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Browlift in Wilmington and Supply North Carolina

The lowering of brows that often comes with age results in a tired, angry, or older appearance. Excess skin over the eyelids accompanies brow droop making you look different than you feel. Your friends might repeatedly ask you if you are tired. The goal of a browlift is to restore the brow to a more youthful position. While removing the excess skin from the upper lids can help, it may not fully bring the face into balance.

Dr. Ricciardelli uses a variety of surgical and non-surgical techniques to lift the brow. For a slight lift Botox or Xeomin can make a dramatic difference. Ultherapy (tab) is also a great non-invasive treatment to lift the brow area. These non-invasive procedures are performed in the office and can take only a few minutes. For a more permanent solution, Dr. Ricciardelli may recommend a surgical approach.

If you’re considering a forehead lift…

A forehead lift or “browlift” is a procedure that restores a more youthful, refreshed look to the area above the eyes. The procedure corrects drooping brows and improves the horizontal lines and furrows that can make a person appear angry, sad or tired.

In a forehead lift, the muscles and tissues that cause the furrowing or drooping are removed or altered to smooth the forehead, raise the eyebrows and minimize frown lines. Your surgeon may use the conventional surgical method, in which the incision is hidden just behind the hairline; or it may be performed with the use of an endoscope, a viewing instrument that allows the procedure to be performed with minimal incisions. Both techniques yield similar results — smoother forehead skin and a more animated appearance.

If you’re considering a forehead lift, this brochure will provide a basic understanding of the procedure — when it can help, how it’s performed and what results you can expect. It won’t answer all of your questions, since a lot depends on your individual circumstances. Be sure to ask your doctor if there is anything you don’t understand about the procedure.

Not ready for surgery?

Dr. Ricciardelli is often able to achieve excellent results with injectables like Botox and Dermal fillers. Learn more about Non-surgical browlift options.

The best candidates for a forehead lift

A forehead lift is most commonly performed in the 40-60 age range to minimize the visible effects of aging. However, it can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. Individuals with inherited conditions, such as a low, heavy brow or furrowed lines above the nose can achieve a more alert and refreshed look with this procedure. Forehead lift is often performed in conjunction with a facelift to provide a smoother overall look to the face.

Eyelid surgery (blepharoplasty) may also be performed at the same time as a forehead lift, especially if a patient has significant skin overhang in the upper eyelids. Sometimes, patients who believe they need upper-eyelid surgery find that a forehead lift better meets their surgical goals.

Patients who are bald, who have a receding hairline, or who have had previous upper-eyelid surgery may still be good candidates for forehead lift. The surgeon will simply alter the incision location or perform a more conservative operation.

Remember, a forehead lift can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them in detail with your doctor.

The classic forehead lift

brow-lift-coronal-incisionBefore the operation begins, your hair will be tied with rubber bands on either side of the incision line. Your head will not be shaved, but hair that is growing directly in front of the incision line may need to be trimmed.

For most patients, a coronal incision will be used. It follows a headphone-like pattern, starting at about ear level and running across the top of the forehead and down the other side of the head. The incision is usually made well behind the hairline so that the scar won’t be visible.

If your hairline is high or receding, the incision may be placed just at the hairline, to avoid adding even more height to the forehead. In patients who are bald or losing hair, a mid-scalp incision that follows the natural pattern of the skull bones is sometimes recommended. By wearing your hair down on your forehead, most such scars become relatively inconspicuous. Special planning is sometimes necessary for concealing the scar in male patients, whose hairstyles often don’t lend themselves as well to incision coverage.

If you are bald or have thinning hair, your surgeon may recommend a mid-scalp incision so the resulting scar follows the natural junction of two bones in your skull and is less conspicuous.

Working through the incision, the skin of the forehead is carefully lifted so that the underlying tissue can be removed and the muscles of the forehead can be altered or released. The eyebrows may also be elevated and excess skin at the incision point will be trimmed away to help create a smoother, more youthful appearance.

The incision is then closed with stitches or clips. Your face and hair will be washed to prevent irritation and the rubber bands will be removed from your hair. Although some plastic surgeons do not use any dressings, your doctor may choose to cover the incision with gauze padding and wrap the head in an elastic bandage.

The endoscopic forehead lift

brow-lift-endoscopic-incisionTypically, an endoscopic forehead lift requires the same preparation steps as the traditional procedure: the hair is tied back and trimmed behind the hairline where the incisions will be made.

However, rather than making one long coronal incision, your surgeon will make three, four or five short scalp incisions, each less than an inch in length. An endoscope, which is a pencil-like camera device connected to a television monitor, is inserted through one of the incisions, allowing the surgeon to have a clear view of the muscles and tissues beneath the skin. Using another instrument inserted through a different incision, the forehead skin is lifted and the muscles and underlying tissues are removed or altered to produce a smoother appearance. The eyebrows may also be lifted and secured into their higher position by sutures beneath the skin’s surface or by temporary fixation screws placed behind the hairline.

When the lift is complete, the scalp incisions will be closed with stitches or clips and the area will be washed. Gauze and an elastic bandage may also be used, depending on your surgeon’s preference.

Is a browlift for me?
If you have a low, drooping brow and excess skin in your upper lid area, you may be an excellent candidate for a browlift. If you are a candidate, Dr. Ricciardelli may recommend fillers, Ultherapy, Botox, Xeomen or a combination these easy non-invasive procedures. All of your options will be discussed in depth during your cosmetic consultation.
Can I have another procedure done at the same time?
Yes. This surgery is often combined with a blepharoplasty (eyelid lift), liposuction in the neck, chin augmentation, facelift, mini-facelift and dermal fillers. Take advantage lower pricing and time spent away from work by combining procedures. Ask Dr. Ricciardelli about other procedures during your consultation.
What do I need to do before surgery?
At your consultation, Dr. Ricciardelli will discuss your medical history and examine your brow and eye area to determine the distribution of excess skin, muscle decent, and volume loss. Dr. Ricciardelli’s experience and training will make a difference in this very important aspect of your surgery. These details are important because you want to look like yourself but rejuvenated and refreshed. Most patients find that an endoscopic browlift or a direct lift provide the best results with minimal incisions and the fastest recovery. But every patient is different and Dr. Ricciardelli will discuss the advantages of each approach being mindful to make the smallest incision possible while giving you the result you desire.
What can I expect during and after browlift surgery?
Your privacy and safety are very important to us. On the day of your surgery you will park in a designated, convenience space in back of the Summit building close to the private back door entrance of our office. Your surgery will most likely take one to two hours in our AAAASF (Association for Accreditation of Ambulatory Surgery Facilities) certified operating suite. After the procedure, you will wake up in our warm and caring recovery suite. Our recovery nurse will make sure that you are comfortable and inform your designated driver when you are ready to return to the comfort of your own home that day. You will be given detailed instructions for your specific needs. Most patients do not complain of pain after surgery but a mild discomfort. On average, most patients are able to return to work in 7 days and begin light exercising in 2 weeks. A lot will depend on your level of activity at work. You will be seen back in the office after surgery. Expect to have possible bruising, swelling and tenderness in the surgical area. Dr. Ricciardelli will call you in the evening to check-in on your progress as well as see you back in the office for your post-operative visits. Our door is always open for any questions.
Why choose Summit Plastic Surgery & Dermatology?
It’s about confidence: confidence in your surgeon, confidence that your wishes and individual concerns will be heard, and confidence you will get the results you want. Dr Ricciardelli has the experience and reputation that ensures you are trusting in a surgeon with a known track record in Wilmington and the qualifications and certifications that recognize him on a regional and national level.

Ready to take the next step? Schedule your consultation now!

At your consultation you'll meet with one of our surgeons and we'll discuss all of your options and answer all of your questions.

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Meet Dr. Edward Ricciardelli

Dr. Edward Ricciardelli is one of the most highly trained plastic surgeons in the country. He is the only plastic surgeon in the area who is board certified in both head, neck, and facial surgery and plastic surgery.  He has been performing facial surgery for over 29 years.  During that time he has taught and trained other plastic and facial surgeons, lectured around the country, given courses on facial surgery, and cared for thousands of surgical patients. Read more…

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