BLOG

Question :
I would really like to get eyelid surgery but I would also like to address my sagging brow and wrinkles on my forehead. Can this all be done at one time?

Answer :
Many of my patients elect to have rejuvenation of their brow and forehead at the same time that upper eyelid surgery is performed. It is quite possible that decent and wrinkling of the forehead and brow is contributing as much to your appearance of aging as is the upper eyelid skin excess. There are several different approaches to rejuvenation of the brow and forehead and which one we choose will depend on a variety of factors such as gender and the height of your hair line.

Posted by Dr. Philip Schoenfeld

No Comments »

Question :
My eyebrows look very uneven. I’d like to get a browlift to correct some aging signs but will it also correct the unevenness?

Answer :
A browlift does not only elevate your eyebrow but can correct any asymmetry in the height of your eyebrows.  I am able to shape your eyebrow and raise your eyebrow to the proper height with the use of browlift surgery.

Posted by Dr. Philip Schoenfeld

No Comments »

Question :
I know eyelid surgery is sometimes performed for medical reasons if sagging upper eyelids interfered with vision. Is this ever true for browlift surgery?

Answer :
Upper eyelid surgery can be partially covered by your insurance if there are associated visual field deficits that can be documented. Unfortunately, it is very difficult to have your browlift covered by your insurance even though it makes sense that your brows are likely contributing to some of your visual field issues. Insurance companies consider browlift surgery purely cosmetic except in cases of facial weakness or paralysis where reconstruction involves the brow.

Posted by Dr. Philip Schoenfeld

No Comments »

Question:

Is 30 too young to be considering a brow lift?

Answer:

I believe there are two reasons that one may consider having a brow lift surgery. One of the reasons is to restore the more youthful position of the eyebrow in cases of normal aging and descent of the eyebrow. The other reason would be to change the shape or appearance of a properly positioned eyebrow. I perform a great deal more brow lift surgery on the aging eyebrow, however, in cases of facial weakness and trauma I have performed brow lift surgery on individuals younger than 30 years old. If you are looking to change the appearance of your eyebrow entirely, I would discuss this with your surgeon in detail.

Posted by Dr. Philip Schoenfeld

No Comments »

Question:

Could you please explain what a coronal brow lift is?

Answer:

A coronal browlift is a browlift that uses an incision that extends from the hairline just above your ear on one side, directly over the top of the scalp, to the hairline directly over the opposite ear. The coronal browlift used to be a very popular approach to elevation of the brow however, there were several side effects from the incision that most surgeons felt were not worth the approach to browlifting given the available alternatives. Prolonged numbness of the scalp and the inability to use the approach in male patients are two of the issues that have decreased the use of the coronal browlift approach.

Posted by Dr. Philip Schoenfeld

No Comments »

Question:

My mother has decided that she wants a brow lift. She typically jumps into things without ever thinking them through so I’d like to get some research together for her. Can you tell me what sort of recovery she’d be facing, and also any precautions that we’d need to take to ensure that she doesn’t get an overdone or surprised look.

Answer:

I have several patients who come to see me who sound very much like your mother. A browlift is a very good procedure when the eyebrows have descended to a point that you appear angry or tired all the time. The recovery for a browlift will depend in large part on the approach that is used to elevate the brow. If it is an open approach, it can take a little while for the incision to heal in the scalp. An endoscopic browlift requires smaller incisions but in both the endoscopic and open browlift approaches you can expect forehead swelling and tenderness for about a week. The best way to avoid an overdone or surprised look after your browlift is to make sure that your surgeon understands the look that you are trying to achieve. I would expect a bit of over correction of your eyebrows immediately following surgery, but, your brow will likely descend a few millimeters in a short period of time.

Posted by Dr. Philip Schoenfeld

No Comments »

Question:

Can I get eyelid surgery at the same time as my brow lift?

Answer:

You most certainly can have eyelid surgery at the same time as your brow lift. I would say that I perform blepharoplasty in about 95% of cases of brow lift surgery. I don’t necessarily perform brow lift surgery in all of my upper lid blepharoplasty procedures and this is determined on a case by case basis.

Posted by Dr. Philip Schoenfeld

No Comments »