Did you know that an endoscopic brow lift, is another surgical option to get your eyes looking younger and refreshed? A quick look at the eyes can sometimes tell a lot about a person. And when it comes to surgical procedures for the face, it’s important to have realistic goals. It’s important to have realistic expectations as well.
In this guide, we review Endoscopic Brow Lift And Upper Blepharoplasty, endoscopic brow lift vs traditional, endoscopic brow lift technique, and upper blepharoplasty and brow lift cost.
Endoscopic Brow Lift And Upper Blepharoplasty
Dr. Kian Karimi is one of the most experienced and respected cosmetic surgeons in Beverly Hills. He has been performing cosmetic procedures for over 30 years, and his patients have included celebrities and other public figures who wish to remain anonymous. Dr. Karimi has been a pioneer in using the endoscopic brow lift technique, which allows him to elevate the eyebrows without leaving any scars or visible sutures on the forehead or temple areas of the face.
The endoscopic brow lift has become the procedure of choice in our modern world.
The endoscopic brow lift has become the procedure of choice in our modern world. It’s less invasive than other types of brow lifts, and it also has a faster recovery time and lower risk of complications.
The endoscopic brow lift uses a small incision in the hairline, which makes it much less painful than other methods. This makes it easier for patients to return to work quickly after their procedure is done!
In fact, Dr. Kian Karimi was a pioneer in the Beverly Hills area in using this amazing technique to address eyebrow aging issues.
In fact, Dr. Kian Karimi was a pioneer in the Beverly Hills area in using this amazing technique to address eyebrow aging issues.
He is board-certified by the American Board of Plastic Surgery and has been performing endoscopic brow lifts for over 10 years.
With the endoscopic brow lift, the forehead remains smooth, yet elevates and opens up the eye
The endoscopic brow lift is a minimally invasive procedure that works to elevate and open up the eye area, while leaving your forehead smooth. It can be performed in the office, with no incisions necessary on your face or scalp. The result is a natural-looking lifting of the brows without visible scars.
This procedure is ideal for those who have minimal sagging of their eyebrows but want to smooth out lines between their eyes and lift them slightly higher than where they currently sit.
endoscopic brow lift vs traditional
Lines, wrinkles and a sagging forehead can leave you looking worried, tired, or angry. Thankfully there’s the brow lift. A brow lift uses targeted incisions to reposition the brow and reduce the appearance of lines and wrinkles on the forehead. Through the incisions made, Dr. Sherris can adjust the underlying structures of the forehead and reposition and tighten the skin. The result is a forehead that has fewer dynamic and static lines visible and a refreshed more youthful appearance.
Plastic surgeons have a few options for performing a brow lift. Our Buffalo, NY plastic surgery center is pleased to offer the endoscopic brow lift technique. Let’s consider how the endoscopic form of the surgery compares to the traditional brow lift method.
About Traditional Brow Lift Surgery
During a traditional brow lift, a coronal incision was made. This was a single large incision that followed the patient’s hairline, spanning the scalp from one ear to the other.
While this allowed a surgeon ample access to the structures of the forehead, the size of the incision could pose a problem to many patients and run a risk of hair loss and longer healing. This is why alternatives to the traditional brow lift were developed.
About Endoscopic Brow Lift Surgery
Endoscopic brow lift surgery is the advanced and minimally invasive technique of performing the procedure today. Rather than a single large incision, Dr. Sherris makes about five small incisions hidden in the hairline. Each incision is strategically place along the forehead area to allow optimal access to the structures of the forehead.
He will use an endoscope and small surgical tools while working through these small incisions, making any and all adjustments through these incision sites. The skin of the forehead is then repositioned to help reduce the appearance of wrinkles.
The Benefits of Endoscopic Brow Lift Surgery
There are many benefits to undergoing an endoscopic brow lift rather than a traditional brow lift. These include:
Is a Brow Lift the Right Treatment Option for Me?
If you suffer from a sagging brow with forehead lines and wrinkles, endoscopic brow lift surgery may be ideal for you and your needs. The best way to find out if you’re a good candidate is to visit our practice for a consultation. We will go over all of your options for aesthetic enhancement and create a treatment plan just for you.
Learn More About Brow Lift Surgery
For more information about endoscopic brow lift surgery and how it can help eliminate unwanted lines and wrinkles of the forehead, be sure to contact skilled cosmetic facial plastic surgeon, Dr. David Sherris. We look forward to your visit and discussing these issues in much greater detail.
endoscopic brow lift technique
The endoscopic forehead and brow lift is used to elevate the position of the eyebrows and forehead. Indications for this procedure are multiple, and it is performed to correct brow ptosis and to treat the glabellar frown lines created by the corrugator and procerus muscles. [1, 2] Various factors, including natural aging, facial nerve injury, and facial trauma, can cause brow ptosis, although congenital or hereditary factors also may cause the condition. Brow lifting or forehead lifting is not a new concept, but the application of endoscopic techniques to this procedure is recent. [3, 4] See the image below.
History of the Procedure
In 1994, Vasconez et al first described endoscopic forehead lift in the United States. They detailed use of the endoscope to guide the release of the supraorbital and glabellar soft tissues. The dissection was performed in the subgaleal plane and involved dividing the procerus and corrugator muscles and scoring of the frontalis muscle. The fixation technique was not well described and appears to have varied.
Since this first description, multiple variations have been used. Most variations pertain to placement of incisions, planes of dissection, and methods of fixation of the forehead and brows. Because endoscopic forehead lift has been performed in the United States only since 1994, results of long-term follow-up studies of more than 5 years’ duration have not been published. Results directly comparing the more established methods of forehead and brow lifting with those of the newer endoscopic techniques are also scarce.
To date, reports on endoscopic forehead and brow lifting show that excellent results are obtained with this technique. Advantages over the coronal and trichophytic approaches include significant reduction in the length of incisions, improvement in the camouflage of these incisions, and reduction of blood loss and surgical trauma. Also, the endoscopic forehead lift reduces scalp hypesthesia. Disadvantages include increased cost because of the need for more sophisticated equipment and risk of injury to either the sensory nerves or the motor nerves in this region. Additionally, surgeons must negotiate a learning curve before achieving proficiency in this procedure. In a study published in 2002, Puig and LaFerriere compared the results of open versus endoscopic forehead/brow lifts and found no statistical difference in the measurable results obtained with these procedures.
Depending on the type of fixation method used, a theoretical risk of cerebrospinal fluid (CSF) leak or meningitis exists. The present authors found only 1 case report of a CSF leak associated with endoscopic brow lift, and this appears to have involved improper preparation rather than a fundamental problem with a particular fixation technique. Despite this report, endoscopic brow lift appears safe and effective when performed by properly trained surgeons, and the procedure represents an additional tool for the restoration of a symmetric, youthful appearance in the upper part of the face.
Problem
The problems addressed in endoscopic forehead and brow lift are brow ptosis and/or forehead or glabellar rhytidosis. Eyebrow ptosis is considered to be present when the eyebrow occupies a position relative to the superior orbital rim that is lower than that on the other side in cases of unilateral brow ptosis, or one that is lower than that desired by the patient. For women, the desired position generally lies at or slightly above the medial aspect of the superior orbital rim, laterally arching superior to varying degrees. For men, the brows look most natural at or slightly above the supraorbital rim with less of an arch.
Ptotic eyebrows can give the appearance of anger, worry, or weariness despite a lack of emotional intent or physical condition. Unilateral brow ptosis or brow asymmetry, whether naturally occurring or related to facial nerve dysfunction, creates the appearance of a smaller eye on the ptotic side. Glabellar frown lines are the rhytides or wrinkles just above the nasal dorsum between the eyebrows that are caused by activity of the procerus and corrugator muscles. Endoscopic forehead and brow lift addresses and improves these areas.
Epidemiology
Frequency
The frequency of age-related changes is 100%—every living person ages. Brow ptosis is one of the earlier age-related changes and usually begins in the fourth decade of life. Other causes of brow ptosis, such as scarring or facial paralysis, are relatively rare.
Etiology
Pathophysiology
Presentation
Indications
Indications vary and include age-related changes of the upper part of the face and congenital or acquired brow ptosis. In most cases, this procedure is performed to improve the cosmetic appearance of the upper face and brow. The procedure is generally performed for age-related facial changes, but it also may be performed for acquired ptosis due to trauma, facial nerve paralysis, or other conditions.
Patients with an upper visual field defect due to ptotic eyebrows may benefit from an endoscopic forehead and brow lift, depending on whether the predominant reason for the visual field defect is brow ptosis or redundant eyelid skin. Commonly, visual field loss is caused by a combination of these 2 problems, and a combined procedure of endoscopic forehead and brow lift with upper eyelid blepharoplasty is required.
The combination of forehead and brow lift with upper eyelid blepharoplasty is also commonly performed to treat the eyelid and forehead and brow changes of the aging face. Some authorities advocate performing these procedures at separate times. In the authors’ experience, however, both procedures can be performed simultaneously with safety. The order in which they are performed varies with the surgeon’s preference.
Relevant Anatomy
The forehead and eyebrows are multilaminar structures beginning at the superior aspect of the orbits and extending superiorly to blend into the scalp. Beginning with the skin, the layers at the level of the eyebrows include the skin, subcutaneous fat, muscle (orbicularis muscle laterally and procerus and corrugator muscles medially), aponeurosis (galea), periosteum, and bone.
The arcus marginalis is an area of thickening of this aponeurosis at the superior aspect of the orbit and serves as a point of attachment for the orbital septum. Critical nerves at this level are the supraorbital and supratrochlear nerves, which exit from their respective foramina at the medial and mid aspect of the orbit to travel through these layers and ramify into the appropriate skin receptors.
Proper release of the arcus marginalis and sectioning of the procerus and corrugator complex with preservation of the integrity of the sensory nerves in the supraorbital area are the most critical parts of the endoscopic forehead and brow lift. Obviously, avoiding injury to the frontal branch of the facial nerve as it passes lateral and superior to the orbit is critical for a desirable outcome. The sentinel vein is a good anatomic landmark visible near where the lateral orbital rim rises to meet the frontal bone. The frontal branch of the facial nerve runs immediately superficial to that structure. Care should be taken not to detach the lateral canthus because detachment can be associated with distortion of the normal position of the lateral commissure of the palpebral fissure.
upper blepharoplasty and brow lift cost
Blepharoplasty (eyelid surgery) is typically a one-time procedure done to revitalize the appearance of the upper face. Patients can achieve dramatic, long-lasting results with a single surgery. The procedure can be done for both aesthetic and functional purposes. Many patients come into our office wanting to restore a well-rested, youthful appearance and are surprised to learn just how affordable the procedure can be.
So, what will your surgery cost? Blepharoplasties are a highly custom procedure with varying degrees of complexity. The top three expenses that go into the price you’ll pay is; surgeon’s fees, anesthesia, and operating/facility fees. We’ll give you a starting point on what you can expect below.
*Individual Results May Vary
Upper Eyelid Lift Surgery Costs
Upper eyelid surgery is a relatively straightforward procedure. It’s done under local anesthetic and takes just 1-2 hours. Patients can expect the lower end of their procedure to cost as little as $1,500 with an average price of about $3,200. Of course, your individual needs and goals can raise the price tag significantly if your condition is severe or you’d like a dramatic change.
Under-Eye Bag Removal Costs
Lower eyelid surgery is typically slightly more complex and is done under general anesthesia. Your bag removal surgery can cost anywhere from $2,000 to $12,000. However, the average price you’ll pay in Raleigh, NC is around $6,775. Lower eyelid surgery is rarely done for functional purposes and is not typically covered by insurance.
Combination Eyelid Lift Procedures
Aging doesn’t just happen to one part of our face at once. Some patients may benefit from pairing the two procedures for enhanced results with a single recovery period. Combining both upper and lower eyelid surgery is a cost-effective way to save on many surgical expenses like facility fees. The average price for combination upper/lower blepharoplasties in Raleigh, NC is about $4,650.
Dr. Stein is a double board certified surgeon and facial specialist. He has performed hundreds of upper and lower eyelid surgeries and is familiar with the complexities associated with each. In some instances, Dr. Stein may suggest pairing your blepharoplasty with a complementary treatment such as a brow lift.
At the time of your in-person consultation, Dr. Stein will customize a treatment plan to help meet your goals and provide you with an upfront cost estimate.
Blepharoplasty Consultations Available!
What Other Blepharoplasty Costs Should I Consider?
There may be some nominal pre and post-surgical fees associated with your procedure to ensure an optimal outcome. While individually they may not be much of a factor, these costs can quickly add up for patients paying out of their own pocket.
Additional costs may include;
Every surgeon prices his or her procedures differently. Some surgeons may offer ‘all-inclusive’ pricing, and others may choose to itemize each expense. Be sure to ask what’s included in your cost estimate at the time of your initial consultation.
Will Insurance Cover My Eyelid Lift Surgery?
Occasionally, some functional surgeries may be covered by your insurance. For example, if you have a severely low-hanging upper lid that is obstructing your vision and affecting your day-to-day activities like driving, insurance may pay for all (or a portion) of your surgery. In most cases, patients should expect to pay out-of-pocket for their blepharoplasty when done solely for cosmetic reasons.
Stein Plastic Surgery offers several options when it comes to patient financing for aesthetic procedures. Our patient care coordinator will work with you to explore your financing options.
Dr. Stein and his staff are the best. Everyone is friendly and very professional and the facilities are clean and impeccably maintained. I could not have asked for a better experience and the results of my blepharoplasty are excellent. Several people have told me I look younger but they can’t quite put their finger on why, which is exactly what I wanted from plastic surgery – namely a better and more youthful appearance without looking like a Hollywood freak. Follow-up and aftercare services were also equally excellent. I would not hesitate to recommend Dr. Stein to anyone wanting to improve their appearance, especially since many consider him to be the best and at the top of his profession (that includes me)!
Take the Next Step
Interested in learning more about blepharoplasty (eyelid lift) procedures? To meet with Dr. Stein, a double board-certified facial plastic surgeon, request a consultation at our practice by filling out the form on this page. Or, call our office at (919) 261-7099 to schedule your appointment. Stein Plastic Surgery serves patients in the Raleigh & Durham, NC areas.