Cosmetic procedures offer us a way to take an interest in the way we look and feel. Every year, tens of thousands of men and women achieve those goals through cosmetic facial surgery. With increased safety, reduced recovery time, and affordability, cosmetic surgery continues to be a booming industry. With today’s healthy lifestyles, we feel better and live longer. Sun damage to skin, smile and frown lines, crows feet, droopy or baggy eyelids are all signs that time, stress, and environmental exposures have deprived us of a younger appearance.
Dr. David Cowen will work with you to develop a program designed especially for you and your needs. It may include a skin care program and Botox treatments, or it may involve surgery. He will guide you to options that are best suited for you. Our goal is to provide you with the highest standard medical care and to deliver it in a conscientious and compassionate manner. We take great pride in the reputations of our staff, and their abilities to demonstrate knowledge, skill, integrity, and compassion.
We believe that together, we can develop a treatment plan that meets the individual needs of each patient.
Brow lift is also known as a forehead lift. This procedure improves the appearance of drooping brows that obstruct vision as well as removal of lines accross the forehead. This is often done in combination with eyelid surgery or blepharoplasty to minimize sagging skin found in the upper eyelids.
Different approaches can be performed depending on the need and what is appropriate for the patient.
Direct brow lift – intended for older patients or for men with thick eyebrow hair and male pattern baldness. An ellipse of skin and muscle just above the eyebrows will be removed and the incision is hidden within the brow hair. This does not address wrinkles within the forehead and scars may be visible.
Mid-forehead lift – done to patients older than 65 with heavy sagging eyebrows and deep wrinkles in the forehead. Incisions to take off excessive fat and muscles is done deep within the forehead wrinkles so that the scars will not be noticeable.
Coronal forehead lift – done by creating ear to ear incisions and raises the entire forehead and brows.
Endoscopic forehead lift – uses a surgical telescope to elevate the brows and small incisions are made behind the hairline to smooth forehead wrinkles.
After surgery, proper antibiotics and medication will be given by the doctor and should be administered according to instructions. Swelling and bruises may also occur in the forehead or eyelid areas but will disappear in a few weeks. Complications for brow lifts are rare but could include hematoma, infection and pain. Minor complications like numbness, hair loss and itching at the place of incisions can also occur but are minimal and are always temporary and can be treated easily.
Cosmetic Eyelid Surgery:
Blepharoplasty, or droopy eyelid lift, is the delicate modification of the eyelids. This can be done for aesthetic and cosmetic reasons but it sometimes performed for functional reasons.
When done for cosmetic reasons, it is used to remove excess skin, and/or fat that makes the upper and lower lids puffy and to reduce wrinkling of the skin. It also improves baggy skin under the eyes, sinking upper lids or dropping eyelashes that impair vision.
It is sometimes performed for functional or medical reasons. When an a large amount of upper eyelid skin is present, the skin may protrude over the lashes that causes the eyelid to droop due to poor muscle tone or nerve damage. The condition is called ptosis. It causes the eyelids to hang very low and will block vision and make activities such as driving or reading difficult.
Blepharoplasty will restore a youthful and refreshed look to the eyes as it will remove puffiness and bags. It will take the excess skin and accumulated fatty tissues that has formed in the eye area due to genetics, environmental factors and will promote skin elasticity thus giving the eye area a youthful glow.
The blepharoplasty procedure generally takes about 30 minutes for completion. The surgeon will make external incisions in the creases of the upper lids and below the lashes of the lower lids. Dr. Cowen may also perform transconjuctival blepharoplasty in which the incisions are made down under the eyelids to tease out fat deposits and no scar is visible. For faster recovery, simultaneous external skin resurfacing with a chemical peel or carbon dioxide may also be performed. After the surgery, the eyes will be lubricated and covered with bandages. Proper medications will be given to alleviate pain. You need to coordinate with your doctor if the pain becomes intolerable. You will be given instructions to follow for your postoperative care such as no alcohol, no contact lenses, head must be elevated, proper way to clean the eyes and the use of cold compress and lubricating eye drops. Stitches will be removed after seven days. Bruises and swelling should be minimal after 14 days.
Like any other surgery, there are also side effects after blepharoplasty. A patient may experience burning eyes, tearing and itching. Light sensitivity and blurred or double vision can also persist for days. Scars can also occur. Some patients will have trouble closing their eyes when they sleep and this can be permanent. The key to avoid any complications and is to choose a trusted a doctor. Make sure to discuss all instructions before and after the surgery and be sure to follow all instructions to maximize your surgical results.