should I get a brow lift to make my eyes look more open the appearance of your
eyes regardless of your age can be the key to how you are perceived by everyone
who interacts with you a lot of people who want to improve the appearance of
their eyes look in the mirror and raise their eyebrows using their forehead
muscles as well as their fingers to lift their eyebrows based on these actions
it's understandable to believe that a brow lift procedure can be the key to
enhancing the appearance of your eyes I'll discuss how I advise my patients
about the benefits and the downsides of brow lift surgery I'm Dr. Amiya Prasad
I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial
plastic and reconstructive surgeon I've been in practice in the New York City
and Long Island area for over 25 years I perform several different types of
surgical brow lifts as standalone procedures I also often combined brow
lift surgery with cosmetic eyelid surgery and face lift surgery I perform
different types of non-surgical brow lifts in addition using neurotoxins like
Botox, Dysport, Xeomin and Jeuveau in addition to neurotoxins I also use
hyaluronic acid fillers to provide brow support and elevation as part of a
non-surgical brow lifting strategy I'm well known for performing cosmetic
eyelid surgery as well as specialized procedures not typically performed by
general plastic surgeons such as eyelid ptosis surgery eyelid retraction repair
and revision eyelid surgery for complications after procedures were
originally performed by other doctors when considering
surgery for the eyebrows it is often underappreciated how much
the eyebrows contribute to your facial expression for example your eyebrows may
not be an area of focus but as soon as they are trimmed shaved or if you have
microblading done they become a more prominent facial feature not always in a
good way this means that any change in your
eyebrows can have a significant impact on your facial appearance or expression
the shape of your eyebrows can convey anger sadness and surprise with the
slightest alteration so with this understood any cosmetic
procedure that may alter the brow height and shape needs to be carefully planned
with the expected outcome to be as predictable as can be is generally
understood that brow lifting surgery can result in you having a stereotypical
plastic appearance in entertainment these excessively arched eyebrows or
overly tight faces have essentially become a meme
there are several surgical options for brow lifting and brow shaping as is for
any cosmetic concern we need to be clear about the diagnosis of the problem
before defining the solution I perform surgical brow lifts when the brows have
descended or drooped this is referred to as eyebrow ptosis ptosis means drooping
and the eyebrows can descend and have a negative impact on the appearance of
your eyes my approach to eyebrow lifting is to
subtly reshape the brows so they frame the eyes in a way which is proportional
and harmonious and look natural in my practice of over 25 years I've performed
a full range of brow lifting procedures these include
coronal brow lift, endoscopic brow lift hairline trichophytic brow lifts
temporal brow lifts and direct eye brow trichophytic brow lifts I recognized many
years ago that like fashion there are trends in the aesthetic field in the 80s
and 90s high and arched brows for women was considered the ideal in the
aesthetic field I found myself at that time questioning this aesthetic since
many people were getting brow lift surgery for brows which had not drooped
I have different perception and my approach then and to this day is to
restore or shape the brow rather than doing a generic brow lift
as mentioned earlier I perform a lot of non-surgical brow lift procedures to not
only lift the brows but to address a limited amount of skin excess over the
eyes botulinum toxin can be strategically placed to elevate the
eyebrow by several millimeters the way it works is by relaxing the forehead
depressor muscles such as the procerus corrugator and orbicularis oculi muscles
this group of muscles pulled the eyebrows downward so by relaxing the
depressor muscles the muscles that lift the brows called the frontalis muscle
works unopposed this effect can last as long as six months but patients usually
come in at four months so that before the effect completely wears off brows
can also droop due to volume loss caused by bone and soft tissue deficiency this
can be seen where the temples actually become more hollow that occurs with
aging I place a long-lasting hyaluronic acid filler at the bone level to restore
support and therefore elevate the eyebrows this strategy can be part of a
structural volume correction
of other areas such as the cheekbones jawline and chin one of the techniques I
frequently used for brow lifting or as I prefer to define it as eyebrow shaping
has been more accurate and predictable in my hands as stated earlier the
eyebrows often drew up and descend due to loss of bone volume caused by aging I
created design and I placed the incisions in a way that creates a
natural shape I also perform the procedure in a way to allow the eyebrow
hairs to actually grow through the incision which is called a trico fitting
incision I further improve the appearance of a surgical area by using
advanced wound healing material like extracellular matrix by a cell and
platelet rich plasma also called PRP another benefit is that the use of
extracellular matrix and PRP can also help thicken eyebrow hair that has been
thinning eyebrow hair thinning is often associated with aging I've been using
extracellular matrix and PRP for the non-surgical treatment of genetic
pattern hair loss for men and women and we call that TrichoStem Hair
Regeneration which I developed starting in 2011 men and women with genetic and
hormone related hair loss have come to us from around the world to our offices
in New York Long Island and Northern Virginia when your eyes look hooded
without the presence of eyebrow ptosis I recommend cosmetic upper eyelid
surgery cosmetic eyelid surgery can open up the eyes by addressing excess skin or
redundant eyelid skin soft tissue and fat when performed artistically and with
the right amount of contouring and removal of skin fat and soft tissue it's
remarkable how cosmetic eyelid surgery can brighten the whole face
since I design and perform cosmetic eyelid surgery to maintain facial
character you look like yourself my patients often report how their friends
and families recognize that they look better they just can't figure out why I
addressed concerns about potential risks by explaining that expertise and
experience is the way to reduce risk in any endeavor whether it's flying a plane
or performing delicate eyelid surgery expertise and experience is critical to
reach a level where you can be artistic if you were to play the piano your
ability to compose is dependent on your mastery of piano skills for example in
eyelid surgery I designed the skin removal and the eyelid crease by
factoring in the skin quality and elasticity the way a sculptor
understands the material they're working with so that the any sign of surgery is
barely if at all perceptible I perform both eyebrow lifting and eyelid surgery
using local anesthesia with LITE IV sedation and completely avoid general
anesthesia if you have general anesthesia you have to be paralyzed and
rely on a respirator to breathe for you many people after general anesthesia
experience nausea and vomiting as well as need an overnight stay at a facility
before they're able to return home in comparison with what we do with local
anesthesia and Lite IV sedation my patients are comfortable during surgery
and breathing on their own and they go home in about two hours after surgery
smiling and thanking my staff the eyes are so important for all types of
interaction the aggressive retailing in the aesthetic field creates a false
equivalency in the marketplace which has harmed
countless people particularly those who are trying to save money this area is so
critically important for both your appearance and your vision I cannot
stress enough the value of a proper consultation so you understand if
eyebrow surgery is appropriate for your situation I hope you found this
information helpful thank you for your question
you