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Concern: Brows

Procedures:

Fillers (Juvederm, Restylane, Radiesse, Sculptra) , Blepharoplasty , Browlift , Neuromodulators (Botox, Dysport) , Temporal Brow Lift , Threadlift

Ages:

30's , 40's , 50's , 60's+

HA Fillers (Juvederm, Restylane)

Author: Min Ahn

Fillers (Juvederm, Restylane, Radiesse, Sculptra)

Since the introduction of bovine collagen for treating wrinkles, significant advances have been made with soft tissue fillers. Currently the most popular fillers in the United States for skin creases and volume deficient areas are the hyaluronic acid fillers (HA). The two most popular of such fillers are Juvéderm® Ultra and Restylane®. Both fillers have the advantages of being well tolerated by the body, long lasting and natural appearing.


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Blepharoplasty- Upper

Author: Patrick Byrne, MD FACS

Blepharoplasty
Blepharoplasty is a surgical procedure to rejuvenate droopy eyelids through the removal of excess skin, muscle, and fat. As we age, the tissues of the eyelid weaken and loosen, resulting in sagging soft tissue that can crowd the eyes. This contributes to an aged appearance, and in some cases can also partially obstruct ones vision. An upper eyelid blepharoplasty can make a person look younger, more rested, and in some cases improve their vision.

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Radiesse

Author: Min Ahn

Fillers (Juvederm, Restylane, Radiesse, Sculptra)
Radiesse is long lasting soft tissue filler that is a popular choice for facial volumizing treatments. It is FDA approved for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds (laugh lines). Radiesse is composed of Calcium hydroxylapatite microspheres suspended in a gel carrier and high purity water. When Radiesse is injected into tissue it provides an immediate 1:1 level of correction. Over the course of 3-6 months, the gel carrier is degraded and the remaining Radiesse particles act as a scaffold for new collagen formation. This process is thought to account for extended, “semi-permanent” correction.

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Browlift

Author: Patrick Byrne, MD FACS

Browlift
A browlift is a procedure that is performed to elevate the eyebrows.  Lifting low eyebrows can make the eyes appear larger and more open, create a more beautiful shape to the brows, and lesson the lines and wrinkles of the forehead. These changes can produce a remarkable effect – particularly if done in a skillful manner to produce a subtle and natural appearing result. It is most commonly performed in men and women in their 50’s, 60’s, and beyond. The brows must not be lifted too much so as to avoid an unnatural, surprised look. This can be avoided by careful surgical technique.

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Botox- Cosmetic

Author: Min Ahn

Neuromodulators (Botox, Dysport)
In 1987, Dr. Jean Carruthers, a Vancouver oculoplastic surgeon, discovered that she could inject botulinum toxin A into muscles around the eye and temporarily smooth out wrinkles. Four years later, she and her husband Dr. Alastair Carruthers, a dermatologist, published their findings. This report launched what would become the most commonly performed aesthetic treatment.

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Temporal Lift

Author: Min Ahn

Temporal Brow Lift

Temporal Browlift

A temporal browlift is a procedure that is performed to elevate the outer portion of the eyebrows only.  Unlike the more common endoscopi browlift or coronal browlift, the medial (inner) part of the eyebrow cannot be lifted with a temporal brow lift. Some surgeons fell that lifting the outer eyebrows is the only part of the brow that needs to be lifted in order to create a more beautiful shape to the brows that looks natural and aesthetically pleasing.

 

Anatomy

The ideal brow in women has an arch with the outer third that rests above the level of the eye socket rim while the forehead is at rest. In men, the brows tend to be flatter and rest at the rim.

 

The eyebrows are lifted by the forehead (frontalis) muscle and are pulled down by the crow's feet muscle (orbicularis) and the frown line (corrugator) muscle.

 


 


 


 

 


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Threadlift

Author: David W. Kim, MD FACS

Threadlift
In recent years, there has been a movement in cosmetic surgery toward less invasive, shorter recovery treatment options.  For many, the desire for cosmetic improvement must be balanced against concerns about recovery time, expense, and risk.  This has spurred an increased popularity of in-office procedures, such as Botox®, injectable fillers, and laser skin resurfacing.  But even certain surgical procedures have emerged which are less invasive variations of more extensive operations.

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Dysport

Author: Patrick Byrne, MD FACS

Neuromodulators (Botox, Dysport)
Dysport is an injectable drug used to lesson wrinkles on the face. It is made of botulinum toxin type A.  Dysport can reduce the appearance of lines and wrinkles by constricting the movement of muscles that it is injected into. It is the same active agent as Botox, a very popular wrinkle reducer. Dysport was approved for use in the United States in 2009.

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Sculptra

Author: David W. Kim, MD FACS

Fillers (Juvederm, Restylane, Radiesse, Sculptra)
Commercially available fillers have seen recent increased popularity.  These office based treatments improve the appearance of unwanted wrinkles, folds, and areas of hollowing or deflation in the face.  The most commonly used fillers come in a paste or gel form and are introduced to the desired location under the skin surface through needle injection.   Collagen, hyaluronic acid, or hydroxyapatite are types of fillers available on the market.  These substances, which also naturally exist in the body, create a beneficial effect by direct addition of volume into specific areas.  A disadvantage of these products is the fact that they are reabsorbed by the body within 6-18 months after placement.  Although there are some non-absorbable, permanent products used, these have not gained the popularity of the absorbable fillers, likely due to concerns about the potential for long term or permanent complications.

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Blepharoplasty- Lower

Author: David W. Kim, MD FACS

Blepharoplasty
Lower blepharoplasty is an operation of the soft tissue in and around the lower eyelids.  The operation aims to create a smooth contour to the skin immediately below the eyes.  Common reasons that motivate patients to undergo lower blepharoplasty include under-eye wrinkles, puffiness, dark circles, or some combination of the above.  These unsightly characteristics create an aged or tired appearance in many individuals.

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