About Brow Lift Surgery
"It's been over a year and a half since I've been going to Dr. Chang's office, I drive an hour just to get here (although I know some drive three hours or more to see him!). I did a lot of research to find a board certified plastic surgeon in the area with a solid and reputable background.Throughout my visits, he's been incredibly kind and taken the time to listen to my never ending list of questions. There are a lot of doctors that push services that you don't need just for money but he'll be transparent to tell you exactly what he feels you'll need in order to gain improvement and will work with you to see what could be the best outcome. You can also text or email him directly after any invasive procedures if you have any questions/concerns instead of waiting for a follow up. I also don't want to forget the rest of the staff - everyone from the receptionists and nurses have been very gracious, patient and accommodating to my needs but I also want to mention Melanie whose an RN at Dr. Chang's office. She has superb bed side skills and truly makes you feel at ease when you're speaking with her. I've probably annoyed her with a million questions and emails but she's still been stellar. I highly recommend her for any non-surgical procedures. They have a few videos on their website and youtube as well so you have an idea of who they are and the procedures they perform if you want to get a better idea yourself but I definitely recommend them, they're awesome."- M. / Google / Jul 24, 2018
"Aesthetica is indeed one of the best cosmetic surgery and laser centers in Loudoun. Dr. Chang is a born artist. Highly recommended!"- S.G. / Facebook / Aug 07, 2019
"I highly recommend Dr. Chang and the staff at Aesthetica. The positive, caring staff, including nurse Katy, were outstanding every step of the way, as are the results Dr. Chang delivered. I am 100 percent satisfied with my procedure and will return. Choosing Aesthetica was a wonderful decision. Don’t waste your time going anywhere else!"- L. / Google / Aug 02, 2019
"This past Tuesday I had a Botox treatment with Melanie. I can’t say enough about how knowledgeable and caring she was throughout the procedure. The way she communicated put me at ease and gave me comfort. She has a natural ability to make patients feel safe and confident. This experience surpassed my expectations and I fully plan on recommending her to all of my friends. Aesthetica is a top notch Cosmetic Surgery & Laser Center run by Dr. Chang who is always friendly, caring and knows how to help a woman achieve her cosmetic goals."- T.R. / Facebook / Jul 18, 2019
"My name is Carmen, and I live in Lucketts, Virginia. Back in May of 2016 I had an accident with our dog, a feisty Jack Russell Terrier. The dog leaped up and bit me on the center of my upper lip, causing the skin to rip open. I was very upset and scared, and I was also concerned that my face would be permanently disfigured for the rest of my life.My husband John took me that Sunday afternoon to the Emergency room of Loudoun Hospital. After waiting one hour, the nurse cleaned my lip and gave me a tetanus injection. Then they told me there was no surgeon that evening, so a nurse practitioner would do the stitches on my lip. I was very worried, so I asked for a plastic surgeon, and they said that was impossible, because the only one available was out of the office that day. However, they said they would try to reach him. They did call him, and Dr. PHILLIP CHANG came to treat me after an hour. I am grateful for life to him, not only because he really is a magician the way that he stitched me, also the fact that he offered to come to the hospital on Sunday on his weekend evening without even knowing me.He treated me with kindness and great professionalism and care. He calmed my nerves and was all about optimism from the start. He assured me that, by using a proper method, nearly all of my injury would not be visible because of his experience in treating similar cases. He sewed the wound carefully, and then treated me so well that there is almost no evidence of the injury.I highly recommend DR. PHILLIP CHANG for such an injury. There are not enough words I can find to express my gratitude to him. That’s the reason I am writing my story. HE IS THE BEST.-Carmen Lucketts, VirginiaSent from my iPad"- C.D. / Google / Jun 19, 2019
When you grow older, skin elasticity diminishes and causes several portions of the face to droop. This is particularly important in the upper face and usually impacts women and men. When looking at yourself in a mirror, do you seem angry or tired, or see deep wrinkles in between your eyebrows, or are bothered by your sagging brow? A surgical brow lift at Aesthetica Cosmetic Surgery & Laser Center can be the ideal aesthetic procedure for your goals.
Before the procedure, anesthesia is used. This may be done under IV sedation or general anesthesia based on the complexity of the procedure. The incision performed in a browplasty is chosen depending on the degree of skin sag, if the forehead is addressed, and the unique makeup of a patient's hairline. In most cases, Dr. Chang utilizes the hairline/open incision method. Some of the different techniques that may be used:
- Traditional/Open Incision
Also known as the open browplasty incision, this puts the surgical incision behind the hairline at the top of the head. The open incision not only conceals scars, it allows a certain amount of lift control throughout the surgery. The open incision is good for those with both frown lines and a sagging brow. The traditional brow lift is the ideal incision for patients who are concerned about a receding hairline.
- Trichophytic/Hairline Incision
The trichophytic incision is made directly against the patient's hairline. A trichophytic incision permits more dramatic lift in the brow for patients who have low risk for hairline recession.
- Lateral Brow Lift
Also called a temporal browplasty, the lateral method starts the incision within the hairline slightly over the temples. A temporal incision permits the outer sections of the brow to be treated, and is best for sagging that is visible in the outer brow. A temporal brow lift also helps to treat Crow’s feet.
- Endoscopic Forehead Lift
The endoscopic lift is a more modern method employed in browplasty surgery. This method makes multiple small incisions beyond the hairline and inserts the endoscope, which is pushed to the eyebrow to release its attached tools. Using the endoscope's camera, the brow tissue is repositioned with stitches to place the brow in a better position.
What to Expect
The recovery period after a brow lift varies in each patient, with the majority of swelling and discomfort reported with the traditional method compared to the temporal or endoscopic techniques. In general, patients feel some swelling and bruising in the upper portion of the face around the eyebrows and sometimes near the eyes. Cold compresses can help to reduce the inflammation. Dr. Chang recommends patients sleep with pillows propped under their head for at least three nights after their brow lift. It is critical to avoid any activities or movement that can put pressure on your face. The typical recovery period from a brow lift is around 2 – 3 weeks. The results can often be seen right away, with a refreshed appearance that seems more alert, softer, and with a visible improvement in sagging skin and fine lines in the upper portion of the face.
Frequently Asked Questions
How much does a brow lift cost?
It is better to concentrate on finding a skilled surgeon, like Dr. Chang, who can give you the best results rather than going with the lowest price. Your costs for brow lift surgery will depend on the technique used, anesthesia, facility fees, and more. When your treatment plan is developed during your consultation, cost estimates can be made. Dr. Chang will also explain payment methods and where to apply for low-interest financing to make your surgery more affordable.
Do I need a brow lift or facelift?
Whether you need a facelift or brow lift will depend on your goals and where you have excess skin. You should openly talk about your wants with Dr. Chang so he can help you choose which treatment is best. Some patients come in wanting a facelift but may find they would be better with a brow lift and vice versa. Using his experience, Dr. Chang will confidently help you decide on your treatment plan to give you your best results.
What about nonsurgical treatments?
You may consider one of the many nonsurgical options, including laser skin tightening and injectables (like Juvéderm and BOTOX), that can provide short-term improvements. However, brow lift surgery is better for longer-lasting results and significant improvements. At your consultation, Dr. Chang can go over both your nonsurgical and surgical choices to help you decide which is better for your needs.
What technique should I choose?
Dr. Chang will explain surgical techniques in your consultation so you know the benefits. He will then help you choose the technique that best meets your needs and goals. A few of the factors that might influence your choice are your hairline (factoring in both your current hairline as well as your risk of developing a receding hairline), the amount of loose skin, and recovery time available.
Will my results look natural?
If you have an experienced plastic surgeon like Dr. Chang, your brow lift will appear natural. He will create your treatment plan for your needs and goals to help you appear refreshed, instead of frozen or tight. When performing your brow lift, Dr. Chang will concentrate on removing loose skin. The remaining tissue and skin will be smoothed so your results don't lift your eyebrows too high or limit your facial expressions.
Rejuvenate Your Appearance
Do not let your sagging forehead make others wonder if you're sad, mad, angry or tired — schedule an appointment to get more information about brow lift surgery with plastic surgeon Dr. Phillip Chang at Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. By correcting your hanging brow, you can revitalize your whole appearance and seem more youthful and refreshed. Dr. Chang strives for results that look natural; your browplasty will have your friends and family saying you look more refreshed instead of thinking you had cosmetic surgery.