Facial skin loses elasticity and gains wrinkles with age, causing drooping brows as well as creases and lines that can give you a sad, old or tired appearance. Many factors can intensify those negative effects, including sun exposure, weight fluctuations and heredity. A forehead lift can address these problems by surgically altering the muscles and tissues that cause wrinkling and/or drooping in the area above the eyes. Endoscopic forehead lift is most commonly used to minimize the appearance of aging in people over the age of 40. It can also help people of any age who have developed furrows or frown lines due to stress or muscle activity. The surgeon elevates the skin and underlying tissues of the upper face, and may remove part of the muscle that causes frown lines between the brows. The result is a more youthful, relaxed, and refreshed appearance. People with inherited conditions, such as a low, heavy brow or furrowed lines above the nose can also achieve a more alert and refreshed look with this procedure. Soft tissue fixation remains the least controllable and least predictable part of the forehead lift procedure. Until now, only suture based and percutaneous screw fixation techniques were available, often with frustrating results. The Endotine Forehead offers a novel and effective solution for fixation of the scalp tissue, addressing a primary challenge of the forehead lift procedure. The Endotine Forehead features sutureless MultiPoint Technology (MPT™), a breakthrough platform technology designed to facilitate facial aesthetic procedures, reduce operating time and improve surgical outcomes. The device’s unique design provides multiple points of contact with the suspended tissue, distributing tension to maximize fixation strength. The Endotine Forehead allows fixation times approaching less than one minute per side in the hands of experienced clinicians. The adjustable Endotine Forehead design allows simple readjustment of tissue for greater aesthetic control of brow height and shape, and the Endotine Forehead’s robust construction and multiple tine design provide secure strength throughout the crucial, early healing period.Request a Consultation
Cesar Sierra, M.D. is a Cosmetic Eyelid, Orbital & Reconstructive Eye Plastic Surgeon who specializes exclusively in the eyelids and facial areas around the eyes. Dr. Sierra is trained as both an eye surgeon and cosmetic & reconstructive ophthalmic plastic surgeon. His areas of expertise include blepharoplasty “eyelifts” or cosmetic eyelid surgery for baggy, puffy eyelids, brow and forehead surgery to lift troublesome areas. He has special expertise in eyelid surgery to correct ptosis or “droopy” eyelids, minimally invasive endoscopic tear duct surgery and repair of eyelids that unnaturally turn inward or outward as well as eyelid and orbital reconstruction after trauma or ocular tumor surgery. Facial rejuvenation for men and women using non surgical treatments & injections to minimize or eliminate the effects of aging. These include treatment for dark circles, eyelid bags, creases, folds, fine lines and wrinkles. His approach for women is to restore their natural, refreshed, youthful appearance by gently tightening, volumizing and lifting the delicate eye, facial features and chin. For men, Dr. Sierra strives to maintain an energetic, masculine but softened ruggedness. Depending on your areas of concern this may require BOTOX injections alone or in combination with gel fillers and tightening injections such as Juvéderm, Restylane®, Radiesse® or Kybella® to create the desired result. Dr. Sierra earned his Medical Degree from Universidad Central Del Caribe School of Medicine where he was elected a member of the Alpha Omega Alpha Medical Honor Society. He then completed a Residency in Ophthalmology at Yale-New Haven Hospital where he received the Marvin L. Sears Award for Clinical Excellence followed by an ASOPRS (American Society of Ophthalmic Reconstructive and Plastic Surgery) accredited Fellowship at Kresge Eye Institute & William Beaumont Hospital in greater Detroit, Michigan. He is certified by and a Diplomate of the American Board of Ophthalmology (ABO) and a Fellow of the American College of Surgeons. Dr. Sierra continues his dedication to the field of surgery by teaching surgeons procedures and techniques of cosmetic and reconstructive orbital and eye plastic surgery as an Assistant Clinical Professor of Ophthalmology at Yale School of Medicine in New Haven, Connecticut. Dr. Sierra is certified by and a Diplomate of the American Board of Ophthalmology (ABO), a member of the American Academy of Ophthalmology (AAO), the American College of Surgeons and Pan-American Association of Ophthalmology. He is an attending surgeon at Yale-New Haven Hospital, Bridgeport Hospital and Norwalk Hospital.