The first step is to consult a well-qualified plastic, oculoplastic, or facial plastic surgeon. Ask about training and credentialing by the appropriate specialty boards. The surgeon should take an interest in your concerns before jumping to a recommendation or decision. Before the appointment, take a good look in a mirror at various times a day and in different lighting, and write down the concerns that bother you the most. Discuss any concerns that you may have regarding your eyes with your surgeon, including vision problems, contact lenses, dry eyes, or allergies. After a thorough examination and in consideration of your concerns, the surgeon will make specific recommendations and discuss the alternatives, risks and costs of the procedure.
Eyebrow surgery is most commonly performed by plastic surgeons and by eye, ear, nose or throat surgeons with additional training and experience in cosmetic surgery of the face. Experienced surgeons will often be certified by the American Board of Facial Plastic and Reconstructive Surgery , or by the American Board of Plastic Surgery .
Board-certified facial plastic surgeons have generally completed at least 6 years of surgical training specializing in diseases of the ears nose and throat as well as surgery of the face, head and neck. They have demonstrated at least 2 years of professional experience in facial plastic surgery outside of residency and their work has been thoroughly evaluated through chart review and written and oral examinations. Facial plastic surgeons specialize in cosmetic and reconstructive procedures above the shoulders, including eyelids, facelifts, nasal surgery, ear surgery, cleft lip and palate, and skin cancer.
Board-certified general plastic surgeons have completed a residency in otolaryngology (ears nose and throat), orthopedics (bones), or general surgery, followed by a two-year residency in plastic surgery. Plastic surgeons are trained to care for a broad diversity cosmetic and reconstructive problems that may include facial surgery, breast reconstruction, body contouring, hand surgery and skin cancer.
Oculoplastic surgeons are eyelid specialists who have been certified by the American Board of Ophthalmology. Following initial training in medicine and surgery of the eye, these surgeons have specialized in surgery of the eyelid and surrounding structures, including the eye socket and the tear ducts.
Dr. Armstrong is certified by the American Board of Facial Plastic and Reconstructive Surgery