While a facelift will create smoother, more pleasing contours to your face and neck, it cannot correct conditions such as sagging eyebrows, excess skin and fatty deposits in the upper and lower eyelids, or wrinkles around the mouth.

Dr. Gendler will assess the thickness, texture and elasticity of your skin, and the severity of wrinkles and folds. Your hairline will be examined to determine where incisions can be placed. The structure of your face will be considered to tailor surgery to you individually.

An incision is hidden in the contour of your ear, then extends around the earlobe and back into the hairline. Following surgery, incisions can be easily concealed by your hair or with makeup. There may also be a small incision hidden underneath your chin.

After the skin has been pulled up and back, the excess is removed. In some instances, the deeper tissues may be repositioned. A small incision beneath the chin may be used to aid the removal of fatty tissue in that area and smoothing of the cord-like structures of the underlying muscle in the neck.

Facelift incisions are most often inconspicuous though this cannot be entirely predicted due to individual patterns in healing.

A brow lift can be performed alone or it may often be performed at the same time as a facelift which also removes excess skin and tightens muscles in the mid and lower face.

Overhanging skin in the upper eyelids can be addressed in two ways: an upper eye lid lift or a brow lift. While in the past surgeons often chose to automatically perform an upper eyelid lift to correct sagging of the upper lid, more often today, a brow lift is used to create the same result.

Younger adults who have a naturally low brow or who already have deep frown lines due to stress or muscle overactivity may also benefit from a browlift.

Sometimes, patients may focus their attention on excess skin in the upper eyelids and not realize that It is their sagging eyebrows that are the cause of the problem.

The surgical technique that Dr. Gendler recommends will depend on things such as the position of your eyebrows, the amount of excess upper eyelid skin you have and the height of your hairline (the height of your hairline can be altered a little after surgery).

Often, an incision is made across the top of the scalp, beginning above the ears and hidden in the hair. Sometimes, the incision may be placed at the front of the hairline or the middle of the scalp. The incision is designed to be inconspicuous when it is healed. Through the incision, Dr. Gendler  can modify or remove parts of the muscles that cause frown lines, remove excess skin and lift your eyebrows to a more youthful level.

Another forehead lift technique uses an endoscope, a long, thin tube with a light on the end, attached to a video camera. The endoscope is inserted through several tiny incisions in the scalp and allows Dr. Gendler to see and work on the inside structure of the forehead. The endoscopic technique has the advantage of requiring minimal incisions.

If your main concern is frown lines between your eyebrows, a limited endoscopic procedure can be performed to correct these problems.

For both facelift and browlift surgery, swelling and bruising should be gone within two weeks. You may use camouflage makeup almost immediately. Do expect temporary numbness and possibly some itching of the scalp as the nerves heal.

Since the healing process is gradual, you should expect to wait several weeks for an accurate picture of the way you will look.

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