Brow lift and eyebrow issues
Subj: when see results?
In June, I had the muscles cut between my brows to get rid
of the 'frown line'. The lines are still there. The doc said
skin has memory, and to give it time to go away. I guess I expected
them to go away right after the surgery.....not maybe, months
(or who knows when) later. For anyone who has had this type of
surgery, or similar, when did you see your lines go away? Was
it instantaneous? months later? years later? Thanks for your
response....K
Subj: Re:when see results?
Dr. Bermant comments
This should not be construed as medical advice. I am a Board
Certified Plastic Surgeon.
The skin does have some memory. I tell my patients to wait
about 6 months to see how the scar / skin matures. Different
patients skin react differently and can take shorter or longer.
Depending on what was done, the time also can vary. The best
information about how long should come from you surgeon. If you
are not certain with the response, go back and ask again. Doctor
patient communication is so important. Getting answers from others
may just confuse the issue.
Subj: Re: frown lines
Dear Dr. Bermant:
I have been searching the web to see if there is info on a
procedure I saw on T.V. that some actresses are receiving. Of
course I did not catch the name of it or much about it at all,
but it goes something like this: They are receiving injects between
the eyes (frown lines) that is paralyzing that particular spot
so they no longer can squint or frown or make any suggestions
with that spot, hence not deeping the lines. Just wondering if
you would know what it is called and is it available to anyone
and maybe you'd know if available in Canada.
Thanks for your help,
L
This should not be construed as medical advice. I am a Board
Certified Plastic Surgeon.
"Frown lines" between the eyebrows are from skin
aging and are exacerbated by the underlying muscles of facial
expression. These muscles can be altered, weakened, or removed
during forehead surgery such as a brow lift. Another method of
injuring the muscles included Botulinus Toxin which is a dangerous
poison used to paralyze the tissue. The toxin only temporarily
stops the muscles from working, repeat injections are needed.
The poison can drift to adjacent unwanted areas causing paralysis
of other important facial function.
I am sorry but do not know which local surgeons offer Botulism
Toxin but most board certified plastic surgeons should offer
some form of brow lift. I prefer the precision and the variable
options of the forehead plasty operations and design an open
or endoscopic method to match the patient's problems.
I hope this information proves of some use. If my office can
be of further assistance, please let us know. We can be reached
at: (804) 748-7737. My staff and I try to ensure the comfort
of our out of town guests during their consultations and procedures.
Michael Bermant, MD
Subj: Re: brow/eye lift
I am 35 and have been 65 lb. overweight for about
four years. I have been losing weight now due to a good eating
plan and exercise and I have also been taking better care of
my skin with the many fine products available today. I have very
few problems with my face, except for some wrinkling right above
my brows and I also have noticed the upper part of my lids is
kind of loose and wrinkly. I have to lift my brows to smooth
it out some, which I have been obviously been doing for quite
some time since I have formed those wrinkles above my eyebrows.
It really became obvious to me when I was pushing my hair back
off my face, thus pulling my forehead up a little and lifting
my brows. I wondered if the looseness of the skin of my lids
would change any by the time I finish losing all the weight (I've
lost about 20 lb). Will I ultimately need a brow lift to correct
this problem? My mother does have a lot of excess eyelid skin.
And about how much does just getting a brow lift cost? Does it
make the eyes swell as much as the eyelid lift? Is it recommended
for someone my age?
This should not be construed as medical advice. I am a Board
Certified Plastic Surgeon.
With weight loss, skin can become redundant about the body.
The face is no exception. We like to have our weight reduction
patients who want to learn what plastic surgery has to offer,
in our office for a consultation and evaluation. In some cases
skin care can help the skin to more normal proportions and avoid
surgery. In other cases surgery is recommended. The question
is one of timing and, when possible, weight stabilization. Skin
care options are discussed by our cosmetologist in our office.
Cost depends on what is done. Brow lift surgery is becoming more
common in the younger patient as we refine small incision and
endoscopic techniques. Your age range is rather young but when
extra skin does not contract after major weight loss, such surgery
becomes an option.
Brow lift alone is about $2250 for my surgeon's fee.
I hope this information proves of some use. If my office can
be of further assistance, please let us know. We can be reached
at: (804) 748-7737. My staff and I try to ensure the comfort
of our out of town guests during their consultations and procedures.
Michael Bermant, MD
Subj: Re: eyebrows
I'm hoping that you are able to help me. I'd love
to come see you, I live in New Jersey and it is just not possible.
All my life I've been living with eyebrow loss. The hairs always
fall out and I'm not great when it comes to eyebrow pencil. I
look so silly. I do not want to to use a tattoo, I think that
it looks fake and it appears to be a very risky thing to do.
Please... If you have any suggestions at all for me, I'd greatly
appreciate it. No one has been able to help me, I hope that you
are able to. Thank you very much for reading my note.
S
This should not be construed as medical advice. I am a Board
Certified Plastic Surgeon.
In some cases eyebrows can be made by moving tissue with hair
from the scalp to the brows as a graft. The graft needs to live
by getting a new blood supply from the new position. Severe scars
may make such surgery very difficult and in some other cases
a new blood supply can be brought with the hair bearing tissue
(vascular pedicle flaps). Without examining you I cannot determine
if you would be a candidate for such surgery. Just how was I
supposed to help if you cannot travel to Richmond?
I hope this information proves of some use. If my office can
be of further assistance, please let us know. We can be reached
at: (804) 748-7737. My staff and I try to ensure the comfort
of our out of town guests during their consultations and procedures.
Michael Bermant, MD
Subj: Re: Browlift
Dear Dr. Mike:
First of all, thankyou for your informative website.
I am a 40 something female. I am considering a browlift. I
have a rather high forehead and what I read on the net makes
me think that I am not a candidate because of this. What is your
opinion? Also, I would like to have a along with this liposuction
on the upper torso . In your opinion, is this too much to do
at once?
This should not be construed as medical advice. I am a Board
Certified Plastic Surgeon.
Certain brow lifts will raise the hairline. In those with
a very high brow this can look unusual. Hairline incision brow
lifts are designed for such cases. What would be best for you
would be better determined with an in office consultation and
evaluation.
Liposuction is an open ended proposition. Massive liposuction
can be dangerous by itself. Limited liposuction may be no problem
with a brow lift. I do not like breast augments with liposuction.
I hope this information proves of some use. If my office can
be of further assistance, please let us know. We can be reached
at: (804) 748-7737. My staff and I try to ensure the comfort
of our out of town guests during their consultations and procedures.
Michael Bermant, MD
Subj: Re: browlift
Please e-mail me your location and approx.cost of
a browlift. Thanks......M
This should not be construed as medical advice. I am a Board
Certified Plastic Surgeon.
I am located in Richmond Virginia, on our website you can
find details or call the office for more specific instructions.
Browlift is the name for a large variety of operations. Cost
depends on what needs to be done. For an average browlift the
surgeon's fee varies from $2100 to $2500. Anesthesia may be part
of those costs or additional depending on the type chosen.
I hope this information proves of some use. If my office can
be of further assistance, please let us know. We can be reached
at: (804) 748-7737. My staff and I try to ensure the comfort
of our out of town guests during their consultations and procedures.
Michael Bermant, MD
Subj: Re: forehead lift
Dear Dr. Bermant:
5 weeks ago I had a coronal forehead lift (incision a couple
of inches behind the hairline). I am concerned about unevenness
(an indentation) above my right eyebrow. The day of surgery when
I woke up & looked in the mirror, I had swelling of the forehead
(which I expected)...but there was 1 area (above my right eyebrow)
which was indented. My Dr. told me that it should "even
out" & has somewhat but it is still noticable. Is this
common? I don't believe it is. What caused it? and how more importantly
what can be done to smooth it? Is there a time period I should
wait before looking into alternatives? -5 weeks post and eagerly
awaiting your suggestions
Best Regards,
D
This should not be construed as medical advice. I am a Board
Certified Plastic Surgeon.
After a forehead lift, some swelling and possible unevenness
can happen, but usually it is of a small degree. It really depends
on what the problem was, what was done, and how you heal. In
techniques to even out severe forehead wrinkles, muscles often
are intentionally partially cut, relocated, and in some cases
removed. Aggressive wrinkle treatment can leave some significant
depressions that USUALLY improve with time. There are other possible
techniques that can leave unevenness. Since I did not operate
on you and have not examined you, I cannot tell you what happened,
nor recommend treatment, nor propose alternatives. These are
good questions for your doctor or for someone who has had the
chance to examine you.
I hope this information proves of some use. If my office can
be of further assistance, please let us know. We can be reached
at: (804) 748-7737. My staff and I try to ensure the comfort
of our out of town guests during their consultations and procedures.
Michael Bermant, MD
Subj: Re: eyes / forehead
Dear Dr.
I am 42 years old and am considering having a forehead lift,
and possibly the eyelids. I had the lower eyelids done five years
ago. Approximately what would these procedures cost and what
is the normal recovering time?
This should not be construed as medical advice. I am a Board
Certified Plastic Surgeon.
There are many types of forehead lift and blepharoplasty surgery.
My surgeon's fee for a typical operation for both is $4500. Additional
costs depend on where the surgery is performed, the type of anesthesia
and other factors. The OR charge for my office operating room
under local anesthesia is about $300.
Recovery depends on the operation, what is done, and how you
heal. Resting the night after surgery and perhaps the next day
with the head, neck and back elevated is important for postoperative
swelling. The amount of time for recovery varies widely. Most
patients are able to resume normal activities in 10 days or less
after surgery.
My web page is just an introduction to the educational process
our office has as part of our surgical package. The best way
to learn about forehead and blepharoplasty surgery is during
an in office consultation and evaluation. I can then discuss
specific surgery for specific problems. If you are indicated
call our office for further details.
I hope this information proves of some use. If my office can
be of further assistance, please let us know. We can be reached
at: (804) 748-7737. My staff and I try to ensure the comfort
of our out of town guests during their consultations and procedures.
Michael Bermant, MD
Subj: Re: Re: eyes / forehead
Dear Dr. Bermant,
I would like to get more information about you and your practice.
1. How long have you been practicing plastic surgery?
2. What is your area of interest (i.e. breast augmentation, face
lifts, etc.)
3. Do you have any photos of the results of you surgery fo the
forehead and eyes?
4. Is it possible to schedule a consultation and the procedures
within the same week?
This should not be construed as medical advice. I am a Board
Certified Plastic Surgeon.
My CV page on the web outlines
my training.
My web site has hundreds of pages of various problems that
I treat (the web site is not yet complete). There are thousands
of links, before and after images and patient information. The
site keeps expanding as I can find the time to upload material.
I have been in private practice since 1986. My interest is
in cosmetic operations and complex reconstructive surgery. Rhinoplasty
nasal surgery is one of my favorite areas, but I am a broad spectrum
plastic surgeon. Sample results are up on my web pages.
You would need an evaluation and examination to find what
benefits plastic surgery has to offer. Our patients coming from
out of town for forehead lift and eyelid surgery need to be evaluated
here before surgery. That can be in a separate trip to Richmond. For those patients who want
to have the surgery during the same visit, tentative operative
time can be scheduled./P>
For our patients booking tentative surgery on the same visit,
we have preliminary patient information forms that can be filled
out and explored before coming to Richmond.
I hope this information proves of some use. If my office can
be of further assistance, please let us know. We can be reached
at: (804) 748-7737. My staff and I try to ensure the comfort
of our out of town guests during their consultations and procedures.
Michael Bermant, MD
Bulletin
Board for Patient's Questions and Answers
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