Forehead lift and Eyelid Surgery

Question: Do I need eyelid surgery?

Click to enlargeAnswer: Excess drooping of the brow or eyelid skin and fat can give a “tired” or angry appearance. Correction of this problem can be performed with both non-surgical and surgical techniques. Most people who wish to have eyelid surgery do not consider the entire eyelid and brow complex. It is important to note that correcting any droop of the upper eyelid or excess skin and fat without correcting the brow position can lead to an unsatisfactory result. Decreasing the distance between the upper eyelid and the brow can give a “squinting” appearance which is not aesthetic. Similarly, fat herniation in the lower eyelid appear as “bags under the eyes”. The problem can be corrected with a surgical procedure which has no visible incisions and can be performed in the office with local anesthetic and very little down time. A thorough analysis must be performed by your surgeon to determine the exact problem which will allow for designing the most effective treatment strategy. It is important to remember that changing the face by very small increments can result in dramatic changes in the appearance. A desirable result is one which allows the patient’s natural beauty to be enhanced while correcting any asymmetries or irregularities. Obtaining ideas from pictures of models in magazines can help you decide what is aesthetically pleasing to you; however, it is usually unrealistic to attempt to look like someone else. The job of a good surgeon is to understand your goals and to advise you, based on his assessment and experience, on the best procedure.

Question: How do I decide on a surgeon?

Person thinkingAnswer: This is one of the most, if not the most, important step in the process of achieving your aesthetic goals. After performing many revision surgeries on patients, I assure you it is better to put the time and effort into carefully selecting a capable facial plastic surgeon to perform surgery the first time than to suffer a poor outcome and then have to look for a capable surgeon to fix it. Revision surgery is very difficult and few facial plastic surgeons perform these procedures; therefore, the process becomes even more daunting for the patient the second time around. Carefully review the surgeon’s training and certification. Board certification by the American Board of Otolaryngology and American Board of Facial Plastic and Reconstructive Surgery shows that the surgeon has comprehensive training in performing an aesthetic procedure of the face. Determine the length of time a surgeon has been in practice and the breadth of the practice, as nothing can substitute for the wisdom and skill a surgeon derives from having performed many procedures.

I am double boarded in Otolaryngology and Facial Plastic and Reconstructive surgery. My training and 20 years of experience has allowed me to approach facial aesthetic surgery from both perspectives; hence, I am able to perform the procedure safely and fulfill my patients’ goals. I perform both primary and revision procedures on diverse age groups, gender, and ethnicities. I feel my surgical experience allows me to perform a surgery which addresses each individual’s needs without compromising his or her natural beauty. Most of my new patients are referrals from previous patients. Please refer to my profile page for details of my credentials. Please refer to my profile page for details of my credentials.

Question:  How can I discuss my thoughts with my surgeon?

Dr. MushtaqAnswer:  You can schedule a complimentary facial consultation.  After discussing your goals, I will examine your face thoroughly.  You will undergo computer imaging and analysis which will allow us to discuss the changes you desire in detail.  It is very important to understand precisely what your surgeon is planning for you and the computer imager will allow you to visualize both yours and your surgeon’s thoughts.  Schedule a Free Facial Consultation

Question: Can I see some before and after pictures?

Answer: Yes. I have included some of my photos on this website for your perusal along with patient testimonials. I have 20 years of digital images. I started using the video imaging technology during its early beginnings; therefore, I have many patient photos to share with you. Photos of patients are released by patient consent only. A patient’s right to privacy is strictly observed. happy personView our Photo Gallery.

Questions: Do you have any patient testimonials?

Answer: Yes. Below is a sample of how my patients feel or click here to read all the patient testimonials.

Question: How do you perform the surgery?

Answer: The surgery can be performed underintravenous sedation with local anesthesia in the office or general anesthesia at one of the thinkinglocal outpatient surgery centers. The length of the surgery is 2 to 3 hours for the forehead lift and 30 minutes to 1 hour for the eyelids depending on the complexity of the procedure. The forehead lift can be performed with incisions behind the hairline, at the hairline, midforehead, or small incisions in the hair bearing areas used to perform the procedure using endoscopes. The incision choice and open versus endoscopic procedure will be discussed in detail during the consultation visit. The upper eyelid procedure is performed with an incision in the eyelid crease while the lower eyelid incision is usually performed transconjunctival (inside the eyelid). Excess skin and fat are removed. The incisions usually heal very well and most people can go back to work in one week even with combined forehead and eyelid procedures.
Forehead lift and skin cancer romoval procedure done in McLean, VA

Lower Eyelid Surgery in McLean VA

 

Question: What can I expect post-operatively?

thinkingAnswer: You will be discharged from the office or surgery center approximately one to two hours after the operation. Usually, there is “soreness” and “stiffness” described by the patients. You will be provided prescription pain medication, nausea medication and antibiotics (eye ointment). Patients will experience slight blurring of vision for 24 – 48 hours which normalizes very quickly. We will also provide medications to minimize bruising. Sleeping with the head elevated minimizes discomfort. Ice pack or cold wash cloth to the eyes is imperative especially during the first 24 to 48 hours (20 minutes on and 20 minutes off) and a vaporizer at the bedside are also comforting. You will have a cotton dressing around the face overnight after the procedure which will be removed in my office the next day. All of the incisions will be cleaned and dressed by my staff. You will be given detailed instructions regarding care. Even though you can take care of yourself, it is recommended that you have a friend or family member assist you during the first day (especially driving). You may bath or shower by the second day after the surgery. Your sutures and skin clips (forehead surgery) will be removed 5 to 7 days after the surgery. You will be ambulatory during the immediate post-operative period however strenuous activity is discouraged. Avoid bending over or straining. You cannot lift anything heavy or perform any exercise or athletic activity for 3 -4 weeks. Most patients are able to go out in public in 7 days with some camouflage make up. You will notice swelling, irregularities, and some asymmetries especially in the eyelids for several weeks however it is very subtle, and you should be able to interact socially without much concern. It can take several months to a year for the swelling to completely subside in order for the fine refinements to become apparent. Our aesthetician can give you advice regarding proper cover up. Patients experience slight loss of hair around the forehead incision; however, the loss is usually transient and the angle of the incision allows new hair to grow through the incision resulting in camouflage. You can have your hair cut or colored two weeks after the procedure.

Question:  Does the post-operative care end after the sutures are removed?

stethescopeAnswer:  No.  My patients receive detailed instructions for post-operative care by me and my staff.    Patients are followed closely in order to determine if there are any areas that are not healing as expected.  Most post-operative changes are transient however it is important to identify any problems early in order to prevent any complications.  I feel this distinguishes my practice from others, because some of the revision surgeries I perform could have been  avoided if there was careful supervision after the surgery.

Question: Is the surgery covered by insurance? How can I obtain information about all of the costs?

InsuranceAnswer: Forehead lift and eyelid procedures are considered cosmetic procedures by the insurers; therefore, during your facial consultation, you will receive an estimate of surgeon’s fee, facility fee, anesthesia fee, and any miscellaneous fees (e.g. special equipment). For any other questions, feel free to contact us.

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