Browplasty is A Brow Lift

A browplasty lifts
eyebrows to
rejuvenate the face.

Brow Lift

Browplasty denotes plastic surgery on the eyebrows. A browplasty lifts eyebrows to rejuvenate the face. Aging causes the entire body to droop or gravitate downward. The brow is no exception. A browplasty depends on the sex of the patient. A female browplasty lifts the eyebrows to a naturally youthful position above the bony ridge of the eye socket. A male browplasty lifts the brows level to the bony ridge of the eye socket; lifting it any higher feminizes the face.

Browplasty Plastic Surgery

Over time, the elastic collagen of the skin degrades causing wrinkles and excess skin laxity. Along with this change in the quality of the skin, gravity pulls the forehead and facial skin downward resulting in an aging face with low set eyebrows. Some men and women have naturally low set eyebrows, which they inherited from their parents. The "correct" position of the eyebrows varies between men and women. In women, the eyebrow should be the shape of an asymmetric arc, with its peak 1 cm (3/8 inch) above the superior bony ridge of the eye socket. The male eyebrow should be a similar arc with its maximal peak at the bony ridge of the eye socket. It is important to maintain these differences in when performing a brow lift and to not feminize male patients.

Descended eyebrows on an aging face gives the appearance of a tired face because they crowd the upper. A brow lift can return the eyebrows to their correct position and thereby refreshing the face to seem well rested. To compensate for the pressure and crowding effects of a descended brow, the upper eyelids signal the brain to raise the eyebrow by contracting the frontalis muscle at the forehead. For this reason, almost all patients with low set eyebrows have lines across their forehead corresponding to the constant effort by the frontalis muscle to correct the position of the brows. In such cases, the face becomes fatigued as it constantly attempts to lift the eyebrows, and causes mild headaches in patients. A brow lift returns the eyebrows to their correct position, opening up the eyes and face and alleviates the constant need to contract the frontalis muscle.

Many surgeons perform most brow lifts endoscopically through small hidden incisions near the hairline of the scalp. Doctors can also perform an entire facelift through these same incisions. Old style brow lifts are associated with long scars at the hairline or across the top of the head from one ear to the other, often resulting in hair loss and numbness of the scalp. The endoscopic technique preserves the nerves and blood vessels at the scalp, preventing numbness and hair loss. Another advantage of this new technique includes faster recovery.

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Concierge medicine goes by many names, boutique medicine, retainer medicine, executive health, VIP medicine, and personalized medicine. By any name, concierge medicine is the solution for doctors trying to maintain their integrity and independence in today’s difficult healthcare environment. Concierge medicine is a new style of practice with old roots, in which doctors limit their patient base in order to provide patients with personalized service, high quality care, 24-7 availability, and other amenities. In exchange for this enhanced personal attention, patients pay physicians an annual fee. This concierge fee enables physicians to increase their compensation while managing their workload. In addition to receiving an annual fee, most concierge physicians continue to receive reimbursements from health plans and private pay clients.

Concierge medicine is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. This may or may not be in addition to other charges. In exchange for the retainer, doctors provide enhanced care. Other terms in use include boutique medicine, retainer-based medicine, and innovative medical practice design. The practice is also referred to as membership medicine, concierge health care, cash only practice, direct care, direct primary care, and direct practice medicine. While all concierge medicine practices share similarities, they vary widely in their structure, payment requirements, and form of operation. In particular, they differ in the level of service provided and the amount of the fee charged.

Plastic

Surgery

Plastic surgery on the nose is a rhinoplasty. Rhinoplasty is a very common plastic surgery procedure it the United States. Rhinoplasty surgeons must pay precise attention to overall facial balance of a patient and adhere to cultural ideals of beauty in for patient. From removing a nasal hump to refining the nasal tip and reducing nostril size, rhinoplasty procedures change the shape of the nose. While older rhinoplasty techniques removed many of the key structures of the nose, modern rhinoplasty techniques modify the existing structure and achieve natural looking results. Rhinoplasty techniques fall into two broad categories: closed rhinoplasty and open rhinoplasty. In a closed rhinoplasty the surgeon makes all the incisions inside the nose, leaving no visible scars. Open rhinoplasty incisions are 90 percent inside with a small incision made at the columella or the lower part of the nose. Each rhinoplasty category has its benefits and disadvantages.