May 2, 2011

Can I have my eyes and forehead lift at the same time?

As an experienced oculoplastic and facial cosmetic surgeon, Dr. Steinsapir often combines eyelid surgery with a forehead lift for a comprehensive facial rejuvenation.  However, every individual’s needs differ and a consultation and examination by a cosmetic surgeon is necessary to determine the extent of the procedure required.  Before you decide on a surgeon to perform any procedure, attend a consultation to learn how the surgeon will address your individual goals and his or her strategy for achieving optimal results.

The benefits of a forehead lift

In some instances, a forehead lift alone can freshen your face and provide you with the youthful appearance you are seeking.  The forehead lift elevates the eyebrows, reduces frown lines, and smoothes your forehead.  Eyelid surgery deals with the height of the crease, the crease structure, and eyelid and lash ptosis.  Although this can freshen your look as well, the forehead lift addresses one of the focal points of your face – one that can make the difference between looking tired and run down and looking youthful and refreshed.

A forehead lift can freshen your appearance

A forehead lift can freshen your appearance

Dr. Steinsapir only performs endoscopic forehead lift, or closed forehead lift, as opposed to the more traditional open forehead lift.  The endoscopic forehead lift offers faster healing time and fewer negative effects like scalp numbness, hair loss, or a long scar.

The benefits of a lid lift

Blepharoplasty, also known as eyelid surgery or a lid lift, allows the surgeon to remove excess skin and fatty tissue that create the appearance of droopy, deflated eyelids.  As the fat deposits, loose skin, and drooping of the eyelids typically occur because of aging, this procedure can reverse the effects of time to restore a youthful, refreshed, and rested appearance.  Upper eyelid surgery, because it is a versatile procedure, can also accomplish other goals, such as creating an upper eyelid crease.

How will the surgeon know which procedure I need?

The primary issue in determining whether you need a lid lift, forehead lift, or both is the type of eyebrow support and shape you need.  Some individuals need just a forehead lift.  Your surgeon will assess the need to address upper eyelid issues.  In some instances people will have both eyebrow ptosis and excess upper eyelid skin and fullness and benefit from both sets of issues being addressed at the same time.

About Dr. Steinsapir

Dr. Steinsapir is a much sought after oculofacial surgeon.  He is an innovator in minimally invasive cosmetic and reconstructive procedures and has invented new methods for treating with BOTOX, Fillers, and cutting edge reconstructive eyelid and midface surgery.  He specializes in high precision eyelid surgery and is a leader in correcting prior facial and eyelid surgery, including multiply revised cosmetic eyelid reconstructions.  He attended medical school at the UCLA and completed ophthalmology residency at The University of Chicago.  He is board certified in Ophthalmology and multiple fellowship trained including three years of fellowship training in oculofacial plastic surgery at UCLA, and a two-year cosmetic surgery fellowship in Rancho Mirage.  He is widely published and lectures to other surgeons nationally and internationally.  He is an associate clinical professor of Ophthalmic Plastic and Reconstructive Surgery at the Jules Stein Eye Institute at UCLA.  His private practice is located in West Los Angeles, immediately serving the Los Angeles and Beverly Hills communities.  Additionally, individuals from all over the country and the world regularly come to Los Angeles for this expert care.  Please contact us today to learn more about evidence-based treatment options with Dr. Steinsapir for proven results.

February 27, 2011

Can I exercise my facial muscle for an improved tone?

Exercise and diet are essential for a healthy lifestyle, but it’s important to recognize their limitations.  Not every condition can be cured by exercise, vitamin supplements or fad diets, especially when the problem is not a result of poor nutrition or inactivity.  We absolutely encourage you to exercise moderately and eat well, but we admit to being skeptical of the arising claim that exercising facial muscles can restore youth and beauty to one’s face.  This is an unproven method, and when one considers that they are likely still using their facial muscles just as much as they were ten years ago, it becomes apparent that their aging looks are unlikely due to facial inactivity.

It’s appealing to believe that we can resolve all of our concerns through exercise, and while research shows that exercise does benefit our health in many ways, it also shows that further medical treatment is required for many conditions.  Just as someone with presbyopia cannot exercise to regain the ability to focus for reading vision, it’s not likely that you’ll be able to reverse the effects of age, time, gravity, and stress by wiggling your face or by having electrical currents stimulate your facial muscle to contract.

There are many types of facial cosmetic surgery and other treatment that can help you obtain the result you need if your doctor determines that you are a suitable candidate.  These range from minimally invasive treatments with little-to-no downtime like BOTOX and undereye Restylane to surgeries like the facelift and plastic eyelid surgery including eyelid reconstruction, which give dramatic yet natural results to individuals with far-reaching concerns.  While it is impossible to know which treatment, if any, is most suitable for you before a private consultation with the best facial cosmetic surgeon for you, you can be confident that there are a wide range of treatments that an expert can custom-tailor to meet your needs.

As a specialist in facial cosmetic treatments, Dr. Steinsapir has treated many individuals who first explored a variety of “natural solutions” for their aesthetic facial concerns.  Frustrated when they saw no results, they eventually consulted with Dr. Steinsapir and opted for proven treatment methods that provide dramatic yet natural results.  This human tendency to pursue unproven treatments is not a fault; it is normal to want to independently resolve a problem using the least invasive and most economical method possible.

Dr. Steinsapir is focused on your personal goals and comfort level.  Dr. Steinsapir always asks you questions about your specific goals, individual situation, and preferences so that he can plan a solution that is aligned what you want, so you can feel comfortable knowing that you are ultimately in control of your treatment plan.  Dr. Steinsapir very much believes in using the least invasive method for accomplishing a particular goal; for example, he does not recommend a forehead lift when a BOTOX treatment for wrinkles will will meet your goals – and he is a leader in his field of minimally invasive solutions.

If you are seeking a proven treatment with an experienced facial plastic surgeon with extensive training in oculofacial plastic surgery, we invite you to a personal consultation with Dr. Steinsapir today.  Dr. Steinsapir is honest, friendly, and can talk to you about customized treatments that give you the results you seek by addressing your specific needs and unique facial features.  Please call us today to schedule a time when you can speak with Dr. Steinsapir.

About Dr. Steinsapir

Dr. Steinsapir is a board certified cosmetic surgeon and oculoplastic surgeon in Los Angeles where he specializes in balanced facial cosmetic surgery for natural results, with an emphasis on minimally invasive techniques, fast recovery time, and leadership in medical technology.  Dr. Steinsapir has a private practice and also serves patients at UCLA, where he is an assistant
clinical professor. Contact us today to learn how Dr. Steinsapir’s experience and training make him an expert provider of facial cosmetic surgery and eyelid reconstruction, which can be a vital part of your evidence-based treatment plan.

November 16, 2010

I had an open forehead lift in the past. Am I a candidate for having my forehead revised endoscopically?

There are two general reasons why people with a history of an open forehead lift (also called a coronal forehead lift) later seek an endoscopic forehead lift (also called a closed forehead lift).  Some seek an endoscopic forehead lift because time has passed and their surgery benefits have worn off over the years.  Another reason people seek further improvement is because they have heard of the of the endoscopic forehead lift benefits over the open forehead lift, and they now seek improved results.  The good news is that even if you’ve previously had an open forehead lift, the endoscopic forehead lift can still benefit you.

Refreshing Your Appearance

The forehead lift is a long-lasting solution for improving your features, but like any cosmetic surgery, it can’t stop you from aging or experiencing the damaging effects of gravity and sun.  You can expect to enjoy your forehead lift results for five to ten years.  The long-lasting benefits of the forehead lift include smoothing the forehead wrinkles and frown lines for a refined, youthful appearance.  In time, these results will not be as pronounced as they once were.  Why?  Because you are still getting older and subject to the stress and everyday aging that we all experience.  Surgery does not stop the clock, so you may want to consider additional treatment in coming years to refresh your results.

Closed vs. Open Forehead Lift

Perhaps you had your first forehead lift many years ago when the open technique was the standard.  Or perhaps you recently had an open forehead lift that you feel needs revision.  Today the closed forehead lift represents advanced medical technology that has greatly improved forehead lift outcomes.  If you are thinking about refreshing your appearance again, it’s important to realize that you should still go with the best in medicine and cosmetic surgery today.  You are not limited to the open forehead lift.  In fact, the closed forehead lift gives you many advantages over the open forehead lift and is the safer choice.

The closed forehead lift provides superior results with hidden, minimal scarring and much faster healing time—about five times faster!  The closed forehead lift is additionally associated with fewer forehead lift complications and a more natural hairline.  Today the endoscopic forehead lift leads as the best research-based and time-tested forehead lift solution.

If you think you may benefit from a new forehead lift today, be sure to pursue the endoscopic forehead lift rather than the open forehead lift.  The open forehead lift is now considered an outdated procedure although some older surgeons and their protégés still insist on performing this procedure today.  Attaining the skills needed to perform a well-designed endoscopic forehead lift presents a higher learning curve than is needed for the open forehead lift, which is the biggest reason why some surgeons still go by the old method.  However, today’s forward-thinking endoscopic forehead lift effectively replaced the open forehead lift twenty years ago.

Seeking Revised Forehead Surgery

If you feel it’s time to revisit your options for cosmetic forehead treatment, seek advice from an experienced facial cosmetic surgeon with specialty in minimally invasive procedures like the endoscopic forehead lift.

Since 1993, Dr. Steinsapir has been a leader in the minimally invasive, small-incision, endoscopic “closed” forehead lift, which is now the standard of excellence in forehead lifts.  He is a world-renowned facial cosmetic surgeon in Los Angeles, widely acclaimed for his skill in revisional cosmetic surgery that balances the facial features for natural results.  To find out how a closed forehead lift with Dr. Steinsapir can transform your appearance and restore your confidence, please contact us today.

September 16, 2010

What is the surgical look and how do I avoid it?

Many people who feel they could benefit from facial cosmetic surgery and other cosmetic procedures are hesitant to learn more about what will help them because they have heard negative stories about others who needed treatment and ended up looking worse.  This is a common concern, and while it is natural to be apprehensive about new situations, it’s important to understand that you can achieve improvements that look natural and not overly surgical.

What causes the surgical look?

The “surgical look” is what comes to mind when you think of somebody – perhaps a well-known face on the cover of a gossip magazine – who is rumored to have had “too much” plastic surgery because their appearance looks unnatural.   While one may have unattractive features that look perfectly natural in other situations, the surgical look is when the features look anatomically unusual.  Some people are so accustomed to seeing these publicized examples that they even believe this is the goal of cosmetic surgery.  This is an example of misunderstanding the purpose of cosmetic surgery.  For the right people, cosmetic procedures like the facelift, BOTOX, and other treatments have the ability to transform your appearance from aged, stressed, and damaged to soft, youthful, and beautiful.

How to Get Natural Results

If you want significant yet natural improvements to your facial features, please know that you can avoid the surgical look.  The key is choosing the right cosmetic surgeon and clearly communicating your goals.  Who is the right doctor?  Well, that depends on your goals, the kind of procedure or procedures you need, and even your personality.  You’ll want a doctor who is highly experienced and specialized in the kind of treatment you seek.  Your doctor must also have a solid understanding of the goals of cosmetic surgery, and how to customize each treatment to the unique features of the patient – this is crucial to having the results appear natural for the individual.  Finally, your doctor must have the skill and artistic abilities needed to achieve the natural look you desire.

Natural-looking cosmetic surgery can be obtained by considering how the many intricate components of the face work together.  All of the muscles, tissues, tendons, fat, skin, and other anatomical aspects affect each other, which means your doctor will need comprehensive knowledge of how a treatment like a forehead lift will affect the cheek structure, and so on.  He or she must also know how the facial muscles communicate with the brain to achieve a balanced look.

A specialist in facial cosmetic treatments who works on different areas of the face will usually have the most training and experience in the subtleties of effective treatment and be able to ensure that your results compliment your unique features to give you natural improvements.  Carefully study potential doctors’ before and after photos to see whether they look natural or surgical.

Expert Treatment for Natural Results

Dr. Steinsapir is a Los Angeles cosmetic surgeon who emphasizes natural results through minimally invasive, scientifically proven treatment methods.  Because he strives for the least invasive treatments, you will have the most comfortable recovery possible.  Dr. Steinsapir individually designs each treatment based on your particular needs and features to enhance your positive attributes, rather than following a standard one-size-fits-all pattern.

Dr. Steinsapir also provides facial and eyelid reconstructive surgery for people who have had negative treatment experiences in the past, usually because they went to a nonspecialist who did not strive for natural results.  If you feel you have a surgical look from past treatment, Dr. Steinsapir can help you understand your condition and how to improve it.

With multifelloship training in cosmetic surgery and oculoplastic surgery, and methods for nonsurgical improvements like patent-pending Microdroplet BOTOX and Deepfill Restylane, Dr. Steinsapir is one of the top cosmetic surgeons in California.  We invite you to a no-risk consultation with Dr. Steinsapir to learn more about his helpful methods and natural results.  Please contact us today for more information.

September 14, 2010

What Is the Best Forehead Lift?

The forehead lift is a great option for many people who have sagging eyebrows, forehead creases, or frown lines.  Since the results last for about five to ten years or more, a well-crafted forehead lift is an excellent long-term solution for improving your appearance.  In nearly every situation, the best forehead lift is an endoscopic forehead lift that is customized to your individual features.

Endoscopic Forehead Lift Before and After
Endoscopic Forehead Lift Before and After

From 1990 and forward, the small incision forehead lift (also called the endoscopic forehead lift and closed forehead lift) replaced the open forehead lift (also called the coronal forehead lift) as the clear choice for safe forehead lifts with the best natural results.  The endoscopic forehead lift is a minimally invasive solution that is at least as effective, and possibly more effective than its predecessor, the open forehead lift, which is now considered an outdated method that is rarely indicated.  With faster healing time and minimally scarring that is nearly undetectable, an endoscopic forehead lift can safely improve your appearance

What Are the Advantages of the Endoscopic Forehead Lift?

The endoscopic forehead lift offers many advantages to the open alternative.  While the open forehead lift could be called undoubtedly oversurgical, the endoscopic forehead lift offers faster healing time and fewer negative effects like scalp numbness, hair loss, or a long scar.  Although a few who insist on continuing to perform the open forehead lift may say that the resulting scar from the open forehead lift can be “hidden” underneath your hair, the reality is that this breaks up the natural hair growth pattern, and those you meet will pick up on this.  The untrained eye will just think that something looks slightly “funny” or “off” about your hair line, and this is even true of beveled incisions that allow some hair to grow through the scar.  In hair grafting circles, this is referred to as “compression.”  Natural hairlines do not have compression.

Both the open and closed forehead lifts are long-lasting, with the open forehead lift showing no clear advantage in any area.  Healing time for the endoscopic forehead lift is about five times faster, so you’ll see improvements sooner, and your risk of forehead lift complications is greatly reduced.

With the endoscopic forehead lift being very safe and providing more natural results, you may wonder why the open forehead lift is still available at all.  The simple truth is that the endoscopic forehead lift is more difficult for a surgeon to learn.  Before mastering this technique, the surgery takes longer to perform, and with this increased learning curve a few surgeons have not bothered to update their practice.  Fortunately, when you seek an endoscopic forehead lift from an experienced provider, your doctor has the high skill level required of this technique and understands how important it is to learn minimally invasive methods for best results.

Who Can Perform my Closed Forehead Lift?

Ask your potential facial cosmetic surgeon if he or she provides the closed/endoscopic forehead lift or the open/coronal forehead lift.  Also ask whether your doctor custom-tailors each surgery, or if he or she feels they are all basically the same.  The best cosmetic surgeon understands that no two treatments are the identical when you are aiming for natural results suited to the individual’s features, circumstances, and goals.  Ask to see some before and after forehead lift photos.  Finally, assess how comfortable you are with the doctor, if what he or she says makes sense to you, and if you are confident in his or her ability.  Sometimes there may be personality obstacles between you and a doctor, which does not speak ill of the doctor, but simply means that you should find a better match so that you are completely comfortable with your treatment plan.

Consider how a consultation with Dr. Steinsapir can help you learn more about the best forehead lift in Los Angeles and Beverly Hills.  Dr. Steinsapir can discuss your goals in a no-risk environment and help you determine the most suitable treatment path.  He has been leading the trend toward small-incision, minimally invasive, endoscopic forehead lifts since 1990, contributing to his status as a world-renowned expert in facial cosmetic surgery.  As one of 500 elected Fellows to the American Society for Ophthalmic Plastic and Reconstructive Surgery, Dr. Steinsapir considers how all of your facial features work together to give you a balanced look.  Furthermore, he is an associate clinical professor at UCLA where he contributes to forward-thinking, science-based medicine.  Please contact us today to find out how an endoscopic forehead lift can help you improve your looks and confidence.

Advantages of having cosmetic surgery at UCLA?

I had cheek implants in the past, what are my option for improving my appearance now?

I had a chin implant in the past, what are my options for improving my appearance now?

I had a facelift in the past, what can I do to refresh my look now?

I had an open forehead lift in the past, am I a candidate for having my forehead revised endoscopically?

Ptosis and the Asian Eyelid.

Anchor blepharoplasty and the Asian Eyelid.

Which chemical peels are best for Asian Eyelids?

I think I need my Asian Eyelid Surgery fixed.

What should I know about Asian Eyelid Surgery?

Can I have my eyelid surgery under general anesthesia?

Does anyone perform Asian Eyelid Surgery under local anesthesia?

Does it make sense to have Asian Eyelid surgery in China when I visit?

Should my Asian Eyelid Surgeon be Asian?

What are the best lower eyelid options for Asians?

May 26, 2010

Will a forehead lift affect my hair grafts?

If you have suffered from hair loss in the past and now seek further treatment for other concerns, it is natural to want to ensure that any new treatment does not erase the effects of an old one.  Most people we see who have had hair grafts and are also seeking a forehead lift or facelift ask us this question.  The answer is that the forehead lift can and will affect your hairline.  The issue is how to best manage your particular circumstance so any changes are natural and minimize compromise of your grafted hair.

Facelift Before and After Photo

Facelift Before and After Photo

The open forehead lift or coronal forehead lift relies on an incision above the hairline from ear to ear and is sometimes justified on the basis that the long scar is “hidden” behind the hairline.  The problem with this statement is that such a large scar is hard to hide and can be visible through thin hair.  This incision when closed puts stress on the scalp and is commonly associated with permanent loss of hair along the course of the incision.  Some advocate moving the coronal incision to the hairline, which is the so-called pretrichial hairline.  Proponents of this tout the relative invisibility of the hairline when beveled so that hair can grow through the healed scar.  As good as this sounds, the actual result of these incisions seldom live up to their promise.  The pretrichial incision and the beveled pretrichial incision create subtle and sometimes not so subtle compression of the hairline.  The results in something a bit unnatural.  Sometimes the hairline incision is advocated because it “lowers the hairline.”  While this statement is basically true, the visible scar and hairline compression overcome any benefit obtained by “lowering the hairline”.  The bottom line is that open forehead lift is outdated, and it’s almost always better to opt for an endoscopic forehead lift.  In fact, the loss of a small number of hair grafts during the endoscopic forehead lift is generally not noticeable.  There is a small upward shift in the hairline but this is generally quite small and on balance; this is a much better option than disturbing and compressing the hairline.

Consult with a leading physician in endoscopic facial surgery.

Dr. Steinsapir has been a leader and advocate of the minimally invasive endoscopic forehead lift since 1990 and onward, even before most recognized the superior value in this technique.  With faster recovery time, optimal results, and a natural hairline, an endoscopic forehead lift is the clear choice for those who have had hair grafting or wish to have hair grafting in the future.  These are powerful procedures that have the ability to truly transform your looks, and you needn’t put off your consultation with a specialized physician out of fear that improving your facial features will compromise prior hair grafts.  When we look at results, we find that:

•    Hair grafts are only minimally affected by an endoscopic procedure if at all.
•    The benefits of a forehead lift vastly improve your entire appearance.
•    Many people benefit from both hair grafting and a forehead lift, but they should not be performed at the same time.
•    Facial cosmetic surgery must be tailored toward each individual’s specific needs and concerns, by the right doctor.

We invite you to your no-risk consultation with Dr. Steinsapir where you can ask questions, express your concerns, learn about his expertise as an oculofacial plastic surgeon who specializes in the forehead lift in Los Angeles along with other specialized cosmetic procedures.  Dr. Steinsapir has extensive education, fellowships, experience, and proven results that can assure you of his qualifications to custom-tailor your treatment.  As an Associate Professor at UCLA, a leading researcher, and a practicing physician with astounding results, he is internationally respected in his field as a caring cosmetic surgeon.  Call us today to find out how treatment with Dr. Steinsapir can be balanced with your hair grafts to give you all of the results you’re looking for.

January 19, 2010

Should I have an open or endoscopic forehead lift?

It’s astounding that some surgeons insist on performing the open forehead lift after it was essentially replaced by the endoscopic forehead lift in the early 1990s.  The closed forehead lift, or endoscopic forehead lift, is just as effective if not more so than the traditional yet outdated open forehead lift, with added benefits:  faster healing time, no long term numbness of the scalp, no hair loss, and no scar arching over the head from one ear to another.  The open forehead lift, also known as the coronal forehead lift, is undoubtedly oversurgical – the effects can be unnaturally excessive and it leaves a long, unsightly scar often accompanied by permanent numbness.

Before and After: Forehead Lift by Dr. Steinsapir

Endoscopic Forehead Lift Before and After

Some excuse this scar because it can be “hidden” under the hair, but the problem here is that the human eye and brain are amazingly capable of discerning the unnatural patterns of hair growth that result from this surgery.  Even with a carefully designed, beveled incision through the hairline’s edge that allows hair to grow through the scar, the eye perceives something amiss.  The hair is not as dense here, and for those opting for micrografted hair in this area, be warned that the uncontrolled compression and lack of random placement is easy for the eye to notice.  Lacking the relevant technical experience, others may not be able to describe what they are seeing, but they will think to themselves that something isn’t quite right about your hairline.  Those in favor of open forehead surgery argue that it is superior because it doesn’t push back the hairline.  However, it is nearly always better to push the hairline back a tiny five milimeters than to have an altered hairline and huge scar that even the best of surgeons cannot render natural in appearance.

The results of an endoscopic forehead lift last just as long as the open forehead lift, with the added advantages of faster healing, no hair lass, an extremely low risk of numbness, and no visible scarring.

What’s the difference between an open and closed forehead lift?

In short, the open forehead lift places the hairline slightly lower but creates an unnatural-looking hairline.  The endoscopic or closed forehead lift places the hairline subtlely higher while retaining a natural pattern in the hairline.  The endoscopic forehead lift offers faster healing time and far fewer complications because it is a minimally invasive technique, whereas the open forehead lift can be categorized as oversurgical.  Recovery from the endoscopic forehead lift is 5 times faster than the open forehead lift.  The endoscopic forehead lift presents a larger learning curve for surgeons and takes longer to perform until mastered, so some have been resistant to transitioning to this superior method.

How long does a forehead lift last?

As with any cosmetic surgery, an endoscopic forehead lift will set back your aging clock, restoring and extending a youthful appearance, but it cannot completely stop the clock, and gravity and sun exposure will continue to affect you.  You can expect your results to be long lasting and benefit you for five to ten years after surgery.  Even when the effects start to diminish, you can be guaranteed that you’d look much worse had you never undergone this procedure.  Thus an endoscopic forehead lift can be seen as twofold in purpose: it immediately improves the aesthetic appearance of your face, and it prevents you from looking excessively aged in the future.

Am I a candidate for an endoscopic forehead lift?

As we always say, only a personal consultation can tell you for sure, but some good indications of requiring a forehead lift are heavy brows, deep-set or hidden eyes, and wrinkled or sagging forehead skin.  In some cases Microdroplet™ BOTOX® treatment or eyelid surgery may be more appropriate, as each of these procedures can affect similar areas.  This really depends on the severity of your issue and other individual circumstances.  The only way to know for sure is to obtain an individualized consultation from a highly qualified cosmetic surgeon who will examine you and then talk with you about your goals and concerns.

If you had a forehead lift years ago and the effects have worn off, you can receive another if a consultation with a qualified doctor demonstrates that one is necessary.  Even if your last forehead lift was coronal, you may still benefit from a closed forehead lift today.

We cannot overemphasize the fact that what is best for one person may not be best for you.  While reading reliable information is certainly beneficial, it can never replace the advice obtained from a face-to-face appointment with an actual doctor.

How can I find a doctor who performs endoscopic forehead lifts?

You must directly ask potential surgeons if they perform endoscopic forehead lifts.  Also be sure to inquire as to which they perform – open or closed forehead lifts.  If they routinely administer the open forehead lift, you should be suspicious.  There are a very few exceptional situations for which the open procedure is most appropriate, but the best surgeon will tell you that these cases are rare and that he or she provides many more closed than open forehead lifts.  Find a surgeon who recognizes the superiority of the effective, minimally invasive closed forehead lift.

Dr. Steinsapir is such a doctor who understands the importance of administering an endoscopic forehead lift instead of a coronal one.  He constantly seeks solutions that involve minimal down time, maximum comfort, and the most natural results for his patients.  Dr. Steinsapir’s forward-thinking leadership is not new – in fact, he has been a lead performer of the small incision endoscopic forehead lift since 1990.  People from Beverly Hills, Los Angeles, and all over the world routinely travel to his practice to receive the best cosmetic eyelid and forehead treatments available.  Contact us today to schedule a consultation and have your questions and concerns addressed with honesty, care, and expertise.

Should I have an open or endoscopic forehead lift?

It’s astounding that some surgeons insist on performing the open forehead lift after it was essentially replaced by the endoscopic forehead lift in the early 1990s. The closed forehead lift, or endoscopic forehead lift, is just as effective if not more so than the traditional yet outdated open forehead lift, with added benefits: faster healing time, no long term numbness of the scalp, no hair loss, and no scar arching over the head from one ear to another. The open forehead lift, also known as the coronal forehead lift, is undoubtedly oversurgical – the effects can be unnaturally excessive and it leaves a long, unsightly scar often accompanied by permanent numbness.

Some excuse this scar because it can be “hidden” under the hair, but the problem here is that the human eye and brain are amazingly capable of discerning the unnatural patterns of hair growth that result from this surgery. Even with a carefully designed, beveled incision through the hairline’s edge that allows hair to grow through the scar, the eye perceives something amiss. The hair is not as dense here, and for those opting for micrografted hair in this area, be warned that the uncontrolled compression and lack of random placement is easy for the eye to notice. Lacking the relevant technical experience, others may not be able to describe what they are seeing, but they will think to themselves that something isn’t quite right about your hairline. Those in favor of open forehead surgery argue that it is superior because it doesn’t push back the hairline. However, it is nearly always better to push the hairline back a tiny five milimeters than to have an altered hairline and huge scar that even the best of surgeons cannot render natural in appearance.

The results of an endoscopic forehead lift last just as long as the open forhead lift, with the added advantages of faster healing, no hair lass, an extremely low risk of numbness, and no visible scarring.

What’s the difference between an open and closed forhead lift?

In short, the open forehead lift places the hairline slightly lower but creates an unnatural-looking hairline. The endoscopic or closed forehead lift places the hairline subtlely higher while retaining a natural pattern in the hairline. The endoscopic forehead lift offers faster healing time and far fewer complications because it is a minimally invasive technique, whereas the open forehead lift can be categorized as oversurgical. Recovery from the endoscopic forehead lift is 5 times faster than the open forehead lift. The endoscopic forehead lift presents a larger learning curve for surgeons and takes longer to perform until mastered, so some have been resistant to transitioning to this superior method.

How long does a forehead lift last?

As with any cosmetic surgery, an endoscopic forehead lift will set back your aging clock, restoring and extending a youthful appearance, but it cannot completely stop the clock, and gravity and sun exposure will continue to affect you. You can expect your results to be long lasting and benefit you for five to ten years after surgery. Even when the effects start to diminish, you can be guaranteed that you’d look much worse had you never undergone this procedure. Thus an endoscopic forehead lift can be seen as twofold in purpose: it immediately improves the aesthetic appearance of your face, and it prevents you from looking excessively aged in the future.

Am I a candidate for an endoscopic forehead lift?

As we always say, only a personal consultation can tell you for sure, but some good indications of requiring a forehead lift are heavy brows, deepset or hidden eyes, and wrinkled or sagging forehead skin. In some cases Microdroplet™ BOTOX® treatment or eyelid surgery may be more appropriate, as each of these prodedures can affect similar areas. This really depends on the severity of your issue and other individual circumstances. The only way to know for sure is to obtain an individualized consultation from a highly qualified cosmetic surgeon who will examine you and then talk with you about your goals and concerns.

If you had a forehead lift years ago and the effects have worn off, you can receive another if a consultation with a qualified doctor demonstrates that one is necessary. Even if your last forehead lift was coronal, you may still benefit from a closed forehead lift today.

We cannot overemphasize the fact that what is best for one person may not be best for you. While reading reliable information is certainly beneficial, it can never replace the advice obtained from a face-to-face appointment with an actual doctor.

How can I find a doctor who performs endoscopic forehead lifts?

You must directly ask potential surgeons if they perform endoscopic forehead lifts. Also be sure to inquire as to which they perform – open or closed forehead lifts. If they routinely administer the open forehead lift, you should be suspicious. There are a very few exceptional situations for which the open procedure is most appropriate, but the best surgeon will tell you that these cases are rare and that he or she provides many more closed than open forehead lifts. Find a surgeon who recognizes the superiority of the effective, minimally invasive closed forehead lift.

Dr. Steinsapir is such a doctor who understands the importance of administering an endoscopic forehead lift instead of a coronal one. He constantly seeks solutions that involve minimal down time, maximum comfort, and the most natural results for his patients. Dr. Steinsapir’s forward-thinking leadership is not new – in fact, he has been a lead performer of the small incision endoscopic forehead lift since 1990. People from Beverly Hills, Los Angeles, and all over the world routinely travel to his practice to receive the best cosmetic eyelid and forehead treatments available. Contact us today to schedule a consultation and have your questions and concerns addressed with honesty, care, and expertise.