Should I Have Temporal Artery Ligations Done Before or After A Browlift?

Q: Dr. Eppley, how long I would need to wait after temporal artery arterial ligation to consider doing a brow lift? Or should I just wait and get the ligation done after the brow lift? It really makes no difference to me, I just want to do whatever will yield the safest and best aesthetic outcome for me!!

One concern I had was if I get the ligation and then do the brow lift, can the brow lift aggravate the ligated area in any way, or cause a new artery to pop up to feed the healing skin (from the brow lift incisions). 

A: There are arguments to be made either way about doing the temporal artery location before or after the brow lift. I don’t really know what the exact correct answer is since this is a situation that I have not seen before. The brow lift is done at the subperiosteal level so it does not really influence the temporal artery per se. However, since the order of the procedures does not matter to you, I can certainly make the argument to getting the  more extensive trauma of the brow lift surgery done first since it is no way interferes with the conductance of that operation and then do the temporal artery ligation afterwards. Then you would have the most assurance that surrounding trauma will not exacerbate the reduced prominence of the artery.

Dr. Barry Eppley

World-Renowned Plastic Surgeon