The eyes are one of the most prominent features of the face and are part of what makes your appearance uniquely. Eyelid surgery can help!

The SMAS rhytidectomy, also known as an SMAS facelift, is a surgical procedure that targets the lower two-thirds of the face.

As part of the aging process, certain components the skin needs, like collagen and hyaluronic acid, are produced less and less. This results in the entire face losing elasticity and beginning to sag and wrinkle. A facelift is very effective for the cheek, lower face, and jaw areas—the lower two thirds of the face are worked on with a facelift. Brow lifts on the other hand focus on the upper third of the face: the forehead and eyebrow area. This procedure can help with forehead lines and wrinkles as well as ptosis of the eyebrows. Ptosis of the eyebrows causes a constant “scowling” or tired look. An endoscopic brow lift helps reverse this. 

Endoscopic brow lift procedure

Endoscopic brow lifts are a type of brow lift done using a small camera to help increase accuracy if the inside and middle portions of the brow need to be lifted, allowing smaller incisions to be made. This method allows for much less scarring, less bruising, and a much less invasive procedure. Recently an even less invasive approach using a single incision behind the hairline in the temple can be used to lift the outside part of the brow: the extended temporal brow lift or “pony tail lift”

Endoscopic brow lifts are an outpatient procedure, and take about one to two hours if done on their own. You may also choose to get another procedure done the same day, such as a blepharoplasty, lower facelift, and/or neck lift. Endoscopic brow lifts are occasionally done under local anesthesia, but usually are performed under general anesthesia. 

During the procedure itself, several small incisions will be made just behind the hairline. Using an endoscope camera for guidance, your doctor will cut away any excess skin, and reposition muscle and other tissues using thin tools. The frown muscles that are treated with neuromodulators such as Botox can be surgically partially removed, lessening the need for these injections in the future. This will give your forehead and eyebrow area an overall rejuvenated look. After the procedure, you can go home the same day. 

How long does an endoscopic brow lift last?

Like a facelift, an endoscopic brow lift is a fairly long-lasting procedure as far as plastic surgeries go. Results are considered to be permanent; unlike fillers or Botox for example, the results don’t “wear off” with time. However, with time, further droopiness and loss of elasticity occurs due to the effects of aging. In general, you can expect results to stay for about an average of 10 years, after which further age-related issues may come into play. This also depends on your own skin care…amount of sun exposure and upkeep, as well as your skin’s natural level of elasticity, and your age when you get the procedure. If you want to further stretch out your results, ask your doctor about regular Botox injections. And if you notice your results have been fading, a second endoscopic brow lift procedure can be performed down the line. If you’re considering refreshing the look of your face, consider an endoscopic brow lift. Dr. Edmund Fisher has years of experience performing multiple endoscopic brow lifts and can advise you on next steps. See some of Dr. Fisher’s brow lift work here, and give the office a call today and find out how we can help you.

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Otoplasties are done to correct the appearance of the outer ear, or pinna. Learn more about this procedure here.

Depending on your goals and lifestyle, there are a few different lip enhancement procedures that can increase the volume of your lips.