Bulletin Board for Patient's Questions and Answers
Brow Lift - Facelift / (Rhytidectomy - Rhytidoplasty)

Explore what others have to say about brow lift and facelift cosmetic surgery with answers by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Reconstructive Reconstructive Surgery Hand Hand and Nerve Cosmetic Cosmetic aesthetic Congenital Breast Breast Breast Head & Neck plastic surgeon Skin Cancer skin cancer Microsurgery

This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

  • Why did you choose to have the surgery?
  • How did you choose your doctor?
  • How much did it cost?
  • Was the final cost the same as what you were told before the surgery?
  • How was the recovery?
  • Were there any complications? How were they resolved?
  • How do you feel about the results?
  • Did it have any effect on your life
    • emotionally
    • socially
    • sexually
    • professionally
  • How did others react to your surgery?
  • Did you learn any lessons?
  • What would you advise others?

Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

E-mail to Dr. Bermant

Brow lift and eyebrow issues

Subj: when see results?

In June, I had the muscles cut between my brows to get rid of the 'frown line'. The lines are still there. The doc said skin has memory, and to give it time to go away. I guess I expected them to go away right after the surgery.....not maybe, months (or who knows when) later. For anyone who has had this type of surgery, or similar, when did you see your lines go away? Was it instantaneous? months later? years later? Thanks for your response....K

Subj: Re:when see results?

Dr. Bermant comments

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

The skin does have some memory. I tell my patients to wait about 6 months to see how the scar / skin matures. Different patients skin react differently and can take shorter or longer. Depending on what was done, the time also can vary. The best information about how long should come from you surgeon. If you are not certain with the response, go back and ask again. Doctor patient communication is so important. Getting answers from others may just confuse the issue.


Subj: Re: frown lines

Dear Dr. Bermant:

I have been searching the web to see if there is info on a procedure I saw on T.V. that some actresses are receiving. Of course I did not catch the name of it or much about it at all, but it goes something like this: They are receiving injects between the eyes (frown lines) that is paralyzing that particular spot so they no longer can squint or frown or make any suggestions with that spot, hence not deeping the lines. Just wondering if you would know what it is called and is it available to anyone and maybe you'd know if available in Canada.

Thanks for your help,

L

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

"Frown lines" between the eyebrows are from skin aging and are exacerbated by the underlying muscles of facial expression. These muscles can be altered, weakened, or removed during forehead surgery such as a brow lift. Another method of injuring the muscles included Botulinus Toxin which is a dangerous poison used to paralyze the tissue. The toxin only temporarily stops the muscles from working, repeat injections are needed. The poison can drift to adjacent unwanted areas causing paralysis of other important facial function.

I am sorry but do not know which local surgeons offer Botulism Toxin but most board certified plastic surgeons should offer some form of brow lift. I prefer the precision and the variable options of the forehead plasty operations and design an open or endoscopic method to match the patient's problems.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: brow/eye lift

I am 35 and have been 65 lb. overweight for about four years. I have been losing weight now due to a good eating plan and exercise and I have also been taking better care of my skin with the many fine products available today. I have very few problems with my face, except for some wrinkling right above my brows and I also have noticed the upper part of my lids is kind of loose and wrinkly. I have to lift my brows to smooth it out some, which I have been obviously been doing for quite some time since I have formed those wrinkles above my eyebrows. It really became obvious to me when I was pushing my hair back off my face, thus pulling my forehead up a little and lifting my brows. I wondered if the looseness of the skin of my lids would change any by the time I finish losing all the weight (I've lost about 20 lb). Will I ultimately need a brow lift to correct this problem? My mother does have a lot of excess eyelid skin. And about how much does just getting a brow lift cost? Does it make the eyes swell as much as the eyelid lift? Is it recommended for someone my age?

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

With weight loss, skin can become redundant about the body. The face is no exception. We like to have our weight reduction patients who want to learn what plastic surgery has to offer, in our office for a consultation and evaluation. In some cases skin care can help the skin to more normal proportions and avoid surgery. In other cases surgery is recommended. The question is one of timing and, when possible, weight stabilization. Skin care options are discussed by our cosmetologist in our office. Cost depends on what is done. Brow lift surgery is becoming more common in the younger patient as we refine small incision and endoscopic techniques. Your age range is rather young but when extra skin does not contract after major weight loss, such surgery becomes an option.

Brow lift alone is about $2250 for my surgeon's fee.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: eyebrows

I'm hoping that you are able to help me. I'd love to come see you, I live in New Jersey and it is just not possible. All my life I've been living with eyebrow loss. The hairs always fall out and I'm not great when it comes to eyebrow pencil. I look so silly. I do not want to to use a tattoo, I think that it looks fake and it appears to be a very risky thing to do. Please... If you have any suggestions at all for me, I'd greatly appreciate it. No one has been able to help me, I hope that you are able to. Thank you very much for reading my note.

S

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

In some cases eyebrows can be made by moving tissue with hair from the scalp to the brows as a graft. The graft needs to live by getting a new blood supply from the new position. Severe scars may make such surgery very difficult and in some other cases a new blood supply can be brought with the hair bearing tissue (vascular pedicle flaps). Without examining you I cannot determine if you would be a candidate for such surgery. Just how was I supposed to help if you cannot travel to Richmond?

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: Browlift

Dear Dr. Mike:

First of all, thankyou for your informative website.

I am a 40 something female. I am considering a browlift. I have a rather high forehead and what I read on the net makes me think that I am not a candidate because of this. What is your opinion? Also, I would like to have a along with this liposuction on the upper torso . In your opinion, is this too much to do at once?

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Certain brow lifts will raise the hairline. In those with a very high brow this can look unusual. Hairline incision brow lifts are designed for such cases. What would be best for you would be better determined with an in office consultation and evaluation.

Liposuction is an open ended proposition. Massive liposuction can be dangerous by itself. Limited liposuction may be no problem with a brow lift. I do not like breast augments with liposuction.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: browlift

Please e-mail me your location and approx.cost of a browlift. Thanks......M

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

I am located in Richmond Virginia, on our website you can find details or call the office for more specific instructions.

Browlift is the name for a large variety of operations. Cost depends on what needs to be done. For an average browlift the surgeon's fee varies from $2100 to $2500. Anesthesia may be part of those costs or additional depending on the type chosen.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: forehead lift

Dear Dr. Bermant:
5 weeks ago I had a coronal forehead lift (incision a couple of inches behind the hairline). I am concerned about unevenness (an indentation) above my right eyebrow. The day of surgery when I woke up & looked in the mirror, I had swelling of the forehead (which I expected)...but there was 1 area (above my right eyebrow) which was indented. My Dr. told me that it should "even out" & has somewhat but it is still noticable. Is this common? I don't believe it is. What caused it? and how more importantly what can be done to smooth it? Is there a time period I should wait before looking into alternatives? -5 weeks post and eagerly awaiting your suggestions
Best Regards,
D

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

After a forehead lift, some swelling and possible unevenness can happen, but usually it is of a small degree. It really depends on what the problem was, what was done, and how you heal. In techniques to even out severe forehead wrinkles, muscles often are intentionally partially cut, relocated, and in some cases removed. Aggressive wrinkle treatment can leave some significant depressions that USUALLY improve with time. There are other possible techniques that can leave unevenness. Since I did not operate on you and have not examined you, I cannot tell you what happened, nor recommend treatment, nor propose alternatives. These are good questions for your doctor or for someone who has had the chance to examine you.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: eyes / forehead

Dear Dr.
I am 42 years old and am considering having a forehead lift, and possibly the eyelids. I had the lower eyelids done five years ago. Approximately what would these procedures cost and what is the normal recovering time?

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

There are many types of forehead lift and blepharoplasty surgery. My surgeon's fee for a typical operation for both is $4500. Additional costs depend on where the surgery is performed, the type of anesthesia and other factors. The OR charge for my office operating room under local anesthesia is about $300.

Recovery depends on the operation, what is done, and how you heal. Resting the night after surgery and perhaps the next day with the head, neck and back elevated is important for postoperative swelling. The amount of time for recovery varies widely. Most patients are able to resume normal activities in 10 days or less after surgery.

My web page is just an introduction to the educational process our office has as part of our surgical package. The best way to learn about forehead and blepharoplasty surgery is during an in office consultation and evaluation. I can then discuss specific surgery for specific problems. If you are indicated call our office for further details.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD


Subj: Re: Re: eyes / forehead

Dear Dr. Bermant,
I would like to get more information about you and your practice.
1. How long have you been practicing plastic surgery?
2. What is your area of interest (i.e. breast augmentation, face lifts, etc.)
3. Do you have any photos of the results of you surgery fo the forehead and eyes?
4. Is it possible to schedule a consultation and the procedures within the same week?

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

My CV page on the web outlines my training.

My web site has hundreds of pages of various problems that I treat (the web site is not yet complete). There are thousands of links, before and after images and patient information. The site keeps expanding as I can find the time to upload material.

I have been in private practice since 1986. My interest is in cosmetic operations and complex reconstructive surgery. Rhinoplasty nasal surgery is one of my favorite areas, but I am a broad spectrum plastic surgeon. Sample results are up on my web pages.

You would need an evaluation and examination to find what benefits plastic surgery has to offer. Our patients coming from out of town for forehead lift and eyelid surgery need to be evaluated here before surgery. That can be in a separate trip to Richmond. For those patients who want to have the surgery during the same visit, tentative operative time can be scheduled./P>

For our patients booking tentative surgery on the same visit, we have preliminary patient information forms that can be filled out and explored before coming to Richmond.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Bermant Plastic Surgery
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