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Hello, I am Howard Krein. I am one of the facial plastics and reconstructive surgeons
here at Jefferson. I wanted to talk to you about facial rejuvenation today. I wanted
to start off by talking about browlifting. Browlifting come in a variety of techniques.
There is minimally invasive browlifting, such as the endoscopic browlift. There is also
things called direct browlifting and non-direct or indirect browlifting. The way we decide
on who�s is a good candidate for a browlift is first by evaluating the face. One of the
first things that we notice as a patient starts to age is ptosis or dropping of the brow.
When that happens, you can get redundancy of the upper eyelid skin, an angry or a tired
look. Browlifting helps reduce the symptoms and the signs of this ptotic, or dropping
brow. The way we perform the browlift is either endoscopically or through a direct surgical
technique. The endoscopic browlift is done with virtually no incisions that can be seen.
The incisions are up here in the hairline, or along the lateral aspect of the hairline.
They are hidden and nobody can see them.
The way we perform a browlift is preoperatively we would have discussed on how much elevation
the brow would need, and that simply is how much of the brow would be elevated and to
what height. We don�t want to make it unnatural looking. Once we�ve decided that, we would
proceed to the operating room where the browlift would take place. The browlift can be done
as I mentioned a number of different ways. The endoscopic browlift is done with very
small incisions in the hairline, and so nothing on the face to be seen. When the brow is elevated,
usually a half a centimeter to a full centimeter, it really does restore a youthful and healthy
look. Approximately seven to ten days after the browlift, all the sutures would be removed,
and then you�re back to normal life shortly thereafter.
Often we�re asked how long a browlift would last, and I can tell you that it should last
a lifetime. Now does that mean that you�ll never need a touch-up? No. What that means
is you�ll always be better off for having done the browlift than if you hadn�t done
the browlift. What we�re doing is sort of setting back the clock a little bit and putting
the brow to where it was years ago, so will the brow naturally drop? Sure. Time and gravity
still take effect even after we do surgery, but you�ll always be better off for having
done the browlift. The other question we�re often asked is how long should I wait before
getting a browlift, or what�s too early to get it? And really that�s a personal
decision, and I encourage you to come into the office so we can evaluate you. We can
have a conversation about it and decide if a browlift would be right for you.