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SURGICAL FROWN LINE REDUCTION IN WASHINGTON DC

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Overview of Surgical Frown Line Reduction in Washington

Surgical frown line reduction is a surgical procedure designed to soften and smooth frown lines by surgically weakening the frown (“Corrugator supercilii”) muscles. It offers patients a “permanent Botox effect” and it is comfortable to undergo awake with injected numbing medicine. This treatment is growing in popularity and is utilized to correct what is commonly known as “resting bitch face.”

Dr. Rad often performs frown line reduction with a brow lift and upper blepharoplasty to give patients a bright, warm and positive appearance to the eyes, forehead and brows.

WHAT RESULTS CAN I EXPECT?

Your vision for your results will emerge through detailed consultation with Dr. Rad, meticulous examination of your anatomy, and careful pre-surgical planning. While Dr. Rad’s surgical approach is unique for each patient, the goal of naturalness remains constant.

Actual Washington Surgical Frown Line Reduction Patient of Dr. Rad’s
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Sherber+Rad cannot guarantee specific results.
Individual results may vary.

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Surgical Frown Line Reduction

Dr. Rad’s approach is unique for each patient, and it combines sophisticated, state-of-the-art techniques to achieve natural and long lasting results.

Is Surgical Frown Line Reduction Right For Me?

Surgical frown line reduction is great for patients who have tried Botox for frown weakening and who now want both a permanent and more extensive effect. Patients of all ages can enjoy an excellent result and there is no age limit.

How Does Dr. Rad Approach Surgical Frown Line Reduction?

Surgical frown line reduction should be performed only by a board-certified plastic surgeon. Dr. Rad first assesses your inner brow anatomy. While you are standing upright with your eyebrows relaxed Dr. Rad makes precise measurements in order to assess eyebrow and facial asymmetry at baseline. If planning an upper blepharoplasty at the same time, Dr. Rad marks the skin area to be removed. As a solo procedure Dr. Rad otherwise precisely marks the incision to fold within the upper eyelid crease. Through the incision, Dr. Rad dissects beneath the eyelid muscle (called “Orbicularis oculi”) upward and inward and identifies the Corrugator supercilii muscle (i.e. the frown muscle). Dr. Rad then removes a segment of the muscle which weakens it, and replaces the removed tissue with fat: this disrupts the function of the muscle while maintaining normal surface contour. Dr. Rad asks you to frown in order to check for symmetry. Dr. Rad then closes the incision precisely with fine suture.

Dr. Rad’s technique achieves approximately 60-80% weakening of the muscle (depending on anatomy) which dramatically softens and smooths frown lines. Some movement of the inner brow tissues remains, a desirable result, without deep “number 11” lines, giving patients a natural softening effect. Dr. Rad avoids a frozen appearance which can distort the eyebrow shape and position, and look unnatural.

He can perform this procedure under local anesthesia, or as part of more significant facial rejuvenation under general anesthesia. Surgery is outpatient, which means there is no need for overnight stay in the hospital, and recovery is just a few days with minimal discomfort.

An in-person consultation with Dr. Rad is crucial to determine whether the frown line reduction procedure approach is right for you.

Q+A

WHAT IS THE RECOVERY AFTER SURGICAL FROWN LINE REDUCTION?
 

Frown line reduction is an outpatient procedure and recovery lasts about 5-7 days. The results of trans-blepharoplasty incision brow lift are immediate and minor discomfort, bruising and swelling resolve after a few days. You should avoid heavy lifting, such as at the gym or moving furniture, as well as inversions such as yoga headstands, etc. for about 2 weeks but otherwise you may return to normal activities quickly. Suture remains in place for 5-7 days. Once removed comfortably in the office you may return to work and normal activities with minimal restrictions.

WHAT ARE THE RISKS OF SURGICAL FROWN LINE REDUCTION?
 

Surgical frown line reduction is very safe. The most common complications that can occur are slight asymmetry in muscle activity, and contour depression. Dr. Rad is extremely meticulous in surgery and the chance of these problems occurring is extremely low. Such problems are correctable and patients who have had suboptimal results from other surgeons often seek Dr. Rad’s experience for corrective work.

DO I NEED A BLEPHAROPLASTY OR BROW LIFT OR DO I NEED BOTH?
 

The eyebrow and upper eyelid are intimately related, and for optimal aesthetics, it’s important to address both. If the eyebrow is in a properly elevated position with arched contour, and upper eyelid skin excess is a concern, then upper blepharoplasty is indicated. If, the eyebrows are low, then excess upper eyelid skin may be relieved partially or completely with brow lift. If excess upper eyelid skin is only partially relieved by brow lifting, then combining the two is best. Keep in mind that correct diagnosis is essential and the right approach requires in person evaluation with Dr. Rad.

HOW DOES PRICING WORK?
 

Pricing has several components: (1) surgery fee (for Dr. Rad’s skill, care and expertise), (2) hospital anesthesia cost (for the board certified anesthesiologist to manage your comfort during surgery), (3) hospital facility cost (to “rent” the operating room and staff time), and (4) implant costs (for example, breast implants, chin or jaw implants, etc.). Dr. Rad performs surgery in a hospital operating room as this is the safest environment where board certified anesthesiologists are involved in your care. While more costly that in-office surgery rooms, this cost is justified to ensure your procedure is as safe as possible. Sometimes we offer concessions for multiple procedures.

HOW CAN I AFFORD SURGERY?
 

We consider bringing aesthetic surgery cost within financial reach to be a high priority and we have several mechanisms in place to make surgery affordable. (1) We participate with CareCredit, a medical financing company; the most popular plan is our *free* 6 month plan which is *free* since we cover associated financing fees (longer plans up to 60 months incur fees); (2) We offer concessions (discounts) on multiple procedures; and (3) hospital fees are lowered by efficient surgery: Dr. Rad works with a hand-selected team of professionals to lower OR time and associated hospital fees. We appreciate that cost is an important consideration in patients’ decisions to select their surgeons. While there is variability in cost between plastic surgeons, surgeons’ pricing can reflect the surgeon’s expertise, safety measures taken, the quality of your aesthetic results, and the caliber of your overall care.

Consultation with Dr. Rad

WHAT CAN I EXPECT FROM MY CONSULTATION WITH DR. RAD?

Our plastic surgery office in Washington DC is centered on your comfort and privacy. You’ll be received by our exquisitely attentive staff, and escorted to your own private cabana wherein you’ll feel relaxed and comfortable while consulting discreetly with Dr. Rad. First Dr. Rad will determine if you are a good candidate for surgery and during your consultation you should decide if Dr. Rad is the right surgeon for you. Credentials are crucial and, in addition to being Board certified in plastic surgery, Dr. Rad is Assistant Professor at Johns Hopkins, and he enjoys an impeccable reputation as a top flight aesthetic surgeon. His facial plastic surgery expertise is sought out as one of the best surgeons in Washington DC, northern Virginia and the US.

Your safety is Dr. Rad’s primary concern and he will review your medical history. You should inform Dr. Rad of any medical problems or medications that may affect your healing. If you are medically appropriate to undergo surgery then Dr. Rad’s focus will be to understand what specific aesthetic concerns you have. Washington patients expect natural results with minimal downtime. Dr. Rad will spend time carefully listening to your concerns, asking clarifying questions and then masterfully guiding you, step by step, to understand how your unique anatomy can be improved to convey a rested appearance. Dr. Rad’s goal is to determine the most comprehensive approach for long lasting, natural results while minimizing downtime. Dr. Rad first needs to understand your specific concerns and you should prepare your thoughts prior to your consultation. Think of words that convey how you feel about your appearance. For example, Washington DC patients often say they look fatigued, tired or lackluster because of undereye bags or dark undereye circles, or they look sad, upset or disinterested such as from heavy eyebrows, excess skin above the eyes or downturned corners of the mouth. Patients often relate concerns of looking older than how they feel and this can be caused by jowls, nasolabial folds, loose neck skin, lines and wrinkles. Try to put into words how your appearance bothers you, and the priority you give to each area. Dr. Rad will then present to you his expert opinion about which procedures would be best to restore your anatomy to create a rested and refreshed appearance. In addition to surgery oftentimes patients can benefit from other procedures such as brow lift, eyelid lift, facial fat transfer, or rhinoplasty. And since surgery is intricate Dr. Rad will guide you through a stepwise approach of aesthetic analysis and he’ll deliver his recommendations in a clear and honest manner. Dr. Rad will present all options available in modern day surgery, both non-surgical and surgical.

Dr. Rad and Board certified dermatologist Dr. Sherber often collaborate to optimize patients’ results and to minimize invasiveness. As such Dr. Rad’s modern approach to surgery harnesses the power of both dermatology and plastic surgery as both specialities address different aesthetic challenges. For example, plastic surgery is effective to lift, tighten and volumize loose, atrophied tissues, whereas dermatologic treatments such as laser, radiofrequency tightening and skincare are best to improve skin texture, pigmentation and tone. Dr. Rad can address any concerns regarding skin quality and how to obtain and maintain optimal results.

Dr. Rad will review with you photos of his patients’ results (many of which you’ll not find online due to privacy concerns) to highlight his aesthetic approaches and skill. He will take your photographs, which remain confidential, to assist with the planning of your surgery. For your safety Dr. Rad performs surgery in a hospital-based operating room, considered to be the safest environment, rather than in the office. Anesthesia is delivered by a board certified anesthesiologist (MD) and you’ll be under light anesthesia which is important for your safety and comfort.

You will receive a customized quote for the procedures in which you’re interested. Once approved we may then move forward with pre-operative preparations and you will meet with Dr. Rad again at your final in person consultation prior to surgery. Dr. Rad’s reputation as one of the most technically gifted surgeons attracts patients nationally and from around the world. We cater to patients from across the globe by arranging virtual consultations, luxury accommodations at The Jefferson hotel, Washington’s most luxurious 5 star boutique hotel, as well as private nursing care. Your privacy, comfort and safely achieving exceptional results are our top priorities.

What are Dr. Rad’s patients saying?

My goal was to be a refreshed, happy, more confident version of “me.” As I prepared for surgery I had no unanswered questions and was totally confident about Dr. Rad’s skill and judgement. Interactions with Dr. Rad and his team at the time of surgery and follow up were efficient, expert, and delivered with compassion and kindness. I recommend him without qualification.”

Cathy | December, 2016

About your Washington surgeon

Dr. Rad’s credentials, results and patient reviews speak for themselves. Princeton (magna cum laude) and Duke University educated, Dr. Rad is a Johns Hopkins trained board certified plastic surgeon and Assistant Professor of plastic surgery there. Dr. Rad has performed thousands of aesthetic facial surgeries and he specializes in minimally invasive, scarless approaches featuring minimal downtime. He is ranked in the top 3 plastic surgeons in DC, has the highest patient ratings across all doctor review websites and has been an invited expert in international conferences teaching his techniques to surgeons from around the world. Dr. Rad’s patients seek to look refreshed and rested with natural results, minimal scars and the least downtime. He has innovated scarless techniques due to his patients’ needs for discretion and hidden evidence of surgery. Dr. Rad has membership with the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery, and he is certified by the American Board of Plastic Surgery. Through rigorous written and oral examinations, these national societies have vetted Dr. Rad’s education, training, professional qualifications, surgical competence, and ethical conduct as having met the highest standards in the world.

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What is the cost of surgical frown line reduction in DC?

As an in-office procedure the cost of frown line reduction is $4,500. Botox patients often ask whether they will save on Botox in the long run by having this procedure: if you undergo Botox treatment of your frown lines every 3 months, then your surgical frown line reduction will be paid off in about 2-2.5 years (assuming 25 units/treatment), and if you’d otherwise continue Botox treatment for the next 25 years you save $40,000. While total cost increases when combined with other procedures, surgery is cost-effective when multiple procedures are combined. Cost is a reflection of the skill and experience required to obtain excellent results. Under Dr. Rad’s care your experience is guaranteed to be the highest quality.

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Sherber+Rad1101 15th St. NW, Suite 100, Washington, D.C. 20005