Do I need laser resurfacing (CO2 or erbium laser) chemical peeling (TCA or phenol, or blue peel), along with endoscopic browpexy (brow lift) or as an alternative?

Skin resurfacing, whether laser (CO2 or erbium laser) or chemical (TCA or phenol, or blue peel), brow lifting (brow-pexy) and face lifting (rhytidectomy surgery), are not mutually exclusive. In fact, resurfacing, brow-lifting, and rhytidectomy are complimentary. Skin resurfacing addresses fine wrinkles, pigment changes, and irregularities associated with aging. Facelifting addresses creases, skin and fat excess, as may be found in smile lines, marionette lines, jowling, and “turkey neck.” Brow Lifting addresses forehead creases, droopy brows, and furrows. To get the best possible result from facial rejuvenation, it is often necessary to perform rhytidectomy, brow lift, forehead smoothing surgery, and some type of laser or chemical resurfacing either at the same time or after recovery from the face lift.