Modern medical advances have made it possible for patients to have endoscopic (minimal incision) surgery and be back to routine activities in 2 to 3 days. With a quicker recovery time and only minimal pain, an endoscopic brow lift at Destin Plastic Surgery in Florida allows patients to return to their normal lifestyle with less discomfort than is usually associated with a classic brow lift, also called a forehead lift.
Dr. W. R. Burden is a pioneer in minimally invasive facial surgery having performed the University of Florida's first endoscopic brow lift in 1994. He later performed Northwest Florida's first endoscopic brow lift in 1995 in Fort Walton Beach. Since then he has performed thousands of facial procedures, he has developed advanced techniques of lower eyelid and facial surgery, is currently writing papers on facial surgery, and along with Dr. Scott Ennis has authored articles on rejuvenating the area around the eyes.
For more information about brow lift surgery, request a consultationrequest a consultation online to meet with one of our surgeons or call our office at (850) 654-1194. Located in Destin, Florida, we provide first-class services for patients choosing brow lift surgery from surrounding cities like Panama City and Pensacola, as well as neighboring states and international locations.
Dr. William Burden
A renowned plastic surgeon with vision, experience and an eye for innovation.
Dr. L. Scott Ennis
A renowned plastic surgeon devoted to achieving the optimal outcome for every patient.
Aging of the Eye Area
The eyes affect the expression of the face more than any other of the facial structures. We notice the eyes first when we engage another person in conversation and other social activities. Consequently, the effects of both aging and environment first reveal themselves in the eyes. There are 3 aspects that will influence the appearance of the eyes:
- Position of the brows
- Upper eyelids
- Lower eyelids
When the eyebrows have lowered, you have a closed-eye, concerned, appearance. Excess skin on the upper eyelids gives the appearance of being tired and makes you look older. The lower eyelids, when "baggy," give the appearance of a poor night's sleep and can make your look old, tired, and sometimes angry.
Fortunately, all 3 of these structures can be surgically treated to improve the eyes and restore that rested, youthful appearance.
Brow Lift versus Eyelid Surgery
Frequently, people are told that they need upper eyelid surgery. They will have droopy skin at the outer aspect of the eye with a fold in the crow's feet area. At casual observation, the patient will agree. Unfortunately, the wrong operation is often performed. A brow lift would have been the appropriate procedure and upper eyelid surgery done if there were excess skin following the brow lift.
If you look carefully at the skin between your eyebrow and your upper eyelid, you will note that the skin immediately below the brow is thick and of a different color and texture than the skin covering the eyelid. The eyelid skin is usually darker and thinner and much more supple. It is inappropriate to resect this upper eyelid skin resulting in placement of the brow skin on the upper eyelid.
The eyebrow position acts as the scaffold on which the upper eyelid is based. The brow should be placed in its proper position first. Then if extra skin or bulging of the upper eyelid fat is apparent, upper eyelid surgery can be performed safely.
We are frequently consulted by patients for improvement of their upper eyelid appearance after they have had upper eyelid surgery, they realize that they need a brow lift; however, a brow lift cannot be performed as skin removed from the previous upper eyelid surgery prevents them from being able to close their eye when the brow is elevated to the proper position.
Advantages of Endoscopic Brow Lift
In the past, to improve the appearance of the eyebrows and forehead, a traditional brow lift was performed. It was done by making a large incision from ear to ear across the top of the scalp, and removing a section of scalp. Although the cosmetic appearance was favorable, the procedure often left a person with a numb spot on the top of their head and a large scar across the top of the head, which was sometimes visible, especially in men with short hair, and women who had a short hairstyle.
A modern surgical technique, called an endoscopic brow lift, was developed to minimize the large scar of the traditional brow lift. This new endoscopic procedure involves a much smaller incision and no removal of scalp or hair. The incision is approximately 1 to 11/2 cm in length. There is one incision in each temple and 2 incisions at the top of the scalp, behind the hairline. Using a fiber optic camera, which is approximately the size of a pencil; the brows are elevated along with the forehead. The muscles between the brows at the top of the nose are weakened. This prevents the deep furrows in that area that gives a person a stern angry appearance.
In addition to raising the central aspect of the brows, the endoscopic brow lift also elevates the brows at the outer corner of the eyes.
If you examine the before and after photos, you will note that after elevation of the eyebrows, there is an improved appearance of the eyebrow towards the outer aspect. This is due to the lift that occurs from the endoscopic brow lift placing the brow in a youthful position. Rarely is upper eyelid surgery needed following a brow lift.
A minimal incision procedure with "No Scar on the Face," another technique pioneered by Dr. Burden, is performed by both surgeons. This technologically advanced procedure corrects your tired, droopy, stern appearance and improves forehead wrinkles.
Recovery after Brow Lift
This surgery is usually performed on an outpatient basis and is frequently combined with other procedures, such as lower eyelid surgery and facelift surgery.
Dr. William R. Burden, MD, FACS and Dr. L. Scott Ennis, MD, FACS are known for their experience and dedication to staying in the forefront of leading technology in plastic surgery. Drs. Burden and Ennis not only treat many patients from Panama City, Pensacola, Fort Walton Beach, Tallahassee, Dothan, Atlanta, and Birmingham but also from around the world. Many people travel from Europe, South America and Asia to Destin to seek out their services.