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What are the risks with Browlift Procedures and how does it compare with the YoungVitalizer?

What are the risks with Browlift Procedures and how does it compare with the YoungVitalizer (The Breakthrough Incision Less Brow Lift Alternative) – Seattle | Bellevue?

We are going to first talk about the risks of Browlift surgery and then present the YoungVitalizer and how it is the safer and better alternative over a Brow Lift.

The decision to have a Brow lift is extremely personal and at Aesthetic Facial Plastic surgery we want to ensure that all of our patients fully understand the procedure. We want to be sure you are comfortable with your procedure and we take the time to answer your questions. Your plastic surgeon and his staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications. It is important that you know every surgical procedure involves a certain amount of risk and it is important that you understand these risks and the possible complications associated with them.  In addition, every procedure has limitations.  An individual’s choice to undergo a surgical procedure is based on the comparison of the risk to potential benefit.  Although the majority of patients do not experience these complications, you should discuss each of them with your plastic surgeon to make sure you understand all possible consequences of brow lift surgery.

Either bullet point the risks or use the consent form paragraph structure

  • Bleeding
  • Infection
  • Skin-discoloration/swelling
  • Change in skin sensation
  • Skin countour irregularities
  • Scarring
  • Change in surgical approach for brow lift
  • Surgical anesthesia
  • Nerve injury
  • Damage to deeper structures
  • Asymmetry
  • Delayed healing
  • Allergic reactions
  • Seroma
  • Eye irritation
  • Pain
  • Skin sensitivity
  • Hair loss
  • Hardware and deeper sutures
  • Eyelid disorders
  • Shock
  • Unsatisfactory result
  • Cardiac and pulmonary complications

More Specifically, a Brow lift can lead to nerve damage where you are unable to move part of your brow | eyebrow. Also with browlifting, the eyebrows are usually elevated excessively giving you a surprised look.

Here is what a Brow Lift Consent will include for risks of Browlifting:

RISKS OF BROW LIFT SURGERY

 

Bleeding– It is possible, though unusual, to experience a bleeding episode during or after surgery.  Should post-operative bleeding occur, it may require emergency treatment to drain accumulated blood (hematoma) or blood transfusion.  Intra-operative blood transfusion may also be required.  Do not take any aspirin or anti-inflammatory medications for ten days before or after surgery, as this may increase the risk of bleeding.  Non-prescription “herbs” and dietary supplements can increase the risk of surgical bleeding.  Hematoma can occur at any time following injury and may delay healing and cause scarring.  If blood transfusions are necessary to treat blood loss, there is the risk of blood-related infections such as hepatitis and HIV (AIDS).  Heparin medications that are used to prevent blood clots in veins can produce bleeding and decreased blood platelets.

 

Infection- Infection is unusual after surgery.  Should an infection occur, additional treatment including antibiotics, hospitalization, or additional surgery may be necessary.

 

Skin Discoloration / Swelling- Some bruising and swelling normally occurs following a brow lift.  The skin in or near the surgical site can appear either lighter or darker than surrounding skin.  Although uncommon, swelling and skin discoloration may persist for long periods of time and, in rare situations, may be permanent.

 

Change in Skin Sensation– It is common to experience diminished (or loss) of skin sensation in areas that have had surgery.  Diminished (or loss) of skin sensation in the face and scalp area may not totally resolve after brow lift surgery.  Chronic itching sensations can occur within the scalp and brow area following a brow lift.

 

Skin Contour Irregularities– Contour irregularities, depressions, and wrinkling of skin may occur after brow lift.  Visible and palpable wrinkling of skin can occur.  Residual skin irregularities at the ends of the incisions or “dog ears” are always a possibility and may require additional surgery.  This may improve with time, or it can be surgically corrected.

 

Scarring– All surgery leaves scars, some more visible than others.  Although good wound healing after a surgical procedure is expected, abnormal scars may occur within the skin and deeper tissues.  Excessive scarring is uncommon.  Scars may be unattractive and of different color than the surrounding skin tone.  Scar appearance may also vary within the same scar.  Scars may be asymmetrical (appear different on the right and left side of the body).  There is the possibility of visible marks in the skin from sutures, staples, or hardware used during a brow lift.  Additional treatments including surgery may be necessary to treat abnormal scarring.

 

Change in Surgical Approach for Brow Lift– In some situations, depending on factors discovered only at the time of surgery, your surgeon may have to make changes in surgical technique and approach to the brow lift procedure.  This may require changing from an endoscopic (closed) technique to a standard (open) brow lift technique.

 

Surgical Anesthesia– Both local and general anesthesia involve risk.  There is the possibility of complications, injury, and even death from all forms of surgical anesthesia or sedation.

 

Nerve Injury– There is the potential for injury to both motor and sensory nerves during a brow lift procedure.  Weakness or loss in movements of the forehead or upper eyebrow may occur after surgery.  Most individuals will notice a return of motor function; permanent weakness is rare.  Injury may also occur in the sensory nerves of the forehead, scalp, and temple regions.  Diminished sensation may normally occur in the scalp region after a brow lift surgery.  Permanent numbness or painful nerve scarring is rare.

 

Damage to Deeper Structures- Deeper structures such as the eye, nerves, blood vessels, skull bone, muscles and lungs (pneumothorax) may be damaged during the course of surgery.  The potential for this to occur varies according to the type of brow lift procedure being performed.  Injury to deeper structures may be temporary or permanent.

 

Asymmetry– The human face is normally asymmetrical.  There can be a variation from one side to the other in the results obtained from a brow lift procedure.  Additional surgery may be necessary to attempt to revise asymmetry.

 

Delayed Healing– Wound disruption or delayed wound healing is possible.  Some areas of the brow and scalp may not heal normally and may take a long time to heal.  Some areas of skin may die, requiring frequent dressing changes or further surgery to remove the non-healed tissue.  Smokers have a greater risk of skin loss and wound healing complications.

 

Allergic Reactions- In rare cases, local allergies to tape, suture materials and glues, blood products, topical preparations or injected agents have been reported.  Serious systemic reactions including shock (anaphylaxis) may occur to drugs used during surgery and prescription medications.  Allergic reactions may require additional treatment. 

 

Seroma– Fluid accumulations infrequently occur in between the skin and the underlying tissues.  Should this problem occur, it may require additional procedures for drainage of fluid.

 

Eye Irritation– Irritation or dryness in the eyes may occur after a brow lift or when the patient has eyelid surgery performed at the same time.

 

Pain- You will experience pain after your surgery.  Pain of varying intensity and duration may occur and persist after brow lift surgery.  Chronic pain may occur very infrequently from nerves becoming trapped in scar tissue.

 

Skin Sensitivity- Itching, tenderness, or exaggerated responses to hot or cold temperatures may occur after surgery.  Usually this resolves during healing, but in rare situations it may be chronic.

 

Hair Loss– Hair loss may occur within the scalp or surgical incisions.  The occurrence of this is not predictable.  Hair loss may resolve slowly or in rare cases be permanent.

 

Hardware and Deeper Sutures– Some surgical techniques use small screws or permanent deep sutures to help suspend brow structures.  Sutures may spontaneously poke through the skin, become visible or produce irritation that requires removal. In very unusual circumstances, a screw could penetrate through the skull.  Intracranial injury is rare, but possible.  If this occurs, additional treatment may be necessary.  It may be necessary to remove hardware or deeper sutures at a later time.

 

Eyelid Disorders– Disorders that involve abnormal position of the upper eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the lower eyelid (ectropion) can coexist with sagging forehead and eyebrow structures.  Brow lift surgery will not correct these disorders.  Additional surgical procedures may be necessary.

 

Shock– In rare circumstances, your surgical procedure can cause severe trauma, particularly when multiple or extensive procedures are performed.  Although serious complications are infrequent, infections or excessive fluid loss can lead to severe illness and even death.  If surgical shock occurs, hospitalization and additional treatment would be necessary.

 

Unsatisfactory Result– Although good results are expected, there is no guarantee or warranty expressed or implied, on the results that may be obtained.  You may be disappointed with the results of  brow lift surgery.  This would include risks such as asymmetry, unsatisfactory surgical scar location, unacceptable visible deformities at the ends of the incisions (dog ears), loss of facial movement, poor healing, wound disruption, and loss of sensation.  It may be necessary to perform additional surgery to attempt to improve your results.

 

Cardiac and Pulmonary Complications- Surgery, especially longer procedures, may be associated with the formation of, or increase in, blood clots in the venous system.  Pulmonary complications may occur secondarily to both blood clots (pulmonary emboli), fat deposits (fat emboli) or partial collapse of the lungs after general anesthesia.  Pulmonary and fat emboli can be life-threatening or fatal in some circumstances.  Air travel, inactivity and other conditions may increase the incidence of blood clots traveling to the lungs causing a major blood clot that may result in death.  It is important to discuss with your physician any past history of blood clots or swollen legs that may contribute to this condition.  Cardiac complications are a risk with any surgery and anesthesia, even in patients without symptoms.  If you experience shortness of breath, chest pains, or unusual heart beats, seek medical attention immediately.  Should any of these complications occur, you may require hospitalization and additional treatment.