Brow Lift St. Louis - Forehead Rejuvenation Missouri

Do people constantly tell you that you look tired or angry or do you have deep lines and furrows on your forehead? If so, you may have brow ptosis (droopiness) and may be an excellent candidate for a brow lift. As we age, the eyebrows droop down to a lower level. In addition, extra skin develops above the eyelid and as a result, we begin to unconsciously raise our eyebrows in order to help keep our eyes open. This creates that tired or angry or aged appearance and deep lines and furrows across our forehead. Fortunately, there are options to improve this.

This operation is frequently incorporated with eyelid surgery/blepharoplasty and face-lift. Careful attention is paid to the amount of elevation and shape of the eyebrow in order to avoid a “surprised” appearance. Dr. Cabbabe treats many patients who have undergone upper eyelid surgery and are still unpleased with the appearance of their brow. This is due to the fact that many people who have upper eyelid surgery also have brow ptosis and this needs to be addressed as well. If a droopy brow is not addressed at the time of upper eyelid surgery , the patient may complain after surgery that the eyebrow is very low. This results from the patient no longer needing to raise their eyebrow to open their eyes and produces a tired or angry appearance.

Dr. Cabbabe incorporates his experience with reconstructive and cosmetic surgery of the face to give patients the best results possible to meet their desires. He is also an expert in minimally invasive facial plastic surgery and has published on these topics. His patients have a natural, refreshed look after surgery. During your consultation, Dr. Cabbabe will carefully examine your entire face including the brow, upper and lower eyelids, face and neck. He will make recommendations in order to help you achieve your desired result while maintaining facial harmony. Dr. Cabbabe believes that the entire face should be in harmony and may recommend other procedures such as face lift, upper blepharoplasty, lower blepharoplasty or neck lift to be done at the same time.

We believe that patients, their desires, and anatomy are all unique. Dr. Cabbabe believes that the key to a successful surgery is proper planning and discussion with the patient about their goals. Therefore, Dr. Cabbabe evaluates each patient and creates a customized surgical plan for all of his patients to meet their expectations. To schedule a consultation, call us at 314-842-5885 or complete the contact us form.

Endoscopic Brow Lift

Dr. Cabbabe is an expert in endoscopic brow lift. He was fortunate to train with the people who pioneered this operation. This operation targets the muscles that act to depress the brows, helping to raise the brow and eliminate those deep lines and furrows on the forehead. Using a long slender camera and instruments, the forehead is accessed through 3 small incisions at the top of the forehead. The muscles which act to depress the brow are weakened and the brow is freed up and elevated and secured in place.

This can be done under general anesthesia or local anesthesia with sedation. Occasionally, a drain is placed overnight and removed the following day. Many patients who have this procedure done often no longer require Botox or Dysport therapy. There is some bruising around the eyes which can last for one to two weeks.

Conventional Coronal Brow Lift

This operation utilizes an incision inside the hair line across the entire forehead. As opposed to the endoscopic brow lift, this operation does not target the muscles that depress the brow. Rather, the brow is freed up and elevated and the muscles at the top of the forehead are tightened to help keep the brow elevated. Redundant skin is then removed through the same incision. Because there is less surgery around the eyebrow depressors, there is less bruising and swelling. Recovery is generally one week.

Temporal Brow Lift

Patients that are candidates for this procedure have good eyebrow position except for the outer-most portion of the eyebrow, which is low and can cause hooding of the lateral brow over the outside of the eyes. An incision is made in the outer portions of the forehead; the lateral brow is released and then secured into a new position. The center portion of the eyebrow is unaffected and thus there may still be some lines or furrows on the central forehead which may need to be treated with Botox or Dysport.

Preparing for Surgery

Dr. Cabbabe will ask that you refrain from taking any aspirin, plavix, Coumadin or any other type of blood thinner. He will also ensure that your blood pressure has been properly controlled if you have high blood pressure.

Recovery

If this procedure is done by itself, most patients are able to go home the same day. Pain medication and antibiotics will be prescribed. A drain may be left overnight in the case of an endoscopic brow lift. Bruising and swelling may be present around the eyes for one to two weeks. Dr. Cabbabe will ask that you keep ice on the surgical site to decrease this. He will also ask you to keep your head elevated to decrease swelling. There may be some numbness on the forehead or scalp which improves with time. Sutures will be removed within one week.