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Abdi Ipekci Caddesi No:39Hayal Apt. Kat:2Sisli/İstanbul

+90532.061.2050

As the face ages, each of the features undergoes a well-defined series of changes. Fortunately, there are often several procedures at our disposal to address each of these changes. Blepharoplasty addresses the eyelids, rhinoplasty the nose, and a facelift usually concentrates on the midface and the neck.

What many people fail to realize, however, is that the eyebrows and forehead play just as important a role in conveying aging or youthfulness as the rest of the features. When the brow sags, becomes furrowed or is prone to excessive folding, it can give the impression of grumpiness and irritation, and may also impair vision. The forehead area may also begin to lose its natural volume, becoming hollow and further marring the appearance. These changes can be especially irksome, as often the client’s external appearance does not accurately reflect his or her disposition or mood.

Luckily there is an excellent solution. A brow lift, also known as a forehead lift, improves wrinkle lines, raises sagging eyebrows, and reduces upper eyelid hooding, resulting in a more youthful and refreshed appearance. After a brow lift, clients appear well rested, more pleasant in affect, and self-confidence is gracefully restored.

A good candidate for the brow lift procedure…

  • Suffers from droopy, sagging eyebrows that may impair vision
  • Suffers from forehead furrows, creases, lines, wrinkles and folds
  • May want to complement another facial procedure, such as a facelift
  • Is healthy, both physically and mentally, with no major medical issues
  • Has formed realistic expectations based on the Istanbul consultation with Op. Dr. Ali Murat AKKUS

Botox brow lift: The non-surgical brow lift

Op. Dr. Ali Murat AKKUS strongly prefers to produce subtle enhancement and lifting of the brow using botulinum toxin ("Botox") rather than surgery. Op. Dr. Ali Murat AKKUS is of the opinion that brow lifts have been over performed. A brow that is raised too high produces a very unnatural and surprised look, and a high hairline masculinizes the female face.

Complications relating to brow lift incisions, even incisions from endoscopic or "minimal incision" brow lifts, are frequent, with hair loss around the scar being a serious problem. From an aesthetic standpoint, Op. Dr. Ali Murat AKKUS prefers even a slightly low brow to the complications and risks noted above.

A "Botox brow lift" involves strategic placement of botulinum toxin to relax the muscles, which help pull the forehead downward. These muscles are the procerus (which functions between the eyes), and the orbicularus oculi muscles (which cause crow's feet and also can pull down the tail of the brow).

Additionally, it is possible to strategically inject the forehead muscle itself, so that with one portion of the muscle relaxed, the remainder of the muscle works harder and lifts more. This can be done by relaxing the highest portion of the forehead muscle just below the hairline to encourage stronger movement of the bulk of the forehead muscle, thereby raising the brows a bit more.

In some cases one may relax the central portion of the forehead muscle so that the side portions pull harder. This latter technique can result in an unnaturally arched eyebrow, also known as the "Jack Nicholson look." For this reason, Op. Dr. Ali Murat AKKUS devises a specific injection pattern based on each individual’s specific muscle movement and forehead shape/size, so that unnatural looking brow lifts can be prevented.

Surgical brow lift

The classic brow lift also known as the coronal lift, involves an incision that courses across the top of the head, essentially from ear to ear. While providing a fairly reliable lift, this technique comes with the problem of a long scar accompanied with numbness in the scalp a few inches behind the scar. Another drawback of this technique is the additional possibility of hair loss particularly behind the scar.

For patients with high hairlines, Op. Dr. Ali Murat AKKUS can modify the brow lift technique so that the scar courses in front of the hairline in the central area of the forehead, so as not to further raise the hairline as a result of the lifting.

Aside from the traditional brow lift technique, there are several minimal incision techniques for brow lifting which may or may not involve the use of an endoscope. These techniques have the advantage of reduced scarring, and are therefore associated with fewer scar-related problems.

Op. Dr. Ali Murat AKKUS assesses each patient’s facial aging individually during the initial consultation. He will listen carefully to the patient’s concerns and will recommend a brow lift when he feels it is appropriate. The brow lift technique he chooses to recommend will also depend on the anatomy and concerns of each individual patient.

Brow lifts can be performed on their own, or may be combined with facelifts and/or eyelid surgery. As with most facial rejuvenation surgeries, swelling, bruising, and tenderness should all be expected after an endoscopic brow lift. While most patients find that they can return to work within a week after an endoscopic brow lift, strenuous or vigorous exercise should be avoided for several weeks post-operatively.

Choosing the best doctor

As noted above, subtlety, nuance and artistry are extremely important qualities in any physician performing a brow lift (or any facial procedure for that matter), as results may reflect even the slightest deviation from the carefully crafted cosmetic plan. If the doctor under-operates, then the results will not be significant enough to make a difference in the appearance and fulfill the client’s wishes. If he or she over-operates, the result can be quite unsightly and unsettling. The facial expression may lose its spontaneity and genuine nature in this situation.

Op. Dr. Ali Murat AKKUS is a master of facial nuance and subtlety, with over two decades of experience in delivering successful, beautiful outcomes to his Istanbul patients. He takes a great deal of time to learn the client’s individual facial patterns inside and out so that he may create a highly customized procedural plan that accounts for all idiosyncrasies and cultural differences, thus preserving individuality and the true physical essence of each patient.

Op. Dr. Ali Murat AKKUS is often sought out for his amicable, trustworthy demeanor as well. He believes that forming a clear, open channel of communication from the first moment of contact is key in producing stunning results. If you don’t feel comfortable explaining to your doctor every detail of your vision for improvement, you may not be able to achieve your goals properly. So it’s important to have a surgeon you truly feel you can talk to. Over the years Op. Dr. Ali Murat AKKUS’s practice has grown to include many repeat clients who have come to consider the practice as a virtual second home.

If you would like to learn more about whether a brow lift is right for your needs, please contact our New York City offices today to set up your confidential consultation with Op. Dr. Ali Murat AKKUS

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RETURNING TO PATIENT CARE AS USUAL, ONLY BETTER!

We are excited to announce that as of June 8th, 2020, our office will be open for ALL appointment types including Surgery, Cosmetic Injectables, Earlobe Repairs, Mole Removals, CoolSculpting, CoolTone, Morpheus8, miraDry, Skincare services, and more!

During this time, we are still encouraging virtual consultations & follows up as an initial step prior to an in-person appointment. We are requesting that established patients virtually consult/review their treatment plans with Dr. Rapaport or a medical aesthetician in advance of their scheduled treatments/procedures. We will be providing you with specific procedure-related instructions prior upon scheduling. If you left a deposit for a treatment and have not yet been contacted by our staff, please call, or e-mail our office so that we may get you scheduled.

Dr. Rapaport & his team have been working diligently to get our office prepared for our re-opening. Our main priority is the health and safety of our patients and staff. Thank you for following our guidelines and being so patient. See below for our re-opening guidelines:

  1. Please take the time to thoroughly read and complete our updated Appointment Policies, COVID-19 Patient Protocols, ASAPS COVID-19 Consent, and COVID-19 Patient Screening Questions. These forms will be sent via email and must be completed prior to your appointment. This will help to screen patients and ensure social distancing in the office.
  2. When we contact you, please let us know if you are or have been sick in the last 3 weeks, have been in close or prolonged contact with anyone who has been sick during that time, or have travelled outside the United States, or have returned from the following states within the last 14 days that have been added to the high covid risk government list including Alabama, Arizona, Arkansas, Florida, North Carolina, South Carolina, Texas, and Utah. Specific symptoms of COVID-19 may include fever, cough, loss of sense of smell and taste, chest pressure, or shortness of breath
  3. Alert us if you have any other health problems that make you more susceptible to developing COVID-19 or are at increased risk. Although our office has implemented additional measures to keep you safe during this time, we encourage you to consult your primary care physician for further instructions on how to remain safe. Typically, patients over age 65 who also have respiratory ailments, heart disease, hypertension, diabetes, or are immunocompromised are at greater risk.
  4. Medication refill and product requests: Routine requests for medication refills must be requested electronically through your pharmacy. Should you need to purchase skin or haircare products and would like them mailed to you, please e-mail office@DrRapaport.com or phone us at 212-249-9955.
  5. We ask that you come alone to office visits, if possible. To limit exposure and practice social distancing, we are doing our best to minimize the number of people in the office at one time. If you require someone to accompany you to your visit, he/she will need to be with you at all times throughout the duration of your appointment or they will be asked to wait outside.
  6. Please make sure to bring a mask with you to your office visit. If you do not have a mask, we will provide one for you. 
  7. Please abstain from handshake greetings and keep a “social distance” of 6 feet or more from other individuals when in the office whenever possible. 
  8. As soon as you enter the office you will be asked to use hand sanitizer provided to you upon arrival and departure from the practice. Coat both the front and back of your hands and wrists and let them air dry. Wash your hands often with soap and water for at least 20 seconds and avoid touching your face.  
  9. Please reply to all email and texts that we send you. We are working with limited personnel and resources, so responding to these messages will enable us to keep in touch with you safely. 
  10. We will provide ongoing care remotely using telemedicine. Our telemedicine system will allow us to speak with you, evaluate your face/body/breasts, prescribe treatment, and/or give you advice. We will be contacting you about your existing appointment to determine whether a virtual or in-person appointment is best. 
  11. You can obtain good and reliable information about local conditions regarding the pandemic at https://coronavirus.health.ny.gov/home. 

For any questions and/or concerns, please call our office at 212-249-9955 or email us at office@DrRapaport.com. We know each of you are eager to get back to your treatment regimens, so we will be extending our hours to accommodate everyone as best we can while maintaining health & safety protocols!

We thank you for your continued support & confidence in Dr. Rapaport and our staff the past few months. We look forward to welcoming you back to our office!

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