Reveal your most intriguing facial feature.
Eyes draw in people’s attention and convey your personal expression. However, hereditary factors and the signs of ageing can greatly impact the appearance of our eyes, so that what they reflect is not necessarily how we feel.
Surgery can be performed on the upper and/or lower eyelids (blepharoplasty) to correct droopy and loose skin as well as puffiness. As each patient’s skin elasticity, fatty deposits, tone and texture are individual; the procedure is tailored to ensure outstanding results that meet your specific desires.
Sometimes patients send in photos of their eyes for evaluation. While seeing photos beforehand is helpful, a thorough in-person consultation and physical examination is an absolute must. It is key to choosing the best approach when addressing eyelid surgery, as well as in all aspects of cosmetic and reconstructive plastic surgery.
Upper Eyelid
Loss of the upper eyelid elasticity and tone tend to be the first signs of facial aging. Droopy eyelids give patients a tired and saddened appearance, often hiding the underlying shape and beauty of the eyes. To restore the beautiful shape and contour of the upper eyelid, the overhanging skin is removed and the final incision is placed in the exact natural shadow of the upper eyelid crease. The length of this incision varies depending on the amount of excess lateral skin. The eyelid skin heals very well and the scar becomes barely noticeable in a very short period of time.
Adjuncts
Surgical re-contouring of the upper eyelids is sometimes further enhanced by a light pass with a CO2 or an Erbium laser. This further improves the overall skin tone along the highest portion of the upper eyelid and eyebrow junction and along the areas of the crows feet.
The eyebrow is often addressed with the strategic use of Botox to reshape the lateral or outer corners of the brow, often raising the mid lateral aspect of the eyebrows and achieving a better arch and height for the brows.
Lower Eyelid
If the lower eyelids have excess skin and fatty deposits or “bags” an undetectable incision is placed at the lower eyelash line and the fatty deposits are carefully removed without damage to the lower eyelid muscle. Care is also taken not to over resect the precious lower eyelid fat, which can result in a “hollowed out” look. In patients with ‘scleral show’ (down turned lower eyelids) and in those with poor lower eyelid tone, a lateral suspension technique is often used to support the lower eyelid and improve the overall shape of the eyes.
Adjuncts
Adjuncts to lower eyelid rejuvenation include fat grafting to the naso jugal groove (the area of depression at the junction of the lower inner eyelid, nose and cheek junction) and/or injection of Restylane or Juvederm to smooth out the transition between the lower eyelid and cheek junction.
Lower eyelid hollows can also be improved using a mid face vertical lift. Fat grafting to the lower eyelid and at its transition point with the cheek bones can also improve not only the depressions at the lower eyelids but also the overall cheek height and curvature.
For patients who have very fine wrinkles, a gentle pass of a CO2 or an Erbium laser to the lower eyelid will tighten the skin and often this alone will achieve satisfactory results.
