January 30th, 2013 Miguel A. Delgado Jr, MD
Excess skin at the lateral brow is a common complaint of patients that have had upper eyelid surgery. Having a lateral Browpexy at the same time as upper eyelid surgery addresses this issue. This combination of procedures rejuvenates not only the upper eyelid but the outer aspect of the brow. The lateral Browpexy does not lift the entire brow, only the outer third. For those Marin County patients that would be a candidate for the Browpexy, it is a great procedure as it is less invasive than traditional brow lifts with a faster healing time.
San Francisco Bay Area women love this procedure; they like to combine it with “corrugator muscle excision”, this is the muscle that allows the eyebrows to squeeze together forming frown lines between the eyes. With excision of this muscle, the effect is similar to Botox treatments, except the results are permanent.
January 15th, 2013 Miguel A. Delgado Jr, MD
Before and After Neck Lift
The neck seems to be one of the first places that show signs of aging. It is definitely an area that disturbs most San Francisco Bay Area people, with descriptive terms such as turkey neck or turkey waddle. In order to tighten this area, a neck lift is performed. This is where the cosmetic plastic surgeon makes incisions under the chin or behind the ears or both, in order to access the neck muscle called the platysma.
The platysma is a broad based flat thin muscular sheet, covered with fat that originates from the fascia of the pectoralis major and deltoid muscles. It reaches from the neck to the inferior border of the mandible (lower jawbone). As we age, the neck forms platysmal bands, this is when the platysma tends to separate in the mid-line and lose elasticity, and it thickens forming prominent folds of skin in front of the neck.
Platysmal plication is where the surgeon sutures the ends of the platysma muscle back together; this is usually done in combination with a lower facelift.