Posts Tagged "Botox"

Facelift revision cost will vary depending on the amount of correction one needs. Also, revisions do not always deal with botched results due to technical errors during surgery; occasionally, issues may arise because of poor healing and continuous aging.


Nonetheless, major revisions are rarely an issue when the surgery is performed by a board-certified facial plastic surgeon who conducts facelift and its ancillary procedures on a regular basis.


facelift revision cost

Due to differences in healing, some facelift patients may need minor revisions. Oftentimes, surgeons revise their own work for minimal fees, some even waive their professional fees, although they will still charge for the anesthesia and the operating room.


A good number of facelift revisions deal with improving the appearance of scars. It is important to note that the incision lines must curve around the ear’s contours and remain hidden behind the hairline. While scars generally fade and stay hidden, due to unexpected healing a few patients may have their scars slightly revised.


However, major revisions are almost always caused by poor surgical execution. For this reason, a prudent patient should select her plastic surgeon based on experience, training, and other relevant qualifications, as opposed to shopping around to get the cheapest bargain deals.


As of this writing, the average cost of facelift is $6,000-$7,000, although it could be more expensive when combined with other procedures such as fat transfer, eyelid surgery, etc.


When one charges way below the “standard price,” it is almost always a sign that patient safety has been compromised—i.e., the surgery is not performed at an accredited surgical facility, the anesthesia is not administered by a licensed anesthesiologist, etc.


Leading Los Angeles plastic surgery expert Dr. Tarick Smiley warns patients that “non-specialists” offering facelift has high “major” revision rate, while board certified plastic surgeons have very low complication rate, a “trend” which has been shown by several studies.


Facelift revision cost can be more expensive when it deals with major corrections—e.g., pleating along the jawline, overly tight mid face, “flattened” cheeks, and other types of facial distortion.


Occasionally, facelift revision could simply mean non-surgical touch-ups in the form of dermal fillers and Botox.


Standard fillers such as Restylane and Juvederm can address soft tissue shrinkage that causes hollowed eyes, deep tear trough, and gaunt cheeks. They typically cost between $600 and $800, depending on the injection sites.


The average cost of Botox, meanwhile, is $300-$500.

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List of Brow Lift FAQ

Posted By on Oct 14, 2016 in Botox, Brow Lift

Brow lift uses incisions behind the scalp or in front of the hairline to lift the sagging brow, soften the forehead creases, and eliminate the “11” lines between the brows. Occasionally, it is combined with other procedures such as eyelid lift and dermal filler or fat graft injection for additional rejuvenating effects.


Experts at the California Surgical Institute provide a list of brow lift FAQ to help patients decide if the surgery is right for them.


brow lift faq

Brow Lift FAQ:

  1. Question: Am I a good candidate for the surgery?

Answer: The ideal patients should be healthy, non-smoker, and have realistic goals and expectations. Hence, the surgery entails a strict patient selection process to avoid risks and to deliver satisfying results.


  1. Q: What are the preparations involved?

A: A good rule of thumb is to avoid blood-thinners (aspirin and some herbal supplements and vitamins) and tobacco products; and to achieve one’s optimal health through lifestyle changes and/or medications.


  1. Q: Does it result in visible scar?

A: While brow lift comes in several variations, all efforts are made to ensure that the resulting scars are behind the scalp or exactly along the hairline for their optimal concealment. Simply put, a properly executed procedure should not result in visible reminders of plastic surgery.


  1. Q: Is it possible to perform brow lift at the same time as other facial rejuvenation surgeries?

A: Yes. In fact, brow lift is routinely combined with eyelid lift, fat graft, or some type of facelift. Nevertheless, it remains in the patient’s best interest to keep the operation under six hours to minimize bleeding and surgical trauma.


  1. Q: What are the risks involved?

A: Poor healing, less than optimal scar appearance, residual sagging, surprised or unnatural look, infection, and bleeding are some of the risks. However, a board-certified plastic surgeon who performs the surgery on a regular basis can avoid or at least control these risks through proper patient selection, surgical execution, and close monitoring during the initial healing stage.

Serious complications are extremely rare when the surgery is performed by a qualified plastic surgeon.


  1. Q: How long is the recovery period?

A: Recovery differs from patient to patient; however, “social recovery” or looking presentable in public typically happens after 10-14 days.


  1. Q: Can Botox serve as a feasible alternative?

A: Yes, provided the patient only has mild brow descent and accepts that she will need 3-4 “touch-ups” every year. But for individuals who want longer lasting effects and/or have significant soft tissue laxity, brow lift remains a better method than any type of non-surgical procedure.

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Natural looking brow lift can be achieved with proper patient selection and surgical planning. Instead of just lifting the sagging brow, good surgeons know that reshaping it based on the underlying anatomies and gender is also critical to produce great results.


Leading Los Angeles plastic surgeon Dr. Tarick Smiley says that botched or overdone brow lifts typically result from lifting the medial brow excessively, or elevating it despite that its original position is already acceptable.


natural looking brow lift

According to several studies, the ideal medial brow position is at the level or slightly below the bony orbital rim especially in men who need to preserve their “heavy” and masculine brow appearance.


For most brow lift patients, only the lateral part of the brow or “tail end” is slightly elevated, leaving most of its parts to their original position, Dr. Smiley further explains.


Another parameter to produce natural looking brow lift results, he adds, is to consider the beauty ideals of men and women. For instance, feminine brows are generally accepted to appear more arched and higher at the tail end, while male brows are more horizontally oriented and have a shorter distance between the upper eye crease and the bottom part of the brow.


Should the patients need the “inside” of their brow to be elevated, it must be done in a very conservative manner to avoid the perennially startled appearance or the quizzical expression, says Dr. Smiley.


A good number of brow lift patients can benefit from minimally invasive procedures, which may involve 3-5 small incisions behind the hairline to reshape and elevate the drooping brow. Another viable option is to place two concealed scars in the temple area, a technique that only lifts the outer 1/3 of the brow.


Instead of brow lift, Dr. Smiley suggests that sometimes an upper eyelid lift is a better option, particularly if the patients’ aesthetic goal is to open up the eyes. In this procedure, a fine scar is placed within the natural eye crease to tighten the loose skin and possibly remove some excess fat.


Dr. Smiley believes that a good number of botched brow lifts were patients who did not need them in the first place and should have received an upper eyelid lift instead.


While Botox may produce some of the brow lift’s results—i.e., this non-surgical procedure can also reshape and elevate the brow—it requires regular maintenance that adds up to the cost, he says.

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Brow lift for young patients, i.e., aged between 20 and 35, is quite uncommon since the procedure is primarily designed to lift the sagging brow and correct the horizontal forehead creases and “11” lines between the brows, which are age-related problems.


However, some young people are born with lower eyebrow position that could make brow lift a possible option. Nonetheless, most plastic surgeons would recommend non-surgical or “temporary” solution to at least give them an idea of how much elevation that would suit them before resorting to a more permanent surgery.

brow lift for young patients

Photo Credit: Ambro at


Botox injection, which could be a good alternative to brow lift, is not just used to elevate the saggy brows; in the hands of a great injector it can also reshape the brow in a way that it “respects” the patient’s underlying anatomies and gender, according to California Surgical Institute website.


The effects of Botox can last four to six months, so the patient must accept that she requires regular maintenance to preserve her appearance.


Whether brow lift or Botox is used, the goal is to create gender-appropriate results. In general, female brow appears higher than the bony rim of the eye socket and is more arched compared to male brow.


Male brow, meanwhile, typically lies at the same level or even slightly lower than the bony rim of the eye socket.


Just like Botox, brow lift not only elevates the saggy brow, but also reshapes them in a way that the results look natural and proportionate to the rest of the facial features. However, a good number of patients only require the lateral part of their brow, or “tail end,” to be lifted.


Only a small number of patients experience significant medial/inner brow descent, as suggested by some Los Angeles plastic surgeons who advocate the use of temporal brow lift in which a small incision behind the hairline is used to lift the tail end of the brow.


Proponents of this minimally invasive technique suggest that it is an ideal brow lift for young patients who generally require a conservative elevation of their brow’s tail end, which in turn could also minimize the fullness in their upper eyelid thus leading to a more rejuvenated appearance.


To determine the most viable option, any form of facial rejuvenation procedure entails proper patient selection, honest discussion between the surgeons and patients, and comprehensive physical exam.

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There are several neck lift options due to varying anatomies and underlying cause/s of the problem. For instance, some patients are concerned about the appearance of neck bands in which excess fat may be culprit, while others have “turkey wattle” that is typically caused by weak or splayed platysma muscle.

A comprehensive physical is always necessary to determine the best course of action. And during consultation, the patient must also share her motives and cosmetic problems, allowing the surgeon to explain and offer methods that can improve her appearance.

neck lift options

Before-and-After Photos of a Patient Who Have Had Neck Lift Surgery

Dr. Karan Dhir, one of the leading Beverly Hills plastic surgeons, explains the three most popular neck lift options, which are occasionally performed simultaneously to achieve the best result possible:

1. Double chin and neck band appearance. If these are caused by excess fat beneath the skin, minimal liposuction can create a smoother, more rejuvenated neck contour.

A small round incision, about 1 cm in diameter, is positioned beneath the chin where a microcannula or hollowed tube is used to suction out the fat. However, it is crucial to preserve some fatty cells to maintain the natural contours of the lower face and anticipate soft tissue shrinkage that tends to progress with advancing age.

Over-aggressive liposuction must be avoided at all cost because the platysma muscle in the neck will become prominently visible beneath the skin—immediately after surgery or years afterwards—further contributing to the aged appearance.

2. Loose skin in the neck and jowling. A direct skin excision is needed to contour the lower portion of the face; this is generally accomplished by placing incisions around the ear’s contour that may sometimes reach the nape to achieve more rejuvenating effects.

Oftentimes, this excision-based neck lift is combined with standard facelift in which the incision starts from the temple behind the hairline that curves down and behind the ear, or even the nape if the neck requires contouring as well.

Proper wound closure is imperative to prevent scar migration and poor healing.

3. Weak platysma muscle. Sometimes, the vertical muscle in the neck that has become splayed causes the sagging appearance. To address this problem, a small incision beneath the chin is used to reshape or sometimes even remove a tiny portion of the muscle.

Patients with thin skin and very little fat may choose a non-surgical alternative in the form of Botox, which can be done in 15 minutes.

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