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Before and After Photos

  • Before Photo-Brow Lift patient 161
    After Photo-Brow Lift patient 161

    Brow lift

    This young male has significant hooding of his brows and eyelids, resulting in a tired look but also some loss in his peripheral vision. Removal of eyelid skin alone would not be beneficial, in fact, could worsen his droopy brows.  A modified, minimally invasive brow lift was performed in addition to an upper eyelid blepharoplasty.  This procedure took 1.5 hours and was done in our office under local anesthesia.  The brows were minimally lifted and excess eyelid skin was also removed at the same time. Notice the improvement in his appearance while still ensuring a natural looking result.

    Preoperative Diagnosis: Brow ptosis and excess upper eyelid skin

    Procedure performed: Brow lift and upper eyelid blepharoplasty, performed in the office under local anesthesia.

    Surgeon: Christopher Zoumalan, MD. Oculoplastic Surgeon

    Location: Beverly Hills, California

  • Before Photo-Brow Lift patient 24
    After Photo-Brow Lift patient 24

    This patient had very droopy lids and brows and they were affecting his peripheral vision and ability to see well. Both had to be addressed in order to achieve a good surgical result.  The brow lift incisions were actually made above his eyebrows; note that you the incisions have healed incredibly well and they often look just like forehead wrinkles once they are healed. The excess skin was removed through a typical upper lid blepharoplasty approach. He has achieved a natural looking result while still looking natural and himself.

     Preoperative Diagnosis: Upperlid ptosis, brow ptosis

    Procedure performed: Upper lid ptosis repair, brow ptosis repair.

    Surgeon: Christopher Zoumalan, MD. Oculoplastic Surgeon.

    Location: Beverly Hills, California

  • Before Photo-Brow Lift patient 25
    After Photo-Brow Lift patient 25

    The patient desires brow lift surgery and upper lid blepharoplasty to help improve his appearance and to see better.  His brows are resting lower than they should be and have worsened in position with time. A brow lift was performed to lift his brows to a higher position. Excess skin from his lids was also removed (upper lid blepharoplasty).  The patient has a natural looking result and an improvement in his brow position.

     Preoperative Diagnosis: Brow ptosis and excess upper lid skin.

    Procedure performed: Brow lift andupper lid blepharoplasty .

  • Before Photo-Brow Lift patient 24
    After Photo-Brow Lift patient 24

    This patient had right brow ptosis and ptosis (excess skin) in both of her upper lids. The brow ptosis was actually worsening her lid ptosis and needed to be corrected in addition to her lid ptosis.  The ptosis repair was performed by removing excess skin in both upper lids. A right brow lift was performed to help reposition her right brow to a higher position. In order to perform the right brow lift, a direct removal of skin was made above the right brow.  The incisions healed very well with no cosmetic issues.

    Preoperative Diagnosis: Upper lid ptosis (excess upper lid skin), right brow ptosis

    Procedure performed: Bilateral ptosis repair, right brow lift.

  • Before Photo-Brow Lift patient 23
    After Photo-Brow Lift patient 23

    This patient desired cosmetic eyelid and brow surgery to help her look more awake and refreshed.  She had some excess skin in her upper lids and a mild droop in her brows. She underwent an endoscopic brow lift to help improve the position and shape of her brows.  After surgery, her brows appear more youthful in shape and position.  Note that she still looks natural though. She also underwent an upper and lower lid blepharoplasty with fat repositioning.  Endotine fixation implants were used to keep the forehead and brows in stable position. The implants are self-dissolvable (can take several months to completely dissolve) and usually well-tolerated. They are placed within the scalp area so they are not visible.

    Preoperative Diagnosis: Brow ptosis, upper and lower lid aging changes.

    Procedure performed: Endoscopic brow lift, upper and lower lid blepharoplasty with fat repositioning, lower lid chemical peel, fat grafting to midface

    Surgeon: Christopher Zoumalan, MD. Oculoplastic Surgeon.

    Location: Beverly Hills, California

  • Before Photo-Brow Lift patient 22
    After Photo-Brow Lift patient 22

    This patient desired cosmetic eyelid and brow surgery to help her look more awake and refreshed.  She had some excess skin in her upper lids and a mild droop in her brows. She underwent an endoscopic brow lift to help improve the position and shape of her brows.  After surgery, her brows appear more youthful in shape and position.  Note that she still looks natural though. She also underwent an upper and lower lid blepharoplasty with fat repositioning.  Endotine fixation implants were used to keep the forehead and brows in stable position. The implants are self-dissolvable (can take several months to completely dissolve) and usually well-tolerated. They are placed within the scalp area so they are not visible.

    Preoperative Diagnosis: Brow ptosis, upper and lower lid aging changes.

    Procedure performed: Endoscopic brow lift, upper and lower lid blepharoplasty with fat repositioning, lower lid chemical peel, fat grafting to midface

    Surgeon: Christopher Zoumalan, MD. Oculoplastic Surgeon.

    Location: Beverly Hills, California

  • Before Photo-Brow Lift patient 21
    After Photo-Brow Lift patient 21

    This patient desired cosmetic eyelid and brow surgery to help her look more awake and refreshed.  She had some excess skin in her upper lids and a mild droop in her brows. She underwent an endoscopic brow lift to help improve the position and shape of her brows.  After surgery, her brows appear more youthful in shape and position.  Note that she still looks natural though. She also underwent an upper and lower lid blepharoplasty with fat repositioning.  Endotine fixation implants were used to keep the forehead and brows in stable position. The implants are self-dissolvable (can take several months to completely dissolve) and usually well-tolerated. They are placed within the scalp area so they are not visible.

    Preoperative Diagnosis: Brow ptosis, upper and lower lid aging changes.

    Procedure performed: Endoscopic brow lift, upper and lower lid blepharoplasty with fat repositioning, lower lid chemical peel, fat grafting to midface

    Surgeon: Christopher Zoumalan, MD. Oculoplastic Surgeon.

    Location: Beverly Hills, California

  • Before Photo-Brow Lift patient 20
    After Photo-Brow Lift patient 20

    She had significant upper lid brow and lid ptosis. Her brows were quite low and she underwent an endoscopic brow lift with release of her procerus and corrugator muscles to help improve the heavy wrinkles she had in between her brows as well.  She also underwent upper and lower lid blepharoplasty to reduce her excess skin and wrinkles.  Her postoperative photos were taken one year after surgery.

    Preoperative Diagnosis: Brow ptosis, upper and lower lid aging changes.

    Procedure performed: Endoscopic brow lift, upper and lower lid blepharoplasty.

     

  • Before Photo-Brow Lift Patient 19
    After Photo-Brow Lift Patient 19

    This 72 year-old male had a mild droop to his right upper brow. It was worsening his droopy upper lids as well, so he underwent a mild lift to his right upper brow in addition to ptosis repair in order to lift his lids. An external browpexy procedure was performed to help elevate his right brow. The external browpexy incision spans 8mm just above the right upper brow near its tail. The incision heals well and is barely noticeable. He also underwent lower cosmetic eyelid surgery at the same time. Postoperative photographs were taken 3 months after surgery.

    Preoperative Diagnosis: Bilateral upper lid ptosis and brow ptosis, lower lid excess fat pockets.

    Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty) and external browpexy, lower lid blepharoplasty.

  • Before Photo-Brow Lift Patient 18
    After Photo-Brow Lift Patient 18

    This 72 year-old male had a mild droop to his right upper brow. It was worsening his droopy upper lids as well, so he underwent a mild lift to his right upper brow in addition to ptosis repair in order to lift his lids. An external browpexy procedure was performed to help elevate his right brow. The external browpexy incision spans 8mm just above the right upper brow near its tail. The incision heals well and is barely noticeable. He also underwent lower cosmetic eyelid surgery at the same time. Postoperative photographs were taken 3 months after surgery.

    Preoperative Diagnosis: Bilateral upper lid ptosis and brow ptosis, lower lid excess fat pockets.

    Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty) and external browpexy, lower lid blepharoplasty.

  • Before Photo-Brow Lift Patient 17
    After Photo-Brow Lift Patient 17

    This 72 year-old male had a mild droop to his right upper brow. It was worsening his droopy upper lids as well, so he underwent a mild lift to his right upper brow in addition to ptosis repair in order to lift his lids. An external browpexy procedure was performed to help elevate his right brow. The external browpexy incision spans 8mm just above the right upper brow near its tail. The incision heals well and is barely noticeable. He also underwent lower cosmetic eyelid surgery at the same time. Postoperative photographs were taken 3 months after surgery.

    Preoperative Diagnosis: Bilateral upper lid ptosis and brow ptosis, lower lid excess fat pockets.

    Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty) and external browpexy, lower lid blepharoplasty.

  • Before Photo-Brow Lift Patient 16
    After Photo-Brow Lift Patient 16

    The patient underwent brow and lid ptosis surgery to help him see better and look more awake and rested. The brow ptosis repair was performed though a minimally invasive technique where small incisions were placed above the brow to help lift them to a more natural position. The incisions have healed well and they are barely noticeable. He also underwent a lid ptosis repair such that the droopy eyelids were also lifted.

    Preoperative Diagnosis: Upper lid and brow ptosis.

    Procedure performed: Upper lid and brow ptosis repair.

  • Before Photo-Brow Lift Patient 15
    After Photo-Brow Lift Patient 15

    This 58 year-old male had excess skin in his upper lids and droopy brows, both of which were resulting in his difficulty seeing well and also a tired appearance. He underwent an upper lid ptosis repair to help remove the upper lid skin. In order to help address his low set brows (brow ptosis), an external browpexy procedure was performed. This is a minimally-invasive procedure helps stabilize his lids to a slightly higher position. This small incision heals well within the wrinkles above his brows.

    Preoperative Diagnosis: Bilateral upper lid ptosis and brow ptosis, lower lid excess fat pockets.

    Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty) and external brow pexy, lower lid blepharoplasty.

  • Before Photo-Brow Lift Patient 14
    After Photo-Brow Lift Patient 14

    This 64 year-old male had excess upper lid skin and droopy upper brows, both of which were causing him to have difficulty seeing. His low-set brows were also worsening his excess skin in his upper lids. He underwent repair of his excess skin by a blepharoplasty-like procedure. In order to help lift his brows to more natural position, he had an external browpexy procedure. The incisions are small and heal extremely well, and you can notice the brows are stabilized a slightly higher position.

    Preoperative Diagnosis: Bilateral upper lid ptosis and brow ptosis.

    Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty) and external browpexy.

  • Before Photo-Brow Lift Patient 13
    After Photo-Brow Lift Patient 13

    This 64 year-old male had excess upper lid skin and droopy upper brows, both of which were causing him to have difficulty seeing. His low-set brows were also worsening his excess skin in his upper lids. He underwent repair of his excess skin by a blepharoplasty-like procedure. In order to help lift his brows to more natural position, he had an external browpexy procedure. The incisions are small and heal extremely well, and you can notice the brows are stabilized a slightly higher position.

    Preoperative Diagnosis: Bilateral upper lid ptosis and brow ptosis.

    Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty) and external browpexy.

  • Before Photo-Brow Lift Patient 12
    After Photo-Brow Lift Patient 12

    Preoperative Diagnosis: Bilateral upper brow ptosis, lower lid tear trough hollows and midface volume loss

    Procedure performed: Endoscopic brow lift, periorbital and midface fat grafting, lower lid chemical peel (TCA 30%).

  • Before Photo-Brow Lift Patient 10
    After Photo-Brow Lift Patient 10

    This female had dermatochalasia of her upper lids along with mild upper lid and brow ptosis of her eyelids. She also had some laxity in her lower eyelids which was causing her symptoms of tearing. She underwent an endoscopic brow lift, ptosis repair, and blepharoplasty in her upper eyelids. A minimal tightening of her lower eyelids was also performed which we term as a canthoplasty. You can appreciate that she appears more youthful in her appearance and can see better as well.

    Preoperative Diagnosis: Bilateral upper lid dermatochalasia, eyelid ptosis, upper brow ptosis, and lower eyelid laxity.

    Procedure performed: Bilateral upper eyelid blepharoplasty, ptosis repair, endoscopic brow lift, and lower eyelid canthoplasty.

  • Before Photo-Brow Lift Patient 9
    After Photo-Brow Lift Patient 9

    This patient had not only droopy upper lids but had excess skin hanging over her lashes resulting in difficulty seeing well. She also had an asymmetric brows such that her left brow was ptotic (more droopy than the right brow).

    She underwent a mild upper lid ptosis repair and removal of her excess upper lid skin. She also underwent a left upper lid brow ptosis repair through an internal browpexy technique.

    Preoperative Diagnosis: Bilateral upper lid ptosis, left upper lid brow ptosis

    Procedure performed: Bilateral upper lid ptosis repair, left upper lid brow ptosis repair through an internal browpexy technique.

  • Before Photo-Brow Lift Patient 8
    After Photo-Brow Lift Patient 8

    Preoperative Diagnosis : Upper and lower lid dermatochalasia, upper lid mild ptosis, mild upper lid ptosis, facial aging, and lower lid fat prolapse.

    Procedure performed : Upper and lower lid blepharoplasty and periorbital fat grafting, ptosis repair. Deep plane face lift (facialplasty), brow lift, and periorbital fat and facial fat grafting performed by Dr. Richard Zoumalan.

  • Before Photo-Brow Lift Patient 7
    After Photo-Brow Lift Patient 7

    Preoperative Diagnosis: Bilateral upper lid ptosis, upper and lower lid dermatochalasia (excess skin) and fat prolapse.

    Procedure performed: Bilateral upper lid ptosis repair, upper and lower lid blepharoplasty.

  • Before Photo-Brow Lift Patient 6
    After Photo-Brow Lift Patient 6

    Preoperative Diagnosis: Upper lid and brow ptosis resulting in difficulty seeing well and a tired appearance.

    Procedure performed: Bilateral upper lid blepharoplasty, upper lid ptosis repair, and upper lid external browpexy.

  • Before Photo-Brow Lift Patient 5
    After Photo-Brow Lift Patient 5

    Preoperative Diagnosis: Mild brow ptosis, mild upper lid excess skin, and right lower lid retraction from prior trauma.

    Procedure performed: Lateral brow lift, mild upper lid blepharoplasty, and right lower lid retraction repair using an Alloderm spacer graft with a canthopexy. (The lateral brow lfit incisions were made her in scalp.)

  • Before Photo-Brow Lift Patient 4
    After Photo-Brow Lift Patient 4

    This 64 year-old male had excess upper lid skin and droopy upper brows, both of which were causing him to have difficulty seeing. His low-set brows were also worsening his excess skin in his upper lids. He underwent repair of his excess skin by a blepharoplasty-like procedure. In order to help lift his brows to more natural position, he had an external browpexy procedure. The incisions are small and heal extremely well, and you can notice the brows are stabilized a slightly higher position.

    Preoperative Diagnosis: Bilateral upper lid ptosis and brow ptosis

    Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty) and external browpexy

  • Before Photo-Brow Lift Patient 2
    After Photo-Brow Lift Patient 2

    This 58 year-old male had excess skin in his upper lids and droopy brows, both of which were resulting in his difficulty seeing well and also a tired appearance. He underwent an upper lid ptosis repair to help remove the upper lid skin. In order to help address his low set brows (brow ptosis), an external browpexy procedure was performed. This is a minimally-invasive procedure helps stabilize his lids to a slightly higher position. This small incision heals well within the wrinkles above his brows.

    Preoperative diagnosis: Bilateral upper lid ptosis and brow ptosis, lower lid excess fat pockets.

    Procedure performed:Bilateral upper lid ptosis repair (blepharoplasty) and external brow pexy, lower lid blepharoplasty.

  • Before Photo-Brow Lift Patient 3
    After Photo-Brow Lift Patient 3

    This 64 year-old male had excess upper lid skin and droopy upper brows, both of which were causing him to have difficulty seeing. His low-set brows were also worsening his excess skin in his upper lids. He underwent repair of his excess skin by a blepharoplasty-like procedure. In order to help lift his brows to more natural position, he had an external browpexy procedure. The incisions are small and heal extremely well, and you can notice the brows are stabilized a slightly higher position.

    Preoperative Diagnosis: Bilateral upper lid ptosis and brow ptosis

    Procedure performed: Bilateral upper lid ptosis repair (blepharoplasty) and external browpexy

  • Before Photo-Brow Lift Patient 1
    After Photo-Brow Lift Patient 1

    This 78 year-old male was bothered by his droopy upper lids and left brow. He underwent ptosis surgery in his upper lids to lift his droopy lids to a more natural and higher position. Given that his left brow was also droopy, a left external browpexy procedure was performed. A small incision was made directly over his brow and his brow was stabilized and lifted to a higher position. The scar is not visible, healed well, and he is very happy with his new look and ability to see better.

    Preoperative diagnosis: Bilateral upper lid ptosis and brow ptosis, lower lid excess fat pockets

    Procedure performed: Bilateral upper lid ptosis repair, upper and lower lid blepharoplasty with fat repositioning to lower lids, and left external brow pexy