Expert-Approved Ways to Revitalize the Upper Face

Expert-Approved Ways to Revitalize the Upper Face featured image

While the “Zoom Boom” could also be rightfully credited for having us collectively critique our face-neck space a bit extra in the previous 12 months or so, docs say no space has been hit tougher than the forehead.

Woodbury, NY oculoplastic surgeon David Schlessinger, MD has seen an uptick in “everything cosmetic-related” this previous 12 months—and credit mask-wearing and that very fashionable mirror of Zoom as fueling a selected curiosity in a single very particular space: the higher face and eyelids.

“It was the only part of the face that could be seen for a year-plus!” says Westborough, MA facial plastic surgeon Min S. Ahn, MD. “We have performed more temporal browlifts and upper and lower eyelid lifts during the pandemic than ever before. Interestingly enough, some patients asked us not to treat their frown lines or forehead with neurotoxins [Botox Cosmetic, Dysport and Xeomin] because they wanted to retain expression while wearing a mask.”

Nevertheless, neurotoxins are nonetheless the answer of selection—or at the least the most popular first choice for all of the consultants interviewed for this story—for treating the forehead space, in addition to the face generally, with current stats from The Aesthetic Society itemizing them as the number-one nonsurgical remedy in 2020 (to the tune of greater than 2.6 million therapies carried out).

It’stheonlypart of the face that may very well be seen for a year-plus!

—Dr. Ahn

“The combination of a few forehead wrinkles and poor lighting on Zoom makes individuals look tired, aged and like they have a sagging brow,” says Eugene, OR plastic surgeon Mark Jewell, MD, who has additionally seen an elevated curiosity in the forehead-brow space this previous 12 months and prefers the “Botox browlift” route. “I have never been a fan of [surgical] endobrow procedures, and find that neurotoxins deliver great results to address the brow depressors and minimally elevate the lateral brow.”

“For younger people, we are able to lift brows with neurotoxin injections, which gives a brighter, more alert appearance. Injections only take a few minutes, the results are seen within a few days—with peak effect at two weeks—and they last three to six months,” Dr. Schlessinger says. “For patients who need more than Botox but are not yet ready for surgery, we offer Ultherapy, which takes about 20 minutes and uses sound waves to create new collagen to lift the brows; FaceTite, which is a semi-surgical procedure that creates new collagen as well, but lasts longer; and threadlifts, which can be used in conjunction with FaceTite for a more robust lift. For patients with deflated brows, we can also use fillers in the sub-brow area to add more lift.”

Dr. Ahn additionally provides the “Botox browlift” an enormous thumbs up: “By treating the muscle that creates crow’s-feet and pulls the brow down, you allow the muscles that lift the brow to work better, resulting in a browlift,” he says. “However, we can also treat the brow surgically with a minimally invasive temporal (outer) browlift. I do not perform full browlifts—such as those done endoscopically, or through a long incision near or in the hairline—because they lift the whole brow and can make the person look surprised [if not done in a natural manner]. If you study the aging brow, it is the outer brow that droops with age and causes the hooded look. So, naturally, one would want to lift only the outer brow to achieve a natural-looking result, and a temporal browlift achieves that.”

To deal with brow wrinkles, Birmingham, AL dermatologist Corey L. Hartman, MD carried out a “Botox browlift.”

Through a brief incision behind the hairline, solely the outer forehead is lifted, which Dr. Ahn says “creates a nice feminine arch and a soft shoulder just beneath the brow that is always accentuated with makeup on models and actresses. It looks very natural, feminine and refreshed.”

A browlift will be carried out for sufferers requiring a extra substantial elevate. “This can be done under local anesthesia or with sedation,” Dr. Schlessinger says. “Small incisions are made, and using an endoscopic technique, the brow can be effectively elevated. Healing takes a week or so, and results are typically seen almost immediately. Browlifts are usually performed in conjunction with an upper and lower eyelid blepharoplasty to give complete rejuvenation to the upper face.”

New York facial plastic surgeon Dilip D. Madnani, MD has seen an uptick in all facial procedures. “I think the last year has been ‘renovation season’ for most people, and faces are part of it,” he says, noting that, whereas his workplace has not seen a selected uptick in browlifts, he has seen an elevated curiosity in eyelid procedures, in addition to many individuals utilizing the time to heal from facelifts, which is usually handled as a “combo” process. “Typically, I carry out browlifts once I do facelifts, and I do some browlifts with higher eyelid procedures. However, the majority are carried out with facelifts.

Dover, OH facial plastic surgeon David Hartman, MD carried out a browlift and higher eyelift on this 62-year-old affected person.

Likewise, La Jolla, CA plastic surgeon Robert Singer, MD usually performs some variation of a browlift with a facelift, in addition to often doing them with out different procedures. “But there are a number of options for treating the brow and eye area,” he says. “The best philosophy is that one should choose the most appropriate procedure for them, rather than fitting it into a box. This is definitely one area where a solution is not universal.”

Doctor Check

Dr. Ahn says the approach he determines whether or not a affected person could also be a candidate for a browlift is by having them shut their eyes and calm down their brow. “If the outer brow hairs are above the rim of the eye socket, then the brows do not need to be lifted because they are still in good position. If the outer brow hairs are at or below the rim, then the brow is low and needs to be lifted through a temporal browlift.”

Makeup Magic

As we age, our brows can get much less dense, so filling them in and grooming them is a should, says Jane Fonda’s make-up artist David DeLeon. His tactic: “When I draw or fill in someone’s brows, I leave the inner part less dense and fill in the remaining two-thirds, flicking up and out at the outermost part, or tails, of the brows. Instant eyelift!” Makeup artist Molly R. Stern additionally attests that brows are one in all the most important options as a result of they body the form of the face. “Whether your vibe is bushy or tweezed, the brow always deserves attention,” she says, including that when it comes to pencils and filling in, a tougher system is finest so the brows don’t transfer or sweat off. “I additionally love darkening the brows one shade deeper than the hair. Pro tip: Use Just for Men beard dye and go away it on for 5 minutes. It works like a allure.

Brow Wow

A marker-like pen, a works-for-everyone pencil and a sonic-edged blade that shapes (and has a depuffing curler!): These three merchandise take the guesswork out of attaining good brows: Anastasia Beverly Hills Brow Pen ($22), Huda Beauty #BombBrows Microshade Brow Pencil ($17) and DermaFlash Mini ($69).

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