The Modern Browlift by Paul Howard, MD

There are a number of techniques to smooth the forehead and elevate the brow.  Practitioners always tout the technique they use as being the “best” but more likely the procedure some view as “the best” is primarily the operation they are more comfortable with.  Surgeon’s comfort should not triumph patient results in browlifting or any procedure where the results of the two procedures are different.

The antiquated browlift requires an incision in the forehead skin – the so-called “direct browlift.”  In an attempt to hide the scar and elevate the brow without the hairline, surgeons flocked to the pre-hairline incision and many claim the very long incision is easy to camouflage and causes no problems.  Common sense belies these claims and most surgeons have abandoned this procedure due to the scarring involved.

The last 10 years has seen the development of endoscopic techniques which minimize the scars by placing the two short incisions behind the hairline while allowing access to the three glabella muscles and the forehead muscles from beneath the skin.  Elevating the brow must be accompanied by some sort of fixation to hold the forehead skin and brow in the raised position for at least 2 weeks. The brow elevation may relapse to its pre-operative position without fixation while the muscle surgery used to decrease glabellar rhytids (wrinkles) and sometimes forehead wrinkles is not fixation dependent.  These rhytids are improved by effectively weakening the forehead and glabellar muscles that cause wrinkles.

Over the last 8 years or so we have developed a unique and quite elegant way to fix the brow and forehead in the raised position with bio-absorbable screws that dissolve after the golden 2 week period of required fixation.  The polymer chosen must be strong enough to withstand screw placement in bone, must maintain its bio-mechanical properties for at least 2 weeks and must eventually be cleared from the body.  The material chosen is a co-polymer of polylactic acid.

The “Modern Browlift” is a well researched procedure with at least 8 years of documented results, short incisions, no hair loss, no prolonged numbness in the scalp and minimal to no elevation of the hairline.

Read more about brow lift and view brow lift before and after photos.

Call today to schedule your consultation 205-877-PAUL

Dr. Paul Howard on Google+

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