In the open frontal lift, an incision is made in the scalp that goes from ear to ear, so it is much more invasive than an eyebrow lifting in which 4 or 5 small incisions of 1.5 cm are made. The risk of complications such as sensory loss or hair loss are much greater with an open facelift.
Hardly, since it is the surgeon who controls the position of the eyebrows and will fix the eyebrow lift to the height desired by the patient. As with blepharoplasty, Dr. Nieto always looks for natural results, avoiding “artificial” faces or “operated looks”.
It depends on the case. If there is really a lot of excess skin in the eyelids, it is possible that only with blepharoplasty you will have a satisfactory result without doing anything about the eyebrows. In cases of very low eyebrows it is difficult for blepharoplasty alone to clear the eyelid properly.
Although it is rare, you may temporarily lose feeling. This occurs because of inflammation of the nerves after surgery, but recovers within a few weeks.
For the brow lift we use local anesthesia and sedation, as it can be performed painlessly in this way and recovery after sedation is very fast. Sometimes, depending on the type of patient, we perform it under general anesthesia with a laryngeal mask, which is a less invasive mode of general anesthesia and faster recovery than classic intubation. In any case, the surgery is always performed on an outpatient basis without admission.
Anti-aggregate medications (Aspirin, aas, Plavix, Tromalyt and others) and anticoagulants (mainly Sintrom) that many patients take should be discontinued prior to a brow lift, as they interfere with blood clotting and may cause post-operative bleeding. We will discuss with your doctor the possibility of stopping this medication.
In some patients who have suffered heart attacks or strokes it is not advisable to stop this medication. In these cases we will evaluate the possibility of performing the intervention depending on the medication and the specific patient.
No, endoscopic eyebrow surgery is always considered cosmetic surgery, and therefore not covered by health insurance.
In the eyebrow lift the incisions are in the scalp, so they are not very exposed to the sun. Anyway we recommend to wait 2 weeks and do it with protection afterwards.
Most patients have no problem reading from the day after the operation. If a blepharoplasty is performed jointly, there may be a sensation of dryness in the eyes during the first few days, which can be treated with moisturizing eye drops.
It basically depends on what your job is. If it is a job that requires significant physical effort, you should rest for a week, while if you work from home with a computer you will probably be able to do so two days after the operation. The time you take off from work also depends on whether you are facing the public. If this is not the case, you can return to work during the first week when you are sufficiently recovered. We will always try to keep the downtime as short as possible.
No, this surgery won’t make your eye problems better or worse. Only when performed in conjunction with a blepharoplasty should one be more conservative in cases of severe dry eye.
You will be able to shower normally the day after the operation unless the doctor tells you otherwise.