift. As to the incisions they do fade and look good after about 3-6 weeks in most cases. I think in your case since a full forehead lift is not being done it might be OK to do it all at one sitting. Best of luck. JG 10.21.06
Answer: I am not aware of a plastic surgeon that would do it, sorry, but the reverse forehead lift is a good option. Another option is to have hair transplants at the hairline to bring that forward and lower. Best of luck and thanks for the kind words. JG 10.14.06
Answer: well, I am assuming the scar revision was done right in the middle between the eyebrows, and of course I have not seen any before pictures so I cannot comment on the brow lift being even or how dramatic it was in terms of a result, but the blood supply to the area where you developeod the wound would not be affected by the scar revision, actually the location where the wounds is relates directly to a large blood vessel and a nerve. I think something inadvertant happened there that was certainly not intended and not expected. I think the scab will fall off and that wound will take time to close and the scar will remain pink for some time. The other alternative is to have the wound debrided and closed with sutures. I think a frank discussion with your surgeon is warranted. That complication is unusual and not expected from what you are telling me. JG 10.8.06
Answer: well, the scars in men look OK, if put into a horizontal wrinkle, there will be skin numbness though. JG 10.7.06
Answer: I am a fan, yes. JG 10.3.06
Answer: sounds like a foreheead lift with the incison at the hairline so it does not rise up any further is the way to go and therby decreasing the need for Botox. The whole thing about endoscopic lifts is as follows, they do not last, this can be potentially improved with better methods of tissue fixation, and then there is the issue of no skin removal, so in people with advanced forehead droop with damaged skin and wrinkles, in my experience, there needs to be skin removed, if there is not, then an endoscopic forehead lift at best will just rotate the forehead up and back and thereby will elongate your already high forehead. JG 10.3.06
Answer: a forehead lift approach with then sanding down with a burr the prominent bone areas is possible. JG 9.20.06
Answer: I do remove skin, it can only be removed through a traditional forehead lift, not an endoscopic lift, that is whay so many endoscopic forehead lifts do not yield good long term results. JG 9.17.06
Answer: I honestly think it will be a long time before they find something effective and non-invasive for loose skin. Injecting the cheeks will not affect the appearance of the eyes though. JG 8.18.06
Answer: it will probably stop on its own, is probably a little yellow serum where the sutures line came slightly apart, not uncommon and in time should do fine. You may have a small stitch that can be removed to assist in it healing. Any plastic surgeon can help you out. JG 5.4.06
Answer: it could be either depending on what your doctor used, it might benefit from having them cut out and removed. JG 5.4.06
Answer: look for a different doctor, the price should essentially be the same. JG 5.4.06
Answer: healing time is about the same but I am sory I do not have offices in California. Best of luck. JG 5.2.06
Answer: I think in time the brow will come down on its own, due to gravity and stretching. As to the slanted wrinkles, maybe Restylane injections. JG 5.1.06
Answer: it will fall if the tisue below then skin are not supported until such time that the tissues stick and adhere back to the skull. JG 4.30.06.
Answer: it should but it is unusual for it to last that long, I would see your doctor. JG 4.30.06
Answer: it will take 6 months to kind of see final results. JG 4.30.06
Answer: the effects of a brow lift can be much stronger then a Botox injection, depends on how tight the doctor pulls it. JG 4.30.06
Answer: At present I do not have any hair technicians as mine have moved out of Las Vegas, so all I can do at present for you is the reverse forehead lift and we are booked about 4 months ahead. Age is not a large factor but if it due to progresive hair loss I would wait, if it is due to a forehead that has been larger your whole life, then you can proceed now. JG 4.22.06
Answer: the direct brow lift may be an option, but thse scars are forever, so you need to weigh that out. JG 4.18.06
Answer: A buzz cut will not be able to hide the scars well enough, so it will need to be a little longer. Lateral brow lifts have shorter incisions in the same location but do not adequately treat the muscles in between the brows which are strong brow depressors. The scarring really should not be bad at all. Best of luck. JG 4.14.06
Answer: cutting the muscle in-between the brows will allow the area to rise, it was cut correctly if they intended to cut it. Those muscles do not always need to be cut.The tenderness should go away in time though. JG 4.14.06
Answer: The thread may take 6 weeks or more to dissolve. May want to see the surgeon to see what if anything they suggest to speed it up. JG 4.12.06
Answer: yes, it is mostly around the eye and can last a week or more. JG 4.11.06
Answer: very hard for me to say without examining you. In general the brow lift will relax in time so I think it is too early to tell what if anything will be needed. JG 4.11.06
Answer: I think the two surgeries that your are contemplating may not be affected much. JG 4.11.06
Answer: all my best and let me know if there is anything else I can help with. JG 4.10.06
Answer: sorry, but it is true for the face and neck too. JG 4.10.06
Answer: Still have some recovery to go and with any luck the forehead lift done will not hold up and the tissue will drop and the dry eye will get better. May want to see an eye specialist though to get advice on what to do for the dry eye to prevent damage to the eye, best of luck. JG 4.8.06
Answer: I think it is too soon to tell, may be a suture or just some uneven swelling at this point. JG 4.5.06
Answer: there may not be much then. You can have a Botox injection at the crowsfeet which will raise the lateral eyebrow, but it will not be able to remove the forehead wrinkles too as then the lift will not occur. So if you want to do the Botox, you can, just need to understand that there may be some wrinkles on the lateral forehead that were not there before. JG 4.4.06
Answer: It can potentially do that, yes. JG 4.4.06
Answer: all normal, just the muscle regaining it function. JG 4.3.06
Answer: mini things last mini time. The lump willl eventually all go away. JG 4.2.06
Answer: yes, they should still drop down some. As the swelling goes down some of the wrinkles may return, just not as deep as before. JG 3.30.06
Answer: if the hair was going to recover, it would have by now, sorry as to the bumps, they may need to be cut out as they may be some suture material below the skin that ca be removed. JG 3.29.06
Answer: I like to wait 6 months between the surgeries, and it is hard for me to tell without seeing pictures and understanding where your brows were 10 years ago. If your brows were never higher then they are now and you have a brow lift then you will look surprised. JG 3.26.06
Answer: most likely a small hematoma that needs to dissolve. JG 3.25.06
Answer: nothing topical or oral will help I am afraid. You may need an exploration through a forehead lift approach to remove the scar tissue and try to release the frontalis muscle to allow better motion. JG 3.25.06
Answer: many times I will do it at a reduced fee. As to correting it with lesser incisions, it all depends on how much needs to be done. Best of luck. JG 3.25.06
Answer: bumps should really be going down by now and Rogaine can be used to speed the recovery of the hair which is common to thin out for up to one year after that type of procedure. Best of luck.JG 3.25.06
Answer: The muscle is usually completely removed so there will be little to no motion in the area, it can be done through an eyelid incision. JG 3.22.06
Answer: Thank you for the kind words. As to the vertical lip lines I suggest Captique, for the nasolabial folds I suggest Resylane. Please stop by the next time you are in Vegas! JG 3.21.06
Answer: many times they break when trying to be removed but they are biodegradable. No real possiblity of nerve damage. The numbness is from the nerves being stretched during the surgery and the eyes feeling dry is from them most likely not closing entirely when sleeping. Unfortunately the pain may be from the scarring involved with the surgery and may not totally go away when the screws dissolve or removed, Just hang in there and have them removed and lets pray for the best. JG 3.21.06
Answer: no, just damage the skin more. JG 3.21.06
Answer: It may be able to be shaved own if it is bone. We would need to get xrays or a CT scan to make sure it is normal bone and that rasping or sanding it down will not cause an injury to anything underneath. Best of luck. JG 3.20.06
Answer: hair transplants to move the forehead hairline down. JG 3.20.06
Answer: Either hair transplants to reduce the size or a reverse forehead lift where the scalp is advanced forward. JG 3.18.06
Answer: if you inject the forehead it will fall more, you would need to inject only the muscles that pull the forehead down. JG 3.17.06
Answer: yes it can if the suspension did not hold and also the aging process continues although 6 months is quick for the aging process to be blamed. From the scar aspect, it sounds like the scalp spread and that led to the falling and also to the stretched scar. JG 3.17.06
Answer: as long as it is not too tight it would be OK. JG 3.16.06
Answer: kenalog topically unfortunately will not do much. It needs to be injected and carefully at that. It is useful at times in that situation. Brow lifts last a varying degree on the technique. At first the swelling tends to keep the brows higher and when the swelling goes down they do drop at times. As to tightening it more, it could be done but there should not be any hair loss, that is due to tension on the scalp and can be lessened with adequate muscle and tissue release. JG 3.15.06
Answer: It can be done under either type of anesthesia and involves lifting only the lateral or outer portion of the eyebrow and does nothing for the frown lines between the brows, nor does it lift that area. It is less invasive than a full brow lift. It is less expensive than a full forehead lift and prices vary from surgeon to surgeon. Downtime is typically a couple of weeks. Hope all goes well. JG 3.17.06
Answer: should be OK. JG 3.17.06
Answer: no, it is outside of the cranial vault so not dangerous. Massage and pressure on your own will help, yes. JG 3.17.06
Answer: Could be a hematoma or a seroma and could be aspirated with a needle if needed due to pressure. The risks are just that it will take time to heal. JG 3.16.06
Answer: all normal and should go away in a couple of weeks. The brows may come down a little in time once the swelling goes down. JG 3.7.06
Answer: I prefer to do those operations seperately. The eyelid surgery will treat excess eyelid skin but will not raise the brows, so which one you need depends on what you have going on. JG 3.7.06
Answer: It is more frlom the heaing and scarring potential, and make sure you don't smoke after the surgery too. All the best.JG 3.4.06
Answer: last a short time if done as a closed technique like most doctors do it. JG 3.2.06
Answer: it is not a very complicated issue and the scarring should be negligible. JG 3.1.06
Answer: In my experience, I have gotten from 5-15 years or more on open foreheads and as to endoscopic I have seen 1-3 years. Both have the risk of hair loss due to the incision and pressure applied. JG 3.1.06
Answer: just the eyebrows. As to how startled you look, it all depends on how much is injected and how strong your muscles are. We do it frequently for our patients and they are generally happy. JG 3.1.06
Answer: endoscopic browlifts leave scars, but they are shorter in total length than traditional brow lifts. I like doing the brow lift and blepharoplasty seperate to gauge skin removal more precisely. As to the complications from endoscopic brow lifts being less, it is not true, they are the same. I did endoscopic lifts years ago and stopped because they do not last as long as the traditional ones and you have less control. I do not think the brow lift would affect levator ptosis, no. Best of luck. JG 2.27.06
Answer: only the lateral part can be raised and yes, it would be subtle. I have seen 1-5 mm rise. The peptide cream will not raise the brow, it helps skin quality. JG 2.27.06
Answer: it would be a full or just a lateral brow or forehead lift. JG 2.24.06
Answer: probably safer to build up the lateral aspects so they do not go as far back as quickly. JG 2.6.06
Answer: I think topical creams andd maybe a light Rhytec Portrait laser make may some sense. Our fees for a forehead lift are $62500, all inclusive. JG 2.6.06
Answer: A CO2 laser or Rhytec portrait could tighten the forehead possibly, but it has its own down sides if the entire face is not done. JG 2.5.06
Answer: I do not think it is a viable option to improve wrinkles. It might stay in place but it could also move around. I would not recommend it. JG 2.2.06
Answer: I personally do not think it is any better than a well done forehead lift sustained with appropriate sutures. It is a nice new gimmick that has some down sides, like feeling the pins sticking through the skin for up to one year. JG 2.2.06
Answer: I can give you more accurate info if you send me a picture so I can estimate the time involved. Please forward a straight on photo and two 3/4 views to drgarcia@lvcosmticsurgery.com. JG 2.2.06
Answer: well, you can try the Thermage but I believe you will be disappointed, as to looking surprised, it all depends on how aggressive you are in lifting it, it can be done subtley if desired. JG 2.1.06
Answer: I think a forehead lift is what you are looking for. JG 1.30.06
Answer: Thread lift may last a couple of months, the regular open forehead should last 10-15 years or more, and endoscopic forehead lift may last 3-7 years, sometiems less. Blepharoplasty will not last forever because the aging process continues so there will be progressive skin aging and fat protrusion possibly. JG 1.27.06
Answer: sag is possible from swelling/ scarring on the lower lid. I think I would wait another 4-6 weeks and see if it all settles down, I think the things that are present can be corrected with some surgery if they persist. JG 1.25.06
Answer: it sounds like they used a device called a Endotine and will dissolve but may take 10 months or more, they can always be removed as the tissues have healed by now and removing them would be OK to do if they bother you. Not an uncommon occurrence from what I have seen and heard. JG 1.25.06
Answer: I think seeing an opthamologist is a good idea. I understand that nothing was done directly to the eyelid, but in doing the endo forehead the muscles of the area around the eye are lifted off the bone and the swelling may have casued some temporary problem with the levator muscle of the lid. You should definitely get it checked out if it has been over 6 weeks. Best of luck. JG 1.24.06
Answer: yes it is safe to do. JG 1.23.06
Answer: I would advise the nearby ASPS member for your surgery. The blepharoplasty should not yield any post-Lasik problems. I think a good understanding of what you expect is inportant and you need to make sure the surgeon who may not have experience with westerners is clear on that. JG 1.22.06
Answer: Through a forehead lift incision the bones can be sanded down to a smaller shape and size. JG 1.21.06
Answer: when the muscles are elevated off of the bone at times there can be swelling that will bruise or affect the levator nerves, should come back in time, usually. JG 1.21.06
Answer: yes, it is the swelling making it feel firm and will get better. JG 1.20.06
Answer: when done correctly the hair loss should be minimal to none. JG 1.16.06
Answer: it will take about 2 weeks or so to look presentable but you will stil have some swelling for about another 4-6 weeks. Final results in about 6 months. As to side effects, there is numbness, hair loss and the lift not holding up. JG 1.11.06
Answer: it might be able to be done but I would need to examine you to see exactly where the area you want reduced is. JG 1.9.06
Answer: the down time is less and the only thing that is lifted is the outside part of the eyebrow, nothing is done between the eyes.In terms of risks, there are slightly higher risks for a lower than an upper blepharoplasty, but small risk in experienced hands. JG 1.8.06
Answer: I think when you have the combined surgeries like you did it can happen. If you go in now and take more fat and it was just swelling it might leave you looking hollow, I would wait a while. JG 1.4.06
Answer: where exactly did the person inject you to attempt to lift the brow? If they injected your forehead, that would never lift the brow and that most likely then is what is happening, a wekaness of the muscles that lift the eyebrows as it may have not worn off yet. I think dysport can take months to wear off but usually wears of faster than Botox. If the muscle has been paralyzed the forehead can still safely be lifted surgically. Best of luck. JG 1.4.06
Answer: It has been around for many years, not new, not any less traumatic than traditional forehead lifts, in fact they have a higher incidence of numbess of the scalp behind the incision than the others, but does work very well to lift the forehead and not expand the forehead. It is not endoscopic. Great choice for people with larger foreheads or receeding hairlines. JG 1.1.06
Answer: it may be due to swlling or trauma to the nerves of the forehed. I would give it about 4-6 weeks of sweling to resolve then re-evaluate. JG 12.31.05
Answer: No, it just goes back to the way it was before the Botox. JG 12.28.05
Answer: Thermage will not, much milder and Botox will soften the wrinkles but will also potentially drop your forehead some to a lower position. Scars will fade but they never go away totally. JG 12.28.05
Answer: I use it most of the time, it involves and incison farther back in the scalp so it can be hidden and all of the tissues are lifted and then secured with multiple sutures in multiple places after the loose skin is removed. JG 12.25.05
Answer: if you are unhappy now I would do it now, what you describe will only get worse. I think it would be a safe procedure to do. JG 12.23.05
Answer: I think reverse forehead lift is an option but it might be easier and less risky to have the transplants done. And incision where the forehead skin was going to be pulled back would push the hairline back unless it is done at the hairline, not behind it. Best of luck. JG 12.22.05
Answer: The brow lift may not have worked if the release or cutting of the muscle was not aggressive enough. You may need Botox again on an intermittent basis. You are correct that doing a brow lift should alleviate the need for Botox for years if not indefinitely.JG 12.21.05
Answer: They are done either in a wrinkle in the mid forehead or right above the eyeborows. I do perform them, but the fees vary depending on the type of anesthesia and the time it wil take me to perform so I would need to see you in person. JG 12.17.05
Answer: I would do the face and eyelids together and then the forehead separately as doing the foreehad and eye together can make it hard to estimate the exact amount of eyelid that needs to be removed. JG 12.8.05
Answer: Due to potential legal issues, and some doctors wanting to know why I referred a patient to someone else and not them, I think you are best to go to this website and look for a plastic surgeon in the area you desire. I wish you all the best. JG 12.7.05 www.surgery.org/public/findasurgeon.
Answer: I think it is safe to do so now. Endobrows do have a shorter lifespan and any running will make any procedure last less long and will speed the descent of unoperated tissue too, its from the impact and bounce. JG 12.7.05
Answer: The muscles during a forehead lift, no matter the technique are raised off the bone and take time to settle in so that they can work again. As the muscle re-attach and start to function most of what you are having will relax and function better. It should start feeling better soon, unless the forehead was lifted too much and then it might take longer. JG 12.5.05
Answer: I think you have had it tried twice and in your case most likely will not be possible to correct that problem. Some doctors will completely cut them but then your saliva glands can drop and that may not look any better. JG 12.5.05
Answer: at the 9 week point we are getting close to the permanent result. Maybe the fixation they used to suspend the lateral brow did not hold? Maybe some Botox Cosmetic to relax the depressors of the lateral brow would help it rise and heal in a higher position. JG 11.30.05
Answer: although temporary hair loss from swelling can happen after any forehead lift, any of those effects after 18 months would be gone. Numbeness in that area is due to trauma to the nerves of the forehead and most likely not due to loss of oxygen. At times tension can play a roll in hair loss and when the forehead or scalp is pulled really tight it can accelerate hair loss. I think at this point I would suggest undertaking whatever technique you desire, topical products or hair transplants but I don't think it will come back if it has not by now. JG 11.30.05
Answer: it might be due to excess muscle activity, it may help to inject Botox Cosmetic to weaken the muscle until it has healed a little more. JG 11.30.05
Answer: Majority of the swelling is gone after 8-12 weeks. JG 11.28.05
Answer: A regular forehead lift is possible, the Spock look is all about how you pull and position the tissues. JG 11.26.05
Answer: I think you can have him massage them downward to loosen them a little bit.Have the come out will not damage the tissues. It is very difficult to lower them with the suture he has in at present. Or he can put some in your medial brow to lift that too so you don't look so severe. JG 11.21.05
Answer: A little but not much. That may take some hair transplants to correct. JG 11.14.05
Answer: The distortion is all due to the aggressiveness in the procedure. As to which comes first, brow or eyelid, that varies form patient to patient. One thing I will say is that lifting your brow may relieve the excess skin of the eyelid but may leave your eyebrows higher than you are used too and you may have a surprised look. You will need to look at older candid photos of yourself or something not too posed because our tendency when we pose for a camera is to lift our forehead and that may not be an accurate presentation of what you look like all the time. As to the dark circles, that may be difficult if not impossible to correct as it is due to shadows in the area. Sending photos before may give us a head start and we do that all the time.The brow lift will do nothing for the loose skin at the jawline though. Let me know if there is anything else I can do for you. JG 1.11.05
Answer: I typically do not do an upper blepharoplasty when I do a brow lift so that I can make sure your eyes close while swollen and asleep the first few weeks. The fees for the lower bleph and forehead lift is $8750, all inclusive. JG 11.11.05
Answer: to some extent on both but not as much as what you see by pulling on the skin. JG 11.10.05.
Answer: The forehead bone cannot be realistically reduced I am afraid. It is becasue your brain has adapted to that shape and you cannot reduce it as it would squeeze the brain matter. All my best and thank you for the kind words. JG 11.03.05
Answer: maybe a suture granuloma from where the canthopexy is tied, it may get better, or it may need to be cut out in the future once the tissues have firmed up there and can hold the eyelid without the suture. JG 11.02.05
Answer: The diference is if its lipoma versus a boney exostosis where the bone would need to be smoothed out. Post operative pain is subjective and we do give medications for that but we need to make sure you are breathing adequately afterwards too so you cannot be too sedated. I would need to see some xrays of your forehead to make sure it is not a boney problem and then discuss the surgical approach to the forehead lesion before I could give you a quote. If you could email me some photos close up of your face I can be a little more specific. Please send them to drgarcia@lvcosmeticsurgery.com, thanks. JG 10.31.05
Answer: We have had it in the US for a few years, it does allow stable fixation of the forehead after a forehead lift procedure, it dissolves over a number of months. JG 10.27.05
Answer: Varies from doctor to doctor. They are not all rough. JG 10.26.05
Answer: That bone will not build a larger bone in response to it being sanded down. The action of the muscle helps the bone to remodel smoothly but facial bones are not the same as leg or arm bones. JG 10.23.05
Answer: I think if it bothers you, you should proceed. JG 10.19.05
Answer: You can ask him if he put suspension sutures below the scalp to hold the forehead up, if he did, those can be cut to speed the falling back down of the forehead lift. As to the chin area, there is still swelling, but if you are that unhappy, you can always have him remove the implant. JG 10.19.05
Answer: The dissolvable screws should not cause that much swelling. JG 10.17.05
Answer: Swelling should start to go down by now but the swelling that remains could possibly give you the shiny appearance. It should be better in the next couple of weeks. JG 10.17.05
Answer: It is to lower a hairline that is too high. Typically the incisions are at the hairline to obtain the most advancement forward. I have seen full thickness skin grafts to the nose and typically they look pretty good. Best of luck. JG 10.15.05
Answer: I think the surgery is successful in all races. The cost for a reverse forehead lift is $6250, all inclusive. JG 10.10.05
Answer: You could but it won't last long, maybe 3-6 months at most. Thermage has some light effects here, subtle but nice. JG 10.10.05
Answer: For the brow you could have the bones burred down through a forehead lift incision but the dark circle below will be difficult if not impossible to correct I am afraid. JG 10.10.05
Answer: Well, although I am not a fan of endoscopic forehead lifts, the traditional forehead lifts I believe are still a great option that will lift the lateral part of your brow and weaken the muscles between the eyebrows that make you squint. When done well, it lasts for many years. JG 10.9.05
Answer: yes it can be done, I cannot give you a fee quote though as I do not believe in endoscopic brow lifts as I feel they do not last long enough. JG 10.9.05
Answer: Well, ideally there should not be any hair removed since you are going to pull it forward, but any that is can be used for transplantations at the same time. JG 10.9.05
Answer: It is made out of semi hard solid silicone, it would essentially feel like bone with muscle over it. Call ahead as our consultations are booked a few months in advance. JG 9.30.05
Answer: custom implants or synthetic bone particles could be injected to make it curved, slightly larger though. JG 9.27.05
Answer: If you remove the muscle and that is what is causing the bulge it might look better, but often it is the bone which is prominent, although that can be reduced also. JG 9.26.05
Answer: A reverse forehead lift can be done to pull your hairline forward and reduce the size. or hair transplants. As to the stretch marks, there is nothing that will remove them 100%, sorry. JG 9.21.05
Answer: We have pictures but they are not on the web as some patients do not want them on the web, versus in a picture album in my office, the scar is pretty good though. JG 9.19.05
Answer: The staring look is due to too aggressive of a forehead lift. It may go away when the swelling goes down, and it may not if too much tissue was lifted and removed. I would also for your own peace of mind see another surgeon and get their opinion on your eyelids to compare what is being said, but more than likely the original surgeon can do it. JG 9.17.05
Answer: lasers can take up to 6 months to see the final tightening, it does not happen right away. The initial wrinkle reduction is due to swelling and there is really no improvement for a few months, that is why the wrinkles seem to come back when the swelling goes down. I must say that I am a little surprised that you had to pay full price twice since it seems that the procedure that was chosen did not do the trick. I gave up doing endoscopic forehead lifts years ago for the same reason, they don't hold up or they look over done. The best way to find a surgeon is to talk to other patients, like you have done. I wish I had better things to advise you on. I would give it time and see what the surgeon is willing to do for you to get you where you want to go. JG 9.12.05
Answer: the neck lift could be done to change some of the sexual characteristics of the neck but at your age I don't think the chnage in tightness will be worth it. JG 9.7.05
Answer: There is an incision under the chin and then behind both ears. I use a strap on the neck for at least one week to help minimize the swelling and shorten the down time. The brusing is usually small. JG 9.3.05
Answer: Your smoking has nothing to do with the result you have. It is due to inadequate fixation of the tissue or inadequate release of the tissue, but not uncommon with endoscopic lifts. I also don't feel doing an operation again for the second time when the first one has failed is a good idea unless there were immediate complications that made it heal differently. I always have my patients stop smoking for 4 weeks prior and 4 weeks after surgery. The patch has the same problems with healing as smoking as it has nicotine. I am not a big fan of endoscopic procedures. The advantages they claim to have are not always seen. In your case, all the touted advantages of endoscopic forehead lifts which are symmetry, small scars and no hair loss have all come through, better to have the old fashioned forehead lift I feel, and when done properly, should not lose hair and will have more points of fixation to better assure stablization. JG 8.31.05
Answer: That is the price, if you are planning for January you need to call and schedule with the office because we are booked about 4 months in advance. JG 8.26.05
Answer: Yes, what you desire can be done all at the same time for the mentioned price. I will need to see some pictures, front, oblique and side views of just your face in the frame so I can see what we need to do, then we can do much of the preparation long distance to minimize your time here in our lovely city. Best of luck. JG 8.25.05
Answer: The scalp is stretched and pulled forward, so it is your previous hairline being shifted further down. JG 8.24.05
Answer: Price for that is $6,250, all inclusive. JG 8.23.05
Answer: A direct brow lift is about $3500, all inclusive, but it will leave the forehead scar, albeit thin. JG 8.23.05
Answer: sorry, but except for the rubberband, nothing non-surgical will do that for you. JG 8.23.05
Answer: Correct on the price. JG 8.20.05
Answer: I am not familiar with many surgeons in the UK, just a couple, but it can be done at any age, although I suggest waiting until age 18 for any cosmetic procedure. JG 8.19.05
Answer: Well, you can have the reverse forehead but if the hair is thin, then what we are moving forward will not visually shrink the height of your forehead. Possibly more hair transplants is the way, they should work well, especially in the crown. JG 8.19.05
Answer: The surgery is the same for curly hair, just that your scar may be a little more visible for a while during the healing process. The surgical fee is $6250. JG 8.17.05
Answer: approximate fees $6250, all inclusive. JG 8.12.05
Answer: We could do all of that togetehr and the fee is $6,250, all inclusive. JG 8.12.5
Answer: yes, typically it is done at the same time. JG 8.4.05
Answer: Once X-rays are done to make sure there is enough bone underneath, then the bone can be burred down to smooth the area out. JG 7.31.05
Answer: The difference with the surgery is that it is permanent and the results can be more dramatic and can be more obvious. The surgery can also let the eyebrows move out laterally which is not always a good thing. I do perform the surgery on patients when they choose that route. The cost is $6250 which is a forehead lift, and it can be done at the same time as a face lift. JG 6.22.05
Answer: The result you see after your endoscopic forehed lift will not change to the better with time, if anything, the other side may also fall. I would go back to the surgeon and have them fix it. Since he does endo brows he most likely will repeat the endoscopic browlift again. Best of luck. JG 6.21.05
Answer: yes, african american skin does well with forhead lifts and it can done in a subtle way to not make you look surprised. JG 6.21.05
Answer: The only way to treat it to surgically revise the scar by cutting it out and re-suturing it. It can spread if too much tension is on the suture line when it was closed or not enough sutures were placed below the surface of the skin to avoid this problem. JG 6.12.05
Answer: There is some remodeling of the bone that can be done by burring it down with power tools as long as the bone is thick and it is done by an experienced physician. JG 6.6.05
Answer: There is such a thing as a reverse forehaed lift where the skin of the forehead can be reduced. The scars is small usually and well worth the trade off for most patients. The scar will be permanent though, and most people wear bangs afterwards. Due to potential legal issues, and some doctors wanting to know why I referred a patient to someone else and not them, I think you are best to go to this website and look for a plastic surgeon in the area you desire. I wish you all the best.www.surgery.org/public/findasurgeon. JG 6.6.05
Answer: Well in your case I can imagine that it is not being done for aging and loosening of the tissue, but becasue your brows were always a little lower than an ideal location. If you look at your high school pictures you will probably see that your brows were always a little lower. Having them lifted will not necessarily make you look younger at this point, but it will make you look different. You just have to make sure that different look you may achieve is what you want to look like. JG 5.22.05
Answer: You would need about 10-14 days off work and there will be a scar at the edge of your hairline, it will be visible for a few months and can be covered, but if your hair is short, it may be more difficult, most patients wear bangs or comb their hair forward for a while to hide the scar until it heals. JG 5.15.05
Answer: The procedure to lower the hairline is either a reverse forehead lift where the scalp is brought forward, or to place hair grafts to bring the hairline forward. JG 5.14.05
Answer: I am sure if you explain what you desire to any board certified plastic surgeon they will know what to do, it is not done all the time, but is done often enough and described well in our literature that they should be able to do it. Dr Warren in Vancouver I am sure could help you out.JG 5.9.05
Answer: I no longer do endoscopic brow lifts as I have found that the results do not last as long as the open techinique. At tiems too there is lack of control with the amount of lift. If you look at pictures posted by doctors, I feel most of them are too high, and I would also ask the doctor you are having perform one to show you a picture of one of their patients who's results are longer then 18 months. I can show pictures of patients after 10 years with an open techinique that are still holding up. Also with the way I close the incisions there is no nerve sensation loss and no hair loss. JG 4.17.05
Answer: A forehead lift could be done to elevate the tissue and then lay a small Gortex sheet in the area to fill in the crease, and yes, there are creases in the bone that can show through. Otherwise, there are injectables like Radiesse that can be injected to fill in the crease and they last a couple of years, a little easier and quicker than the surgery. JG 2.18.05
Answer: Fat can be graft into the calf muscles but not into the ankle. As to the reverse forehead, typically an incision is done at the hairline and then instead of dissecting down towards the eyebrows and lifting the forehead up, in the reverse forehead lift, the scalp with hair is dissected and pulled forward to cover some part of the excessively long forhead. The incision is then closed with tiny sutures right at the hairline. JG 1.29.05
Answer: In terms of the forehead area, there is a reverse forehead lift that can shrink the size of the space and look more balanced. In terms of the jaw, without looking at your pictures it may be difficult to tell you the options. There may be some jaw reducing surgeries that may help though. JG 1.24.05
Answer: The only way to do that would be to perfrom a forehead lift with the scar beig at the hairline. The scars heal well, but will be a little lighter than the surrounding skin. Most patients wear bangs afterwards to hide them, although the generally look pretty good. The other option would be hair grafts to the hairline to lower it, also a good option, although a slower time to see results as it takes time for the hair to grow, but essentially no scars with this option. JG 9.15.04
Answer: The forehead being brought forward would be quicker and leave a nice result. Scars a times are more noticeable in african-americans, but if closed well, it should heal nicely. JG 8.8.04
Answer: The bone can be shaved down and the nose surgery done at the same time. The contouring of the forehead bone is done in about 3-7% of the forehead cases I do. It will take you about 10-12 days before you look presentable. JG 5.18.04
Answer: It is called a forehead lift, just we do it in reverse, instead of lifting, we lower the hairline. Otherwise, hair transplants can be taken from the back of your head and moved to create a lower hairline. The reverse forehead lift is faster. Recovery is about 10-14 days, fees are about $5200, includes everything, including the surgery, anesthesia, lab work, operating room, follow up visits. The hair transplants would run about the same JG 4.21.04
Answer: well, the forehead bone can be reduced surgically by burring it down to make it less prominent, and also the size of the forehead vertically can be reduced by bringing the hairline down, both procedures can be done simultaneously and we perform them in our office
Answer: Difficult problem, but as to oral agents I would suggest a trial of wobenzyme, available in good health food stores, with good antiinflammatory properties and very safe. As to topical, I would suggest DMSO, also available in health food stores. It will give your breath a slight garlic odor so beware, but rubbing it in can soften the scar somewhat. I would suggest using it twice daily for 2 weeks, then a week off, then repeat if needed. Hope this helps
Answer: There ia a surgery which can reduce the size of the forehead, it typically leaves a faint scar at the anterior hairline which fades well. At times the forehead bone can be shaved down to make it look less prominent in certain areas too.
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