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A Fresh Face Without Surgery

Fillers in Dubai | 6 June 2019

Is it good bye to nip and tuck? Today more people are turning to gentler new ways to get a younger look, with incredible results. Fresh, smooth, glowing skin – it’s on every woman’s wish list. And those in the know are finding clever new ways to achieve a brighter. more youthful look, without the kind of bashing and bruising so often associated with a face-lift.

Face-lifts are reportedly falling out of favour even in the U.S, and off the list of the top five requested treatments. Instead, women are increasingly seeking out gentler, non-invasive and less expensive treatments which, while perhaps not as dramatic or permanent in their results, can still help us to present a fresh, radiant new face to the world.

Dermal Fillers Treatment

Prior to any filler treatment, I always invite my clients in for a consultation to ensure we find the best treatment to achieve results suitable for you. Dermal Fillers, made from Hyaluronic Acid, are the most popular volume enhancing treatments and are often used to reduce facial lines and to restore plumpness and volume to the lips and cheeks, defining the shape of your face. Producing safe, long-lasting and natural looking results, dermal fillers are a safe and effective cosmetic treatment when administered by a qualified practitioner.

There are many dermal fillers on the market that are substandard in terms of ingredients and quality. I use only the highest quality brand of temporary fillers renowned for their superior standards.

Lip Augmentation Fillers

For those who are unhappy with the shape or size of their lips, temporary Dermal Fillers can provide an effective volume enhancing solution that keeps them feeling soft and natural. A common complaint by many of my patients is that they dislike how thin their lips look. Instead of lining the lips and creating a distorted result, we enhance your lips’ natural pattern to give them an overall pleasing and full appearance.

Tear Trough Fillers

By injecting Dermal Fillers into the tear trough – which extends from your eye to divide your cheek from your lower eyelid – the area can be made to look less hollow while subtly easing dark circles under the eyes. Tear Trough procedures treatments are very specialised and require an experienced hand to perform them, especially since the treatment may not be suitable for everyone. The area under the eyes is assessed before treatment and I will advise you on whether this is an effective treatment for your case. Those who are eligible will benefit from a fuller and brighter expression that will leave your face looking fresh and rejuvenated.

Cheek Fillers (achieve a fuller cheek bone, higher cheek done look or to lift the sagging face)

Dermal Fillers can be injected along the contour of the cheek bone to help achieve a more defined appearance to the cheek bone. Volume is often lost from the cheeks due to ageing or weight loss and can cause sagging, restoring these areas are a great way to rejuvenate your face.

Nose to Mouth Lines (Nasolabial folds)

As we talk, smile, smoke or kiss it can cause the muscles around our mouth to crease and over a long period of time these lines may become more prominent and permanent. The ageing process also causes our production of natural collagen, hyaluronic acid and elastin to reduce causing lines and wrinkles to appear. Dermal Filler can be used to plump up and fill out the lines and folds that have been created in the Nasolabial folds as well as the mouth folds, marionette lines and drooping mouth corners to achieve a more rejuvenated and fresher face look.

Non Surgical Rhinoplasty

I also offer a Non-Surgical Rhinoplasty treatment which is achieved with the use of fillers.

Dermal Fillers Results

Lines and wrinkles are smoothed out and the skin appears plumper and younger. Areas lacking in volume and shape now have more definition, with a fuller appearance.

Downtime

None. You can go back to work immediately after your treatment and you can apply make-up over the treated area.

Breast Augmentation Dubai AFTERCARE

Breast Augmentation Dubai | 4 June 2019

Once your surgery is completed, you must follow all the instructions given to you in order to heal properly and have a good outcome.

The following instructions are your obligation. Use this as a checklist of progress as you heal. Included are normal post-surgical experiences and key health considerations that may be a cause of concern.

TYPICAL POST-OPERATIVE SYMPTOMS

Typical symptoms of breast augmentation and signs to watch for following surgery with silicone breast implants include the following:

Tightness in the chest region and stiffness

Tingling, burning or intermittent shooting pain. These are normal experiences as the skin, muscles and tissue stretch to accommodate your breast implants, and as sensory nerves heal. Pain medication and muscle relaxants will help you cope with any discomfort. If you have drains, you may experience additional localised discomfort. Consistent sharp pain should be reported to our office immediately.

Hypersensitivity of nipples or lack of sensitivity

This is normal and will gradually resolve over time. You may also experience a small amount of fluid or milk seeping through the nipples. If this becomes painful or excessive notify my office immediately.

A feeling of heaviness

It is normal for your chest to feel heavy as you adjust to your implants. This will subside within 2-4 weeks following surgery.

Shiny skin or any itchy feeling

Swelling can cause the breast’s skin to appear shiny. As the healing process advances, you may also find a mild to severe itchy feeling of the breasts. If the skin becomes red and hot to the touch, contact our office immediately.

Asymmetry, the breasts look different, or heal differently

Breasts may look or feel quite different from one another in the days following surgery. This is normal. Although no two breasts in nature or following surgery are perfectly symmetrical, breast massage and time will produce breasts that are similar in shape, position and size.

A sloshing sound or sensation

This is not the result of your implant, but rather of air that is trapped in the implant pocket and fluid that may naturally accumulate. This is perfectly normal and will resolve within 2-4 weeks.

AFTER SURGERY CARE

Your greatest discomfort usually occurs the first 24-48 hours after surgery. During this time, take all medications prescribed by me as directed. It is helpful to take pain medication with bland food to avoid nausea, which may occur if taken on an empty stomach.

Wear garments as directed after surgery. An additional garment may be picked up at the office. Contact the office before taking any Aspirin, ibuprofen (Motrin/Advil) or Aspirin-like medications. You may take Tylenol, if you are not taking a pain medicine that already contains Tylenol (acetaminophen), such as Percocet (oxycodone) or Norco (hydrocodone).

Eat easily digestible foods. These are tolerated well the first 24 hours after surgery. If you are not experiencing nausea, you may resume a normal diet. Drink plenty of non-caffeinated beverages and eat fruit and food high in fiber to avoid constipation. Should constipation occur, discontinue pain medication (if tolerated). For relief, you may try magnesium citrate (purchased at your local pharmacy) or prune juice. It may take up to 24 hours to produce a bowel movement. These treatments may be repeated as needed.

AFTER SURGERY ACTIVITY AND HYGIENE INSTRUCTIONS

No lifting over 10-15lb. until cleared by myself. When at home, take frequent rest periods – you may walk for short distances, as walking is important to prevent clots from forming in your legs. As you increase your activity, let comfort be your guide. If it hurts, don’t do it.

Do not resume jogging, aerobics, sexual or vigorous activity until cleared by myself. No heavy household chores (laundry, vacuuming, sweeping/mopping, etc.) until cleared. You may shower 24 hours after surgery. Do not submerge incisions or drains (if present) under water such as in bath, lake, river, pool or hot tub. If present, leave steri-strips (flesh colored bandages) in place. All other dressings may be removed to shower.

Continue to wear the garment, placed on you at the time of surgery, 24/7 except to shower or to launder the garment. Two weeks after surgery, you may discontinue sleeping in the garment and only wear it during the day. While taking pain medicine, have someone assist you with daily activities, particularly personal hygiene.

Limit arm usage to routine daily functions such as brushing your teeth, eating, washing and combing your hair. Avoid vigorous arm motion that requires pushing, pulling and/or lifting heavy objects.

As you heal and soreness subsides, let pain be your guide for your activity level. If it hurts, don’t do it. Check with me before returning to work, particularly if your job requires heavy lifting or vigorous activity.

Avoid sleeping on your abdomen until all soreness has subsided. You may find sleeping propped on 2-3 pillows more comfortable. Avoid sunbathing for 4-6 weeks or until cleared by myself.

Do not wear an underwire bra for 6 weeks. At that point, you may wear a bra of your choice. However you will need to wear a good supportive bra for exercise or vigorous activity. Preferably a sports-type bra that has cups versus one that just compresses the breasts.

Do not smoke for 6 weeks as smoking delays the healing process.

WOUND CARE

You may have several layers of dressings. After 24 hours, you may remove all dressings except the flesh-colored bandages (steri-strips) or clear “tape” (Prineo). Leave either of these dressings in place until your follow up with your surgeon. If either of these dressings comes off, please contact my office for further instructions.

Do not put anything on your incisions except soap and water unless instructed.

Please notify me if:

You have a fever greater than 101 that lasts more than 24 hours.

You develop excessive swelling, redness or warmth of incisions.

You experience severe pain not responding to pain medication.

You develop thick, odorous drainage or bleeding that does not subside. You experience shortness of breath.

One breast appears twice the size or more than the other.

AFTERCARE: BREAST AUGMENTATION SUMMARY

Dressings

On day two from surgery remove all gauze in the bra and throw it away. Shower, and then pat the incisions (steri-strips or skin glue) with a clean cloth. Replace soft bra. You will not need gauze unless you have some slight drainage from the incision sites and want to keep this from getting on your clothes.

Bathing

You may shower two days after surgery (48 hours after surgery). Do not bathe, swim, hot tub, lake swim, or use a whirlpool until incisions are fully closed. I will determine when you are cleared for these activities based on your physical exam. You may feel lightheaded on your first or second shower, therefore a shower assistant is mandatory. Sitting on a chair in the shower is also helpful if you feel more comfortable.

Medications

Complete your course of antibiotics. Arnica may reduce bruising and you should take a complete course. Take prescribed pain medication only as directed and consider Extra Strength Tylenol in place of narcotics. Take medications with food to reduce nausea. Resume pre-operative medications unless otherwise directed by your operating physician or personal physician.

Swelling

Initially, there will be quite a bit of swelling. This swelling over the first couple of days. You will notice that your implants/breasts seem high on your chest. This is often very normal. On day 5 you will start massaging your breasts. This will assist with the implants settling and the capsule to form flexibly. Do not apply heat or ice to any treatment areas. Your ability to sense if your skin is getting too cold or hot is not normal and you may burn yourself.

Massage

Start gentle massage of the breasts at day 5. I or my office staff will demonstrate this technique for you at your post-operative visit. Lymphatic massage has also been shown to help people with fluid retention following surgery. Do not lie on your stomach.

Diet

Start with a bland soft diet and increase this slowly. Slowly resume a balanced healthy diet. This is often difficult following surgery as you are not feeling at your best and are limited in the amount of physical activity you can do. Limit the amount of salt to take in as this will affect your swelling. Drink plenty of fluids. Avoid alcohol.

Clothing

Avoid tight fitting bras that dig into your skin or incision. Wear a soft bra that gives moderate support and opens from the front. This makes it easier to take it on and off.

Smoking

It is well known that nicotine impairs healing and increases your risk of infection. Your scars and final outcome are negatively affected by smoking/nicotine as well.

Driving

Do not drive or operate any heavy machinery for 24 hours following surgery and/or until you are not taking pain pills. You will need someone with you mandatorily for 24 hours following surgery.

Breast Augmentation Dubai

 

 

Are dermal fillers right for you?

Fillers in Dubai | 2 June 2019

The most important thing to do before going ahead with a dermal filler treatment is to do your research. Firstly, think about what you want to achieve from the treatment. This will help you and your practitioner to narrow down the type of filler you’ll want to use and ensure your treatment resolves your primary concerns.

Secondly, set a strict budget for your treatment. Many treatments are only fully effective with multiple treatments or a combination of dermal fillers and botox. It’s important to be aware of this so that you aren’t left disappointed by a half effective course of treatment. You should also be wary of practitioners offering a cheap service. These treatments, when carried out by an experienced, qualified practitioner, should not be cheap. If someone is offering you a treatment for a lot less than other practitioners it may reflect the quality of the practitioner, product or clinic. With Dermal fillers, you get what you pay for. So if you’re looking for a high quality treatment with minimal side effects, you’ll need to pay for it.

Finally, once you think you’ve found the treatment and practitioner to suit you, make sure you meet them, ask questions and feel comfortable having them treat you. There should be no pressure put on you to get a treatment done right away or use any products that you haven’t specifically requested. Dermal fillers are safe and effective as long as you select a provider who will make every effort to minimise risk, work with you to address your concerns and follow up to ensure that you are well and satisfied, so make sure you know who you’re dealing with.

Fillers in Dubai

Blepharoplasty: The Aftercare Guide

Blepharoplasty Dubai | 30 May 2019

Blepharoplasty – the surgical procedure of removing excess skin and fat around the eyes to remove eye bags and correct hooded, or drooping eyelids – is one of the simplest and most straightforward plastic surgery procedures you can have. It is one of the most popular cosmetic treatments which improves the appearance of the upper eyelids, lower eyelids, or both. A Blepharoplasty procedure can take as little as 30 minutes, but just as any other treatment or surgery, you’ll need to ensure that you follow all the aftercare instructions and advice (how to care for your eyes, medications to apply or take) to allow for a swift and smooth recovery.

What to expect following your Blepharoplasty procedure

Before you leave your cosmetic clinic, your cosmetic surgeon will go through Blepharoplasty aftercare guidelines with you and answer any questions you may have. Patient advisors should contact you regularly to follow-up on your progress and you should also be given 24-hour emergency numbers, to keep your mind at ease knowing that you can get in touch with your clinic whenever you feel the need to. On the day of your procedure, it is suggested that a family member or friend pick you up from the clinic and stay with you for the first 24 to 48 hours, until you are settled in and feel comfortable about acting autonomously.

While you’re comfortable at home, it is recommended that you follow the below general guidelines:

– Avoid lying down flat. By keeping your head elevated, you can reduce some of the swelling while also being more comfortable. Use 3-4 pillows when sleeping. A 45-degree angle is best and a travel pillow will provide support for your neck. During the first week, make sure to sleep on your back.

– Try not to bend forward or over for the next three weeks as this can increase swelling.

– For the first 24 hours, try and eat only liquid, nutritious food so as to exert your face as little as possible.

– DRINK WATER. We can’t stress enough how important it is for you to stay hydrated.

– Don’t skip any of your medication. It’s in your own interest to take it exactly as prescribed. When your pain lessens, you can switch to over-the-counter medicine like ibuprofen or acetaminophen.

– Don’t remove any steri-strips. It might be slightly uncomfortable, but please try not to touch the crusting around your stitches.

– Quit smoking and alcohol for at least 6 weeks prior to surgery and 3 months after. That way you’ll be ensuring that your body’s healing ability is performing at full capacity.

– Contact lenses shouldn’t be worn for 2 weeks.

– Wait at least a week until you start driving again. Use common sense – if you have trouble seeing, don’t drive.

– Use an SPF 30 sunblock or higher, regardless of your activities or the weather as your skin will be sensitive.

– Don’t use any fragranced skincare products. If you feel the need to apply skincare products, do so cautiously and stay away from the incision areas to avoid infection.

– Don’t apply any makeup until at least a week after your stitches have been taken out and the wounds have sealed. It’s best to avoid applying it until your eyes have completely healed in order to avoid scarring and infection. Note that using new products will further lessen the risk of infection.

– Don’t do any exercise other than walking, which is necessary daily so as to prevent blood clot formation.

The healing process

Depending on your body, you will be advised to take around 1 week off work. It’s normal to experience some bruising and swelling during your initial healing process. This isn’t anything to be alarmed about, and your surgeon and aftercare advisor will talk you through how to control any discomfort. Very few of our patients report any pain experienced with the bruising. Despite it being a minimal procedure, patients have expressed great joy at having opted for it. Women in particular, have been impressed at how much easier their morning routines are now that they can easily apply makeup, without having to deal with troublesome creases and folds. Most just tell of how much younger and more refreshed they feel thanks to these small tweaks.

What Are Dermal Fillers Used For?

Fillers in Dubai | 23 May 2019

Dermal fillers do not refer to a single production line, so there are differences in what parts of the face each and every one of them is meant to address. However, they all perform the same basic function at the end of the day – taking care of those lines and wrinkles that set in to depict aging on the face. For a more comprehensive list of where the known dermal fillers work on, we have:

– Nasolabial fold – those lines from the mouth to the nose

– Melomental fold – the lines from the mouth to the chin

– Lines occurring above the upper lip and

– Lines formed on the face due to frowns, among others.

– Besides the treatment of lines, though, dermal fillers have found application in other areas too.

For one, they are used to return volume to the cheekbones after they start sinking due to age. Furthermore, the lips have also started enjoying from the wide application of dermal fillers. Known to supply volume to thinner lips for a fuller feel, the level of safety they bring to this operation make them the ideal pick for many undergoing any of the procedures mentioned above.

What are the alternatives to tummy tuck?

Tummy Tuck Dubai | 20 May 2019

What are the alternatives to tummy tuck?

Although it’s not strictly an alternative, you might be able to have liposuction to reshape your abdomen. This is where your surgeon uses a special machine to suck out excess fat from under your skin. You can have it on its own instead of a tummy tuck, but it only removes fat, whereas a tummy tuck removes fat and skin. After liposuction, your skin will shrink back a little, if you’re younger and your skin is still quite elastic. But if you have loose skin or muscles before the operation, then liposuction alone won’t be effective. Liposuction might be helpful if you’re not generally overweight, but have localised areas of fat that you want to get rid of. If you have excess skin, liposuction alone won’t be effective. Liposuction may occasionally be an added part of a tummy tuck procedure. As with any medical procedure, liposuction can have side-effects and longer-term complications. Your surgeon will tell you about the potential risks and benefits of tummy tuck and any other treatment options available to you.

What happens during a tummy tuck?

Depending on how much fat and skin you’re having removed and the technique your surgeon is using, the operation can take between two and four hours. There are several types of tummy tuck. The one you have will depend on how much skin and fat you have removed. Your surgeon will discuss this with you and explain which type is most suitable for you and why. Occasionally, liposuction may also be done at the same time as your tummy tuck, but your surgeon will explain whether this is needed.

Standard tummy tuck

Your surgeon will make a cut in your abdomen from hip to hip along your pubic area (in women this is also called your bikini line). They’ll make another cut around your belly button to free it from the surrounding skin. Then the repair will tighten your abdominal muscles and remove excess fat and skin. The remaining skin is pulled down and a new hole is made for your belly button so that it is in the correct position. You’ll have a scar around your belly button and a long curved scar on your abdomen above your pubic area. Because of the normal pattern of pubic hair, the scar is generally higher in men than in women. You can usually hide these scars with your underwear or with swimwear such as a bikini or shorts, but this may not always be possible. This will differ from person to person and on the type of tummy tuck you have. Your surgeon will explain the scars you’re likely to have.

Mini tummy tuck

You can have a mini tummy tuck if you only need to have a small amount of skin or fat removed. Your surgeon will remove excess skin and fat from below your belly button and you usually have liposuction at the same time. Afterwards, you’ll have a curved scar on your abdomen above your pubic area. This may be slightly shorter than with a standard tummy tuck. Your belly button stays in the same place, but it may be a slightly different shape.

Blepharoplasty – Eyelid Lift Surgery & Recovery

Blepharoplasty Dubai | 17 May 2019

Eyelid Lift Surgery & Recovery

Cosmetic eyelid surgery is performed as an outpatient procedure, and typically lasts from 45 minutes to 2 hours, depending upon whether or not you are having another procedure performed at the same time. Depending on the extent of your eyelid surgery, you will be given general anesthesia or local anesthesia with IV sedation. Most trained, board certified cosmetic surgeons today use advanced techniques that eliminate the need to bandage the eyes after surgery, although you may be given an eye lubricant that somewhat blurs your vision at first. When preparing for your surgery, it is a good idea to have some of your favorite music or audiobooks on hand to listen to as you spend the first few days resting at home. During the first 1 to 2 weeks after eyelid surgery, patients commonly have some visible bruising and swelling, and your eyelids may feel unusually tight. However, most patients report feeling more soreness than pain. Using cold compresses and keeping your head elevated while you sleep can help alleviate discomfort.

Life After Eyelid Surgery

Most patients feel well enough to make short trips (do not drive yourself until your cosmetic surgeon gives you clearance to do so) after about a week, and return to their jobs 10-14 days after an eyelid lift. It’s always important to follow your cosmetic surgeon’s instructions after any procedure, and after eyelid surgery you will have to make a few special but relatively simple modifications to ensure your newly rejuvenated eyelids heal optimally. Expect your eyes to get tired more quickly than usual for the first few weeks, and it’s important to let them rest as needed. If your job requires you constantly to be at a computer, consider resuming work part-time initially, then gradually increasing your workload as you continue to recover.

You must protect your eyes from the sun and wind. Wear dark sunglasses with frames that provide plenty of coverage whenever you go outdoors, and follow your cosmetic surgeons’ instructions about applying sunscreen after eyelid surgery. You will have to avoid lifting, straining, and bending down to pick things up for up to 4 weeks after eyelid surgery. This can be an inconvenient restriction, but it is crucial that you do not induce sudden increases in blood pressure until your incisions have healed adequately.

Keeping Your Results Looking Their Best

With a healthy lifestyle and good skincare habits, the results of cosmetic eyelid surgery should last for years. With the excess, sagging skin gone, your eyes will always look better refreshed and more youthful than they would have without an eyelid lift. Likewise, if you have lower eyelid surgery, those puffy eye bags will be gone. While nothing can stop the normal aging process, your results will age naturally with you.

You can keep your eyes looking more youthful by wearing sunscreen daily, becoming or remaining a non-smoker, and practicing good nutrition and health habits. Non-surgical treatments, such as Botox or filler injections or skin resurfacing, can also help you touch up your youthful appearance by smoothing wrinkles around the face and eyes. Your cosmetic surgeon can recommend the treatment options that will best meet your needs.

 

Dermal Fillers – What to Expect During Treatment

Fillers in Dubai | 16 May 2019

What to Expect During Treatment

Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet with your cosmetic surgeon to discuss your concerns and goals.

Pre-treatment consultation

During your consultation, your cosmetic surgeon will evaluate your area of concern and review your medical history. While the risks associated with dermal fillers are minimal, you need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results. For instance, you need to tell your cosmetic surgeon if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these increase the likelihood of bruising.

Your injectable filler treatment

Just before the actual treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your provider will then inject a precise amount of filler strategically beneath the skin. Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your cosmetic surgeon may ask you to take the day off from exercise or other strenuous activity.

If you are having fat injections

Facial fat grafting is a surgical procedure and follows a different treatment protocol. Typically, fat grafting is performed as an outpatient procedure, using general anesthesia or local anesthesia with sedation. Up to 2 weeks of downtime may be required, depending on the extent of liposuction performed. Your cosmetic surgeon will go over what to expect with surgery and recovery during your consultation.

Preparing for a Tummy Tuck

Tummy Tuck Dubai | 14 May 2019

Your surgeon will explain how to prepare for your operation. For example, if you smoke you will be asked to stop up to eight weeks before your surgery. Smoking increases your risk of getting a chest and wound infection, which can significantly slow your recovery. Coughing from a chest infection will make recovery much more painful. Smoking also reduces the amount of blood that reaches your skin, which means your wounds may heal more slowly.

Your surgeon may also advise you to:

– lose excess weight – you should be as close to the ideal weight for your height as possible before your operation

– stop taking the contraceptive pill four to six weeks before your operation, to reduce the chances of a blood clot (thrombosis) – make sure you use an alternative method of contraception

You have tummy tuck surgery under a general anaesthetic. This means you’ll be asleep during the operation. Before a general anaesthetic, you are normally asked not to eat or drink for six hours beforehand. Your surgeon or anaesthetist will give you specific advice on what you may or may not eat or drink and for how long before the operation.

Your surgeon will make sure you understand what will happen before, during and after your operation. They’ll also explain what to expect when you wake up and what level of discomfort or pain you might have. This is your opportunity to ask any remaining questions you have about the risks, benefits and alternatives to the procedure. This will help you to be informed, so you can give your consent for the operation to go ahead. You’ll be asked to sign a consent form. Your surgeon may ask you to wear compression stockings from the time of your operation until you are fully up and about again. This helps to prevent blood clots forming in the veins in your legs.

Forehead and brow rejuvenation

Cosmetic Surgery Dubai | 12 May 2019

The brow lift is the method of choice for rejuvenative surgery of the upper third of the face. It can revitalise the entire forehead, smooth out frown lines and wrinkles, and restore the position of the eyebrows. A brow lift will also raise and tighten loose skin of the upper eyelid and open up the eyes. Although the forehead is much less prone to ageing and gravitational descent than the mid and lower third of the face, it is sometimes necessary to include the forehead in combination with eyelid surgeries or a facelift as part of a complete facial rejuvenation. Since the brow and forehead are close to the eyes, most concerns related to this zone stem from sagging brow tissues that in some way affect the eye area; either by drooping skin reducing the size of the eyes, heavy brows affecting their appearance or by physical impairment of upper eyelid function. The second most frequent concern relates to folds and frown lines in the central part of the forehead, which may communicate a heavy or fatigued appearance.

Reasons for lifting the forehead and brow tissues include reversal of the gradual age-related droop (ptosis) of soft tissue which is a natural process of facial ageing, though more pronounced in some individuals. Secondly, brow lifts can be used to adjust a congenitally low and heavy brow and correct asymmetry (due to conditions such as facial palsy where lack of muscle function will result in an asymmetric sagging of forehead soft tissue).

Forehead and brow rejuvenation

Forehead and brow rejuvenation is customised to suit individual features: lifting of the brow, repositioning of descended tissues, adjustment of skin, and modulation of the muscle function responsible for lines and creases. The forehead, brow and eyes are areas where gentle adjustments can lead to major improvements. A lift of just 4-6 mm is often sufficient to open up the eyes and restore the youthful position of the eyebrows. Forehead rejuvenation usually requires lifting the outer half of the brow, as the mid-section is anatomically more stable and less prone to gravitational descent. A delicate upwards curve of the brow is aesthetically appealing. The overall aim is to position the outer part (end point) of the brow slightly higher than the inner part (the start point) with a gentle arch in-between.

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