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Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Considering a Brow Lift? Here’s what you need to know…

Perhaps you look tired, even when you aren’t, or maybe the aging process has caused unsightly sagging skin or the dreaded under-eye bags. No matter your reasons for considering a browlift, it’s important to know about the options available , steps your plastic surgeon will take, and the recovery period.

If cosmetic surgery is the way to go, talk to your cosmetic surgeon to learn more about your options and if you’re a good candidate for browlift. Your surgeon will explain the process and recovery to you.

Before your browlift procedure begins, your surgeon will study your facial structure, as different people exhibit slightly differing contours.

During the procedure, your surgeon will make incisions into the skin of your forehead to pull it into a more taught position. Dr. Pearlman feels that the endoscopic browlift is the best and least invasive for most patients.

After the typical brow enhancement procedure, there will be an approximate 2 week healing period during which time swelling and overall discomfort will diminish and surrounding skin in the brow area will begin to take on a smoother appearance. The result? More youthful looking skin and eyes and an appearance of energy and vitality over fatigue.

A browlift is a long lasting and proven method to look more youthful and has been proven safe time and again. Talk to and interview local cosmetic surgeons to learn more about this procedure and if it’s right for you.

Sometimes, even Botox can do the trick. By relaxing the muscles that pulls the brow down, some patients can get results that may be akin to a browlift.


Copyright 2012. As licensed to Pearlman Aesthetic Surgery. All rights reserved

Treating Crows Feet NYC

Treating Crows feet and more with Botox

Treating crows feet comes with relative ease since the arrival of Botox

New York City, NY – One of the first areas to show the signs of aging is the crows feet area. These are the lines that are adjacent to one’s eyes. We all have some lines when we smile but and the lines remain when the smile is long gone, it may be time to do something about them. Maybe this is why oversized sunglasses are so popular; for the younger set sunglasses can help prevent lines and cover them in the older set.

Thank goodness we have Botox. Years ago, we used to inject collagen filler into these lines. Unfortunately, this skin is so thin and delicate, that no fillers are really useful and can leave behind both lumps and serious bruising. While many very popular creams and lasers are touted to remedy crow’s feet, if the cause isn’t addressed (overactive underlying muscle) all these treatments will be ineffective. Botox relaxes the thin circular muscle around the eye called the orbicularis oculi muscle. The skin is less compressed with smiling and squinting so most of the lines go away. However some lines will always remain. If you push your cheek up to simulate a smile, a few lines still form from the skin being bunched.

As an experienced Botox physician, we can extend treatment to adjacent areas. The tail of the brow can be raised in many patients creating a “Botox browlift.”

Browlift with Botox only

Browlift with Botox only

Deep lines under the eyes can also be treated… however they should be treated with caution. If a patient has a weak eyelid, the eyelids can become droopy. Also, the orbicularis muscle may be the only layer left holding back lower eyelid fat from pouching out. If you have early “eye-bags” then you might not be a candidate for treatment within this area of the eyelid. I caution all patients who are treated in this area of the eyelids and find that about 1 out of three do not repeat treatment under the eyes.

Some patients even have lines extending down their faces from and below the crow’s feet. Now that we are getting into the mid-face area, Micro-Botox is a better solution. Very tiny amounts are used to help the superficial lines but not change the smile.

Lastly, relaxing the muscle needs help with the overlying skin. Quality skin products such as TNS and rejuvenating eye creams work very well with Botox beneath. Many of the popular over the counter creams make amazing claims but produce little results.

Steven J. Pearlman, M.D., F.A.C.S.

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