Dr Chasan: We’re just going to go ahead
and mark for your brow lift.
Again, I’m just marking the midpoint here.
Marking kind of where I want the peak of your
brows.
We’re going to make one incision back here,
one incision back here, and the incision is
going to be right in here.
So, everything is going to be behind the hairline.
And you have a lot of hair, so, that’s a
good thing.
Ok, we’re going to be doing an endoscopic
brow lift.
That’s been revolutionary in plastic surgery.
We’re going to make four small incisions.
One here.
One here.
One here.
And one over here.
And using this scope right here I can do all
that dissection and those incisions heal next
to invisible.
So, we’ll get started shortly.
We’re going to get started here.
Just going to make a small incision maybe
a little more than a half of an inch or so.
Right here and here, right there down to the
bone.
Ok, so let’s bring the scope in.
We will introduce this scope right under the
incision, into this, ok?
You following?
Ok.
Right?
What I want to do is at the bottom I just
pop through the periosteum a little bit, and
there’s a nerve right there, a vein, and
so we leave that alone.
(medical beeping)
Now, we’re working on the periphery.
We released the entire frontal rim from here
to here preserving the nerves and veins.
This all will lift up, and so the next thing
we will do is release all this area.
Ok what we’re going to do is now the whole
brow has been released, I’m going to suture
up the brow, ok.
I’m going to suture the right brow, and
what I do is find that deep temporal fascia
which is really good stuff to go to.
It’s really thick, and strong.
I can take a couple of bites of that really
high up.
This is probably the toughest stitch that
I do in surgeries, having to find that right
spot.
And then I take an undersurface bite, here,
and watch what happens to it.
See how that whole side of the brow comes
up, ok and relaxing it, see how that comes
up like that?
So, this suture is really really important.
And we know that her right side is a little
lower than her left side.
So we’re going to want to elevate this right
side more aggressively.
Ok.
The endoscopic browlift is done.
