New York City's Premier Hospitals for Eyebrow - Lifting and Excision Plastic Surgery: An In - Depth Guide

In the bustling metropolis of New York City, the demand for cosmetic procedures such as eyebrow - lifting and excision plastic surgery has been on the rise. These surgeries can offer transformative results, rejuvenating the upper face and enhancing one's overall appearance. This article delves into the top hospitals and surgeons in the city, the different types of procedures, what to expect, and more.

Understanding Eyebrow - Lifting and Excision Plastic Surgery

What is Eyebrow - Lifting Surgery?

Eyebrow - lifting surgery, also known as a brow lift or forehead lift, is a cosmetic surgical procedure designed to elevate and rejuvenate the brow area. As we age, factors like gravity, genetics, and lifestyle can cause the eyebrows to sag, resulting in a tired, angry, or sad appearance. A brow lift addresses these concerns by raising the eyebrows to a more youthful position, reducing wrinkles and frown lines on the forehead, and opening up the eyes.

• Benefits of a Brow Lift:
  • Enhanced facial expression: It lifts sagging brows that can cause a tired or angry look.
  • Smoother forehead: Reduces horizontal lines and furrows on the forehead.
  • Youthful appearance: Creates a more youthful and refreshed look by tightening the skin and raising the eyebrows.
  • Improved eye appearance: Reduces the droopiness of the upper eyelids, enhancing the appearance of the eyes.

Candidates for Eyebrow - Lifting Surgery

Ideal candidates for brow lift surgery are usually individuals who are bothered by drooping brows, forehead wrinkles, or frown lines and desire a more youthful and refreshed appearance. Good candidates are generally in good overall health, do not smoke or are willing to quit before and after the procedure, and have realistic expectations about the outcomes of the surgery. Age is not the sole determining factor; candidates can be in their 30s to 60s or even older. According to various resources, people with the following issues are well - suited for the procedure:

• Sagging and droopy eyebrows
• Horizontal forehead creases
• Vertical “worry lines” between the eyebrows
• Hooding of the upper eyelids

Types of Eyebrow - Lifting Procedures

Coronal Brow Lift

The coronal brow lift is a classic form of the procedure. In this surgery, the surgeon makes a long incision just behind the hairline. The surgeon then modifies the subcutaneous tissues, tightens the frontalis muscle, and repositions the skin over the incision. After trimming the excess skin, sutures are applied to secure the changes. This procedure is beneficial for patients with a low hairline but may not be ideal for those with a high hairline as it can further elevate the hairline.

Endoscopic Brow Lift

The endoscopic brow lift is a minimally invasive approach. The surgeon makes a few incisions about two centimeters behind the hairline and inserts an endoscopic camera to visualize the tissues of the forehead without the need for larger incisions. Tissues are elevated from these tiny incisions, preserving better blood flow and nerve sensation in the area. Patients can expect a faster recovery time with this type of brow lift compared to the coronal lift. It is a popular choice as it can create results similar to the traditional approach with less discomfort and a quicker return to normal activities.

Direct and Mid - Brow Lift

This procedure is particularly beneficial for male patients where hiding incisions within the hairline may be challenging. For men with a receding hairline and women who want to lift the outer sides of their eyebrows, a direct brow lift is recommended. Here, elliptical incisions are made above the brows. In a mid - brow lift, similar incisions are made on the side of the forehead adjacent to the brows. These incisions are used to correct pre - existing deep wrinkles, and the scars usually heal well and feel smooth. The procedure can be performed under local anesthesia and typically takes less than an hour.

Temporal Brow Lift

Temporal brow lifts, also known as limited - incision or lateral brow lifts, are used to lift the outer edges of the eyebrows. The surgeon makes two incisions slightly larger than endoscopic incisions (about four centimeters) above the hairline. This type of lift is often paired with blepharoplasty (eyelid surgery) as it can complement the results by smoothing out deeper frown lines using upper eyelid lift incisions.

Browpexy

Browpexy is one of the more advanced and newer forms of brow lift. It allows patients to attain a more subtle lift. There are two types: internal and external. For an internal browpexy, an incision is made in the upper eyelid crease to remove a tiny amount of muscle and excess tissue that causes the brow to elevate. In an external browpexy, an incision is made over each eyebrow to remove a small portion of muscle and tissue. The hair of the brows can hide the extremely fine scar line. Browpexy pairs well with upper eyelid lift procedures.

Top Hospitals and Surgeons in New York City for Eyebrow - Lifting and Excision Plastic Surgery

Mount Sinai - New York

Mount Sinai's plastic surgeons are skilled in performing eyebrow lifts using both traditional open and minimally invasive endoscopic surgical techniques. Their goal is to produce pleasing, natural - looking results. They understand that an eyebrow lift can enhance a patient's appearance by improving sagging, droopy eyebrows, horizontal lines on the forehead, vertical worry lines between the eyebrows, and hooding of the upper eyelids. Patients at Mount Sinai may also choose to combine their eyebrow lift with other procedures like a face lift, neck lift, or eyelid surgery for a more comprehensive facial rejuvenation. The hospital's surgeons can also discuss non - invasive procedures to enhance the patient's looks.

Dr. John E. Sherman

Dr. John E. Sherman is a well - known and skilled surgeon in New York City with an extensive 40 - year career. He is a leader in his field, winning multiple awards for his teaching achievements in his areas of expertise. Dr. Sherman offers various brow lift procedures, including coronal, endoscopic, direct and mid - brow, temporal, and browpexy. He begins all brow lift procedures by administering local anesthesia and a sedative medication to keep the patient calm and relaxed. He assesses each patient's unique situation during a personal consultation to determine the most suitable procedure and discusses preparation and aftercare requirements in detail.

740 Park Plastic Surgery (Dr. Stafford Broumand)

Dr. Stafford Broumand at 740 Park Plastic Surgery offers brow lift surgery for individuals seeking to rejuvenate their forehead and upper facial area. He uses an endoscopic technique through tiny incisions hidden in the hairline for all brow lift surgeries. Before the procedure, patients have a consultation with Dr. Broumand to discuss their goals and assess their candidacy. He also provides detailed preoperative instructions to ensure a successful outcome. After the surgery, patients can expect some minor bruising and swelling, which usually resolve within a few days. The majority of patients can return to normal, non - strenuous jobs and daily routines within one to two weeks.

Dr. Jennifer Levine

Dr. Jennifer Levine, a double - board - certified facial plastic surgeon in NYC, uses advanced techniques to rejuvenate the brow. She offers multiple surgical brow lift options, including endoscopic, direct, coronal, and hairline brow lifts. Each option is tailored to the patient's specific needs and concerns. During the consultation, Dr. Levine assesses the patient's facial structure, discusses their goals, and reviews their medical history to create a customized surgical plan. Her patients appreciate the natural - looking results and her focus on patient satisfaction during the recovery process.

New York Surgical Arts (Dr. Gordon Andan)

Dr. Gordon Andan at New York Surgical Arts offers both traditional and endoscopic brow lift procedures. He believes in an informed patient and takes the time to ensure that patients understand the procedure and its implications. The brow lift procedure at New York Surgical Arts involves incisions along the hairline, drawing back the forehead skin, removing excess skin, and sealing the incisions. Patients can expect some swelling and bruising after the surgery, and sutures are removed after about seven days. The results of the brow lift are long - lasting, and the hospital also offers information on complementary procedures for comprehensive facial rejuvenation.

New York Group for Plastic Surgery

The New York Group for Plastic Surgery's team of highly trained and skilled surgeons performs brow lift surgery. Most patients prefer the minimally - invasive endoscopic brow lift as it offers a quicker recovery period and limited discomfort compared to the traditional approach. The group performs different types of brow lifts, including lateral/temporal, endoscopic, and non - surgical brow lifts. They also help patients determine the right combination of procedures, such as combining a brow lift with a facelift, neck lift, or eyelid surgery, during a personalized consultation.

Preparing for Eyebrow - Lifting and Excision Plastic Surgery

Consultation

The first step in preparing for a brow lift is the consultation. During this appointment, the surgeon will assess your facial characteristics, ask about your aesthetic goals, and review your medical history. They may also ask to see younger photos of you to get an idea of the natural state of your upper face. Based on this assessment, the surgeon will recommend the most suitable procedure for you and explain the details of the surgery, including the expected results, potential risks, and recovery process. You should take this opportunity to ask any questions you may have and discuss your concerns openly.

Pre - operative Instructions

In the weeks leading up to your brow lift, you will need to follow your surgeon's pre - operative instructions carefully. This may include discontinuing certain medications or supplements that could increase the risk of bleeding and bruising, such as aspirin, ibuprofen, and some herbal supplements. You will also be advised to avoid smoking and alcohol, as they can affect your body's ability to heal. Additionally, you should arrange for a responsible adult to drive you to and from the surgery center and assist you during the initial days of recovery.

The Surgery Process

Most brow lift surgeries are performed under general anesthesia or local anesthesia with sedation. The choice of anesthesia depends on the type of procedure and the patient's preferences. The surgery typically takes between 1 to 2 hours, although the duration may vary depending on the complexity of the case and the techniques used.

Endoscopic Brow Lift Process

1. The surgeon makes a few small incisions about two centimeters behind the hairline.
2. An endoscopic camera is inserted through these incisions to visualize the tissues of the forehead.
3. The surgeon carefully elevates the tissues from the tiny incisions, tightening the muscles and repositioning the skin.
4. Any excess skin is removed, and the incisions are closed with sutures.

Coronal Brow Lift Process

1. A long incision is made just behind the hairline.
2. The subcutaneous tissues are modified, and the frontalis muscle is tightened.
3. The skin is re - draped over the forehead, and excess skin is trimmed.
4. Sutures are applied to secure the changes.

Recovery and Results

Immediate Post - operative Period

Immediately after the surgery, you will be monitored in a recovery area until the anesthesia wears off. You may experience some discomfort, swelling, numbness, itchiness, tightness, and bruising in the treated area. Your surgeon will provide you with medications to ease your recovery and advise you on the safest over - the - counter medications to take. You will also be given detailed post - operative care instructions, which may include how to clean the incisions, how to manage swelling and bruising, and when to return for follow - up appointments.

Short - term Recovery

In the first 1 to 2 weeks, the initial side effects of swelling, bruising, and discomfort will reduce significantly or completely go away. Depending on your rate of healing and the technique applied, your surgeon will remove your sutures within 7 to 10 days. You will be able to resume normal activities such as wearing makeup, washing your hair, and using your usual skin care products. However, you should avoid strenuous activities, heavy lifting, and exposure to direct sunlight during this time. Most people can return to work within one to two weeks, but it is important to listen to your body and give yourself enough time to recover.

Long - term Results

Brow lift results can be long - lasting, but they are not permanent. The effects of a brow lift can last for several years, with endoscopic lifts typically lasting about 5 years and more traditional procedures lasting up to 10 years. Over time, the natural aging process will continue, and you may notice some sagging and the reappearance of wrinkles. To maintain the results of your brow lift, it is important to follow a healthy lifestyle, protect your skin from the sun, and consider non - surgical treatments such as botox or dermal fillers as needed.

Cost of Eyebrow - Lifting and Excision Plastic Surgery in New York City

The cost of a brow lift in New York City can vary significantly depending on several factors, including the type of procedure, the extent of the surgery, the surgeon's experience and reputation, the location of the surgical facility, and any additional procedures performed concurrently. Anesthesia fees, surgical fees, follow - up appointments, and medication costs also contribute to the total cost. Since each patient's case is unique, it is advisable to schedule a consultation with a surgeon to obtain an accurate and personalized cost estimate.

Complementary Procedures

Many patients choose to combine a brow lift with other cosmetic procedures to achieve a more comprehensive facial rejuvenation. Some popular complementary procedures include:

Blepharoplasty (Eyelid Surgery)

Blepharoplasty involves removing excess skin and fat from the upper and lower eyelids. It can refresh the eye area, reducing puffiness and bags for a more alert and youthful look. Research shows that surgeons commonly pair it with temporal/lateral brow lifts, with about 87% of participants in one study undergoing an eyelid lift as well.

Facelift

A facelift tightens and lifts the skin on the face to address sagging and wrinkles. It provides a comprehensive rejuvenation of the lower face and neck, complementing the results of a brow lift.

Neck Lift

A neck lift tightens and smooths the skin on the neck to match the rejuvenated appearance of the face. It reduces sagging and wrinkles, providing a more youthful neck contour.

Dermal Fillers and Botox

Injectable treatments like dermal fillers and Botox can restore volume and smooth out wrinkles. They can complement surgical procedures by addressing fine lines, wrinkles, and volume loss.

FAQs