With age, wrinkles can develop across the forehead. The excess skin can cause the brows to hang lower, which gives a tired appearance to the face. These wrinkles are caused by a combination of the action of the frontalis muscle (the muscle that raises the eyebrows to give a surprised expression) and the relaxation of the skin that occurs with age. Early in the development of these wrinkles, BOTOX® can be injected to weaken this muscle and decrease wrinkle formation. Once these wrinkles are more developed and deep; however, BOTOX alone will not be an effective treatment. The only treatment at this point is to have a surgical lift of the brows.
There are three main types of brow lifts. The first is called a hairline brow lift and is performed though an incision placed at the front of the hairline. This lift is best used for patients that have very prominent foreheads and significant excess skin with deep wrinkles. It should not be performed in patients with very low hairlines, small foreheads, or a receding hairline.
The second type is called a coronal brow lift and involves an incision that is placed in the hair bearing portion of the scalp. The scar is camouflaged by the hair. It is best used for patients with significant excess skin and deep wrinkles that have shorter foreheads or in those that have receding hairlines.
The third type of brow lift is an endoscopic brow lift. It is performed through three small incisions within the hair bearing skin. The scars are shorter than with other methods of lifting the brow. It is best used for patients with mild to moderate forehead wrinkles. It is the only option for patients that with significant hair loss from balding.
Dr. Obaid and Dr. Ver Halen specialize in endoscopic brow lifts. An endoscopic brow lift is performed through three small incisions that are hidden in the hair. A camera is then inserted into the forehead that is used to guide two small instruments that are used to free the brows to allow them to be lifted. Because the incisions are smaller, the they are much more easily disguised and the recovery process can be easier.
In their Southlake office, Dr. Obaid or Dr. Ver Halen will discuss your concerns with you and examine your forehead. Your doctor will discuss all of the brow lift options with you. He will then design the operation that is perfect for YOU!
Dr. Obaid and Dr. Ver Halen often combines the brow lift procedure with eyelid surgery and/or a facelift, depending upon what you need.