Faces age in many different ways and at varying rates. Today, there are a myriad of facial rejuvenation paths available to you, both surgical and non-surgical. Beautiful, natural looking results have replaced the tight, expressionless, “overdone” looks of years’ past. Sometimes a combination of procedures is necessary to achieve the results you desire. The time you spend in consultation with Dr. Lee will be very important in determining which procedures you might consider to meet your expectations.
“Facial rejuvenation is highly individualized and must be addressed holistically. It’s all about balance and harmony. I am eager to hear each patient’s focus of concern and determine the best way to improve what bothers them. Patients are very interested when I explain how the overall pattern of aging is specifically affecting them. Sometimes non-invasive treatments are all that is necessary. Other times we talk about how interrelated rejuvenation really is…for example, you have to be aware how performing a face lift will influence the lower eyelids. Doing isolated procedures can sometimes make other areas look out of proportion or obviously “older.” This is why our discussion in consultation is so important. I want what is best for each patient. If I can accomplish their goals and make them happy, then I am satisfied. They need to know I am going to take care of them throughout the whole process.” — Michael Lee, M.D.
A low brow can detract from an otherwise aesthetically pleasing face. With age the brow begins to descend. As the brow descends the eyebrows drop below their ideal location. For woman, the ideal location of the eyebrow is above the underlying bone of the orbit. For men, the level of the eyebrow should be at the level of the underlying bone. When the brow drops below these levels, undesirable results occur. The brow helps to frame the face and a low brow can “close off” the face. Furthermore, the low brow can push the upper eyelid skin down over the lash line and even make seeing difficult. In some cases, there may be extra upper eyelid skin present that needs to be treated along with a browlift. In other cases, a browlift alone may be sufficient to improve these signs and symptoms. Not only can a browlift open up the eye area but can have a dramatic influence on overall facial aesthetics. Repositioning the brow to the correct position can improve the tired look that a low brow creates. Other changes to the face may be desired such as eyelid lifts and a facelift. There is much discussion that goes in to determining the optimal treatment of each individual patient.
Both non-surgical and surgical procedures can be used to elevate the brow and create a natural aesthetic result. As with other operations in plastic surgery, understanding the patient’s lifestyle, age, medical conditions, and tolerance for downtime are key factors to determining the best way to proceed with brow rejuvenation. During consultation patients are able to learn about the benefits of each treatment option and choose the course most comfortable for them.
There are multiple ways to perform a browlift. Dr. Lee believes that educating patients on the different ways to lift the brow is very important. Through listening to each patients concerns and examining their anatomy, he is able to determine the best surgical approach to address such concerns. He also believes in maintaining a natural but rejuvenated brow.
After hearing and being educated on all treatment options, patients must decide what the best choice is for them. Factors to consider is how much downtime for recovery can be tolerated. Non-surgical treatments require very little downtime but the results are temporary lasting months not years. A surgical browlift requires more time for recovery but the results last for many years.
Patient should extensively research the surgeon they choose to perform their brow lift. Is the surgeon Board Certified in Plastic Surgery? Does the surgeon have extensive training of the face and neck area? Why is this important? Because a plastic surgeon that specializes in face and neck procedures is the best qualified to properly diagnose and treat the areas of concern objectively. They have the training, knowledge and ability to provide you more options than an aesthetician or “cosmetic” practitioner who relies on injectables and devices alone.
Dr. Lee is board certified by both the American Board of Otolaryngology-Head and Neck Surgery and the American Board of Plastic Surgery. For patients this means he is among the most qualified of surgeons to perform aesthetic procedures of the face and neck. He understands the relevant anatomy on an expert level and uses this knowledge to deliver the desired aesthetic ideal.
When performing a browlift or other brow rejuvenating procedures, Dr. Lee places great emphasis on correcting the signs of aging while maintaining the essence of a patient’s natural beauty. “My goal is to rejuvenate the outside appearance to better match the youthfulness one feels inside” says Dr. Lee. The objective is look better and refreshed while at the same time avoiding an overdone look. “I spend a great deal of time making sure that the brow changes I make are harmonious with the patient’s face and bone structure.”
Dr. Lee’s high level of knowledge and expertise in all aspects of facial rejuvenation place him among the elite in the specialty. His approach is a blend of time tested traditional techniques and the latest advances in non-surgical and surgical treatments. According to Dr. Lee, the key is to reposition and restore, envisioning the face and neck as one unit. Dr. Lee will analyze your face and comment as to what he would suggest from a holistic approach. He states, “it is very important for patients to understand how the aging process impacts each area of the face as well as the face as a whole.” Dr. Lee feels that patients must understand the benefits and trade-offs of each procedure. It is this discussion that helps determine the best treatment plan for the patient. Some patients may only require a browlift while others may require a browlift with eyelid lift. Correcting the brow without the eyes may not create the result that particular patient is wanting. This is why the consultation is so important and provides the basis for successful results.
How faces age and what we can do to fight facial aging
There has been a paradigm shift in the mainstream acceptance of methods and products promising to help us stay ahead of the clock. Younger people even in their teens and 20’s are countering the aging process beginning with sunscreen and smart skincare. As men and women get into their 30s they see the signs of aging take place. Botox has become a preventative medicine against wrinkles, offering a cumulative effect in minimizing lines of expression. They are a bit harder to treat if we wait until we are 50 trying to temper lines created over five decades. Small doses of fillers can make a difference in 30-somethings. But by 40’s and 50’s obvious changes are happening despite our best efforts. Volume loss and volume descent can be camouflaged non-surgically, but they cannot be reversed. Rebuilding and restoring collagen in the face is important, so chemical peels and laser treatments are popular at this stage. Once skin begins to noticeably sag, it is time to consider a facelift and possible fat grafting for the most natural outcome.
Skincare, injectables, surgery–when each are appropriate
Good skin is the hallmark of beauty regardless of age. Everyone should practice good skincare because no amount of filler or surgery can improve skin’s quality. The sun is skin’s biggest enemy. Once the damage is done, lasers and chemical peels can help improve the texture and tone for a more youthful appearance. Fillers fight volume loss by plumping up areas where fat has shifted or atrophied. A facelift will lift sagging cheeks and jowls by re-draping the skin over repositioned layers of muscle. Keep in mind that skincare, fillers and surgery work in concert. One cannot substitute for another, yet when used together, properly, there is tremendous synergy. Skincare cannot address volume any more than fillers can correct banding in the neck. Using more and more fillers thinking you are postponing surgery often leads to a distorted, obvious look. It’s important to respect the boundaries and distinct benefits of each of these modalities.
A big misconception is that there is much less recovery and smaller scars with a mini facelift. In fact, any facelift that is going to provide substantial results requires similar incisions and downtime. Lifts that only tighten the skin or only use small incisions often lead to short term results with inadequate skin removal. In these cases, “mini” facelifts often lead to “mini” results. Likewise, the “lunchtime” procedures that are advertised as delivering astonishing results are poor simulations of a facelift. There are no short cuts. Would you fix just a part of the foundation of your house? No, because it would give you an incomplete outcome. It’s the same logic with your face.
The truth about “noninvasive, no scarring, no downtime, no discomfort” procedures is that often you are not getting value for your money. It’s important to recognize that there are no miracles and magic wands. No one should expect dramatic results without respecting the process it takes to make a real, long lasting change in appearance.
Why obvious, overdone results are on display everywhere–even amongst celebrities
The rich and famous are just as capable of making bad decisions as the rest of us. In Hollywood particularly there are lots of non-certified surgeons doing cosmetic surgery. It’s a hotbed for unsubstantiated marketing hype. Celebrities are constantly in the public eye so it is easy to identify when a dramatic change happens–for better or worse. But remember–all we see are the bad results–and unfortunate outcomes don’t discriminate. For every Meg Ryan, Melanie Griffith and Priscilla Presley, there are lots of average people that keep programs like “Botched” alive. The point is, do your homework. Another way to look at this is how many patients are out there who have had brilliant “work done”? They look great for their age, but you can’t quite figure out what they did. That is the signature of a great surgeon–whether the procedure was surgical or non-surgical.
Quite frequently the cause of some looking distorted is over use of filler products. This happens in cases where the patient is not consulting with a plastic surgeon. If all the practitioner uses is filler, they may compensate for what they don’t have by just using more filler. Then, the patient looks odd and different instead of better. One of the biggest benefits to seeing a Board Certified Plastic Surgeon–whether you need surgery or not, is to get the proper diagnoses from someone who has all the tools at his disposal.
Contact our office to schedule a private consultation with Board Certified Plastic Surgeon, Dr. Michael Lee. This is the next step to determine which Park Cities Cosmetic Surgery procedure is the best option, giving you the desired outcome after surgery. Dr. Michael Lee will spend time with you to learn about your medical history and your expected outcome for surgery, as well as explaining the procedure in detail and answering all of your questions.