FALL 2017 In This Issue:

Hello! We hope this newsletter
finds  you well. Fall is here and we have some exciting new things at our office.  Welcome to another edition of our  quarterly newsletter. We like to  stay in touch with our  patients about the latest techniques and offerings from our office. If you misplaced an email you now have access to all our past newsletters and promotions HERE. We look forward to seeing you in the near future. 
                  BEFORE YOU CONSIDER... KNOW THE FACTS              
Brow Lift: Forehead Lift; Upper Facelift


Upper facial rejuvenation must be considered within the context of the overall aesthetics of both the forehead and periorbital, or eyelid, regions. Herein, precision is critical.

A careful examination is required in order to determine an individual's need for a brow lift, upper blepharoplasty, or both. The majority of persons seeking rejuvenation of the upper face are candidates for both brow elevation as well as upper blepharoplasty. Whether one is a candidate for both procedures, however, does not mandate the need to do both at the same time. Indeed, the brow elevation may be performed prior to the upper blepharoplasty or vice versa. It is imperative, however, that should an upper blepharoplasty be performed first in a patient with brow descent provisions be made for future brow lift by not removing excessive amounts of skin.

A brow lift, also referred to as a forehead lift or upper facelift, addresses the folds, furrows, creases of the forehead and brow regions as well as the loss of tone that causes descent of your eyebrows and hooding of your upper eyelids. 

The traditional, or coronal and anterior hairline (open), approaches to the brow entail an incision placed within the hair-bearing scalp or at the front of the hairline, respectively. Herein, the muscles responsible for the creases and furrows can be modified or eliminated as needed, excess skin removed and the eyebrows lifted to a more pleasing position.  The endoscopic-assisted (closed) brow lift represents an alternative approach. This is a minimally invasive technique quite similar in principle to the arthroscopic procedure that orthopedic surgeons perform. Herein, several small incisions are placed within the hair-bearing scalp through which instrumentation is passed to effect the desired outcome.  Regardless of the particular technique utilized, the surgeon has very definite control as to the degree of brow elevation achieved and, hence, can respect the patient's wishes for either a conservative or less than conservative result.

For those persons with brow descent who may or may not be candidates for upper blepharoplasty or who have had a previous upper blepharoplasty there exists a relatively little known technique called the transpalpebral, or eyelid, approach to the brow. Herein, either at the time of upper blepharoplasty, utilizing a prior blepharoplasty incision or simply utilizing the natural upper eyelid crease that all occidentals maintain, the muscles of the eyebrow region responsible for both folds and furrows as well as brow descent are approached via the upper eyelid and eliminated. Modification of these muscles will automatically effect passive elevation of the brow.

Jonathan Hilton Sherwyn, M.D., F.A.C.S.  is certified by the American Board of Plastic Surgery - the only board recognized by the American Board of Medical Specialists to certify plastic surgeons. Dr. Sherwyn has extensive experience in performing many aesthetic procedures. His sensitive treatment of all patients accounts for his national and international clientele.


Our office maintains an on-site surgical suite for your comfort,
convenience, privacy and  complete safety. This facility has  been fully  accredited by The Joint Commission on Accreditation of Healthcare  Organizations (JCAHO), an organization dedicated to raising the level of safety and quality of care in all health care settings. Since 1951, JCAHO accreditation has been recognized as the gold standard in health care.

Can't make it to the city?
We have a Greenwich, CT office. Dr. Sherwyn sees patients Wednesday evenings at:
2 1/2 Dearfield Drive 
Greenwich, CT 06830
Phone: 212.517.2700
Genevieve Vielbig, R.N. 

Want to get rid of all sun damage? Come in and have your skin assessed with our Nurse today and find out which laser is right for you...

Alma Harmony XL Laser System:

Alma Harmony XL is a robust, modular medical aesthetic treatment platform offering a wide array of distinct laser, light-based technologies. Over 65 FDA-cleared medical aesthetic indications can be treated including skin remodeling, skin rejuvenation, broken vessels and both vascular and pigmented lesions. As we often discuss several skin rejuvenation options, a customized therapeutic plan is considered for each individual patient.

IPL (Intense Pulse Light)

Photofacials with IPL use multiple wavelengths of light to gently rejuvenate the skin and improve the appearance of photo-aged skin, reduce the visibility of most benign brown pigmentation and redness caused by broken capillaries. IPL Photofacials can be used to treat the face, neck, chest, arms, hands and anywhere that sun damage is seen on the body. The treatments are minimally invasive, non-ablative, with minimal discomfort and require no downtime.

iPixel Er:YAG 2940

The Alma Harmony Pixel module provides highly effective fractional ablative laser skin resurfacing treatment removing surface level and moderately deep lines and wrinkles on the face, neck, and chest. Further, it promotes the formation of new collagen which will tighten the skin. The result is a significant improvement of overall skin tone, elasticity and texture, an increase in skin moisture content and an overall reduction in superficial pigmentation and pore size with less pain, and fewer side-effects and downtime of alternate lasers.

Nd:YAG 1064 Laser

The Nd: YAG laser delivers an intense but gentle burst of laser light to the skin resulting in a unique ability to selectively target the blood vessels of a vascular lesion. This module effectively treats facial broken capillaries, cherry angiomas, telangiectasias or leg spider veins thereby helping to reduce the overall redness of the skin.

Everyone at Dr. Jonathan Sherwyn's office would like to take a moment to show our gratitude to all of our wonderful patients, like you, that we have been able to develop relationships with. It has been a privilege providing for your care.