Patel Plastic Surgery Salt Lake City and St. George
  • Home
  • Conditions
    • Aging Of The Face
    • Aging of Lower Eyelids
    • Aging of the Forehead and Brows
    • Aging of Upper Eyelids
    • Aging of the Cheeks
    • Aging of the Neck
    • Aging of the Lips
    • Aging of the Mouth
    • Aging of the Chin
    • Aging of Eyelashes
    • Aging of the Hands
    • Aging Of Skin Colour
    • Aging Of Hair
    • Aging of the Jowls
    • Aging of Men
    • Aging of the Skin
    • Aging of Veins and Vessels
    • Scars
  • Cosmetic
    • Facelift
    • Browlifts
    • Lower Blepharoplasty
    • Upper Blepharoplasty
    • Midface Lift/Hammock Lift
    • Necklift
    • Cosmetic Surgery in Men
    • Lip Lines
    • Lips
    • Mouth
    • Neck Liposuction
    • Fat Transfer
    • Skin Resurfacing
    • Cheeks
    • J-PLASMA SKIN RESURFACING
    • J-PLAZTY FACE
    • Removal of Moles, Lesions, Tags, Cysts and Blemishes
    • Facial Implants
    • Otoplasty, Ear Pinning, or Bat-Ear Repair
    • Complications?
  • Reconstruction
    • Acquired Ptosis and Dermatochalasis
    • Congenital Ptosis
    • Ptosis in Myasthenia Gravis
    • Blepharophimosis Syndrome
    • Entropion
    • Ectropion
    • Thyroid Eye Disease
    • Nasolacrimal Duct Obstruction
    • Skin Tumors
    • Orbital Tumors
    • Blepharospasm
    • Pterygium
    • Anophthalmos and Microphthalmos
    • Enucleation and Evisceration
    • Exenteration
    • Symblepharon
    • Congenital Anomalies - Lid Disorders
    • Acne Rosacea
    • Trauma
    • Infections
  • Non Invasive
    • Photorejuvenation
    • Botox
    • Radiesse
    • Restylane
    • Juvederm
    • Fractional Carbon Dioxide CO2 Laser
    • Fractional Resurfacing Lasers: Erbium lasers
    • Laser Hair Removal
    • Kybella
    • Chemical Peels
    • XEOMIN ®
    • Voluma
    • LATISSE EYELASH TREATMENT
    • Leg Veins and Spider Vein Treatment
    • Sculptra
    • Neck and Chest Cosmetic Concerns
    • Dysport
    • Accent Radiofrequency
    • Microdermabrasion and Light Chemical Peels
    • Melasma
    • Laser Tattoo Removal
    • Color and Texture Issues – Brown Spots on Face, Redness
    • Scars and Acne
    • Permanent Cosmetic Makeup
  • Resources
    • Patient Forms & Downloads
    • Out Of State and Overseas Patients
    • Reviews
  • About
  • Contact
  • Acquired Ptosis and Dermatochalasis
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Aging  of  the Forehead
​and  Brows

How do the forehead and brows age?

Aging of the forehead and brows can be very variable and not entirely predictable: ​
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The brows may always have been low: in men, especially, low brows do not necessarily look unacceptable. Many a movie star has made a living with the use of their low brows!
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One is always surprised at how unpredictable aging can be. Here, in the space of five years, we see dramatic changes in the brows (they are higher!) and the lower eyelids, cheek and lower face. However, the eyelid position is remarkably stable!
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This series illustrates the aging over 30 years and on the extreme right the results of properly performed brow, eyelid and cheek surgery. No facelift or necklift was performed: we used our "Hammock Lift" principles to achieve overall improvement in the structures of the face: indeed, she now looks as good, if not better than her appearance 30 years previously!

Analysis of the forehead and Brows

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​​At first glance, the cornucopia of changes on the forehead and brows may seem confusing.

​Certainly, failure to analyze the changes, forces and anatomy can lead to a “machine gun fire” approach to rejuvenation of the forehead and the brows. Plastic surgery needs to be much more nuanced.

Identification of the Different Changes

  1. Horizonatal forehead lines
  2. Medial brow ptosis
  3. Vertical corrugator inter-brow lines
  4. Corrugator overaction
  5. Central brow ptosis
  6. Temporal hooding secondary to brow ptosis
  7. Brow tail ptosis and rhytids
  8. Loss of brow fat pad volume
  9. Possible increase in forehead height
  10. Medial dermatochalasis upper lid
  11. Horizontal nasal bridge lines secondary to procerus overaction and secondary “fat nose syndrome”
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"Browlifts and foreheadplasty by Dr. BCK Patel MD: I was born with low brows! I always looked mean or angry. However, I was afraid to do anything about it as I kept on seeing photos of people with their brows looking too high. I was finally sent to see Dr. Patel by Dr. Mifflin (thank you, Dr. Mifflin) as Dr. Mifflin told me "he is the best plastic surgeon I know!". Dr. Patel had done a beautiful job. I work in the media and people no longer ask me if I am angry or mad at something. I get botox from time to time to keep my very strong frown muscles under control. Thank you Dr. Patel for a beautiful job. And thank you for lasering my forehead wrinkles and lines away at the same time! I didn't expect that: it was a great bonus."  Jenny T  42 Yrs Old with Droopy brows no more - Salt Lake City, UT

Changes superimposed upon underlying anatomy

Picture


​There is a complex mix of arteries, nerves, muscles and tendons which contribute to the overlying changes! This applied anatomy must be considered when
​using toxins, fillers or surgery.

Failure to understand this will lead to incongruous results, overly operated brows, or asymmetry.

Muscle forces at play

As if the anatomical changes and related anatomical changes are not enough, there are muscle forces at play with:
  1. The frontalis pulling upwards with horizontal forehead furrows
  2. The procerus muscle pulling downwards leading to horizontal nasal bridge lines and “a fat nose syndrome”
  3. Corrugator muscle action inwards and downwards causing vertical and oblique forehead lines
  4. Temporal slide of soft tissues because of lack of muscle and temporal hollowing
  5. Orbital orbicularis muscle action causing descent of the tail of the brows and crow’s feet
Picture
The constant use of the frontalis muscle results, in most people, horizontal forehead lines.

Superimposed upon this, of course, may be the changes due to the vagaries of life: brown spots, broken blood vessels, other more minor wrinkles and a roughness of the skin that develops with age. The firm forehead skin of youth is replaced with the stiff but wrinkles and lax forehead skin. The frontal hairline may recede or thin out. The brows generally tend to descend, resulting in further overuse of the frontalis muscles, with further worsening of the horizontal forehead lines. What is termed “frown lines” is the change caused by overaction of the corrugator and procerus muscles, resulting in vertical and horizontal lines between the brows, respectively. Because the support for the tail of the brow is poor, the brow tail tends to descend more than the rest of the brow, resulting in secondary fullness of the lateral upper eyelids and also a “sad” look.
Picture
Loss of fat in brows and upper eyelids: contrary to popular belief, upper eyelids don't always accumulate fat and become fuller. As seen in these photographs taken 50 years apart, we often get loss or recession of upper eyelid fat AND loss of the brow fat pad. Therefore assessment of these structures need to be accurate so as not to age the eyelids further. We often "refill" upper eyelids to give them a more youthful look and almost always augment brows with fat to recreate the fullness of days gone by...

Treatment Options

Forehead and Browlift
Botox
Fillers
Fotofacial Lasers
Chemical Peels
CO2 laser

Before and After

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"I had a excellent eye lift done by Dr. Patel. He knows what he is doing and is very pleasant. Dr.Patel was easy to get an appointment and he works with you. The office staff was very pleasant and made you feel calm."  D. Gull Highly recommended for eye lift surgery - Salt Lake City, UT

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Forehead
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Locations: 
Dr. BCK Patel MD, FRCS
​1025E 3300S
Salt Lake City, Utah 84106, USA

(801) 413-3599 (phone/text)
E: [email protected]
bckpatel.info


Dr. BCK Patel MD, FRCS
617 E Riverside Dr Suite 101
​Saint George, UT 84790, USA
(435) 215-0014
​E: [email protected]

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Conditions

Aging Of The Face
Aging of Lower Eyelids
Aging of the Forehead and Brows
Aging of Eyelashes
Aging of the Cheeks
Aging of the Neck
Aging of the Lips
Aging of the Mouth
Aging of the Chin
Aging of Eyelashes
Aging of the Hands
Aging Of Skin Colour
Aging Of Hair
​Aging of the Jowls
Aging of Men
Aging of the Skin
Aging of Veins and Vessels
Scars

Cosmetic

Facelift
Browlifts
Lower Blepharoplasty/Hammock Lift
Upper Blepharoplasty
Midface Lift/Hammock Lift
Necklift
Lips
Mouth
Neck Liposuction
Fat Transfer
Skin Resurfacing
Cheeks
J-PLASMA SKIN RESURFACING
J-PLAZTY FACE
Removal of Moles, Lesions, Tags, Cysts and Blemishes
Facial Implants
Otoplasty, Ear Pinning, or Bat-Ear Repair
​Complications?

Reconstruction

​Entropion
Acquired Ptosis
Ectropion
Congenital Ptosis
Blepharospasm
Anophthalmos and Microphthalmos
Thyroid Eye Disease
Enucleation and Evisceration
Nasolacrimal Duct Obstruction
Symblepharon
Congenital Anomalies - Lid Disorders
Acne Rosacea
Trauma
Infections
Skin Tumors
Orbital Tumors

Non- Invasive

Botox
Laser Hair Removal
Kybella
Juvederm
Chemical Peels
Fractional Carbon Dioxide CO2 Laser
XEOMIN ®
Voluma
Latisse Eyelash Treatment
Leg Veins and Spider Vein Treatment
Sculptra
Neck and Chest Cosmetic Concerns
Restylane
Dysport
Accent Radiofrequency
Photorejuvenation
Microdermabrasion and Light Chemical Peels
Melasma
Fractional Resurfacing Lasers: Erbium lasers
Color and Texture Issues – Brown Spots on Face, Redness
Laser Tattoo Removal
Radiesse
Acne
​Permanent Cosmetic Makeup

links
​
www.hammocklift.com

WWW.PATELFACELIFT.COM

www.englishsurgeon.com


www.drbhupendrapatel.com
​

bckpatel.info

Patel Plastic Surgery  .  Copyright 2022 . All Rights Reserved
  • Home
  • Conditions
    • Aging Of The Face
    • Aging of Lower Eyelids
    • Aging of the Forehead and Brows
    • Aging of Upper Eyelids
    • Aging of the Cheeks
    • Aging of the Neck
    • Aging of the Lips
    • Aging of the Mouth
    • Aging of the Chin
    • Aging of Eyelashes
    • Aging of the Hands
    • Aging Of Skin Colour
    • Aging Of Hair
    • Aging of the Jowls
    • Aging of Men
    • Aging of the Skin
    • Aging of Veins and Vessels
    • Scars
  • Cosmetic
    • Facelift
    • Browlifts
    • Lower Blepharoplasty
    • Upper Blepharoplasty
    • Midface Lift/Hammock Lift
    • Necklift
    • Cosmetic Surgery in Men
    • Lip Lines
    • Lips
    • Mouth
    • Neck Liposuction
    • Fat Transfer
    • Skin Resurfacing
    • Cheeks
    • J-PLASMA SKIN RESURFACING
    • J-PLAZTY FACE
    • Removal of Moles, Lesions, Tags, Cysts and Blemishes
    • Facial Implants
    • Otoplasty, Ear Pinning, or Bat-Ear Repair
    • Complications?
  • Reconstruction
    • Acquired Ptosis and Dermatochalasis
    • Congenital Ptosis
    • Ptosis in Myasthenia Gravis
    • Blepharophimosis Syndrome
    • Entropion
    • Ectropion
    • Thyroid Eye Disease
    • Nasolacrimal Duct Obstruction
    • Skin Tumors
    • Orbital Tumors
    • Blepharospasm
    • Pterygium
    • Anophthalmos and Microphthalmos
    • Enucleation and Evisceration
    • Exenteration
    • Symblepharon
    • Congenital Anomalies - Lid Disorders
    • Acne Rosacea
    • Trauma
    • Infections
  • Non Invasive
    • Photorejuvenation
    • Botox
    • Radiesse
    • Restylane
    • Juvederm
    • Fractional Carbon Dioxide CO2 Laser
    • Fractional Resurfacing Lasers: Erbium lasers
    • Laser Hair Removal
    • Kybella
    • Chemical Peels
    • XEOMIN ®
    • Voluma
    • LATISSE EYELASH TREATMENT
    • Leg Veins and Spider Vein Treatment
    • Sculptra
    • Neck and Chest Cosmetic Concerns
    • Dysport
    • Accent Radiofrequency
    • Microdermabrasion and Light Chemical Peels
    • Melasma
    • Laser Tattoo Removal
    • Color and Texture Issues – Brown Spots on Face, Redness
    • Scars and Acne
    • Permanent Cosmetic Makeup
  • Resources
    • Patient Forms & Downloads
    • Out Of State and Overseas Patients
    • Reviews
  • About
  • Contact
  • Acquired Ptosis and Dermatochalasis