Brow Lift/Blepharoplasty – Patient 121
A woman in her early 60’s who is bothered by a tired appearance. She does not like the hooded appearance of her eyes and upper face. On questioning she has problems with chronic headaches which may be related to chronic strain of the forehead muscles working to hold the eyebrows up. As we age we lose volume in the face which leads to dropping of the eyebrows. She has had lower eyelid blepharoplasty elsewhere nearly 20 years ago.
She is shown before and again, 6 weeks after bilateral upper eyelid blepharoplasty and a coronal brow lift. A brow lift is a “face lift” of the upper face with the incisions hidden in the hairline. The forehead lines diminish because she is no longer working to hold her brows up with the muscles. The brows have been lifted to a natural level and she no longer has a tired appearance.
Brow Lift/Blepharoplasty – Patient 120
A woman in her late 50’s who is bothered by drooping of her eyebrows and an aged appearance of her eyes. She has prominent “tear trough” deformities and under eye “bags”.
She is shown before and again, 4 ½ months after an open brow lift, upper lid blepharoplasty and lower eyelid blepharoplasty with fat pad transposition into the tear trough area. She holds her left brow slightly lower before and after her surgery. She is thrilled with the more youthful but still natural appearance after surgery.
Blepharoplasty – Patient 119
A woman in her early 60’s who is bothered by an aged appearance of her upper eyelids. She is shown before and again, 2 months after bilateral upper eyelid blepharoplasty combined with a lateral browpexy under local anesthesia in the office. She has also had Botox and Restylane for treatment of her frown line.
Blepharoplasty – Patient 118
A woman in her early 40’s who “sees her eyelashes” when she looks up and has skin blocking her vision. She is shown before and again, 6 ½ months after a bilateral upper eyelid blepharoplasty combined with a browpexy procedure. She has also had Juvederm Voluma to her cheeks at a later time. She no longer has obstruction of her vision and is pleased by her more youthful appearance.
Blepharoplasty – Patient 118
A nurse in her early 50’s who had some visual field obstruction from her upper eyelid skin and brow ptosis. She is shown before and again, 7 weeks after bilateral upper eyelid blepharoplasty combined with a brow-pexy procedure. The brow pexy stabilizes the lateral eyebrows and prevents them from dropping further. It can be helpful in cases where a patient has brow ptosis ( drooping of the eyebrows) but does not want a formal brow lift.
Blepharoplasty – Patient 114
A woman in her early 60’s who is bothered by an aged appearance of her face. She is shown before and again, 9 weeks after bilateral upper eyelid blepharoplasty with facelift utilizing a platysma window and lateral SMAS plication, combined with fat grating to the cheeks and upper and lower eyelids. The fat grafting improves the quality of the skin, but also helps to correct the “a frame” hollowing of her upper eyelids that adds to her aged appearance. She has significant volume loss of the cheeks with aging that is not corrected with skin tightening- it is corrected by the careful replacement of volume with fat grafting.
Blepharoplasty – Patient 113
A woman in her early 60’s who is bothered by an aged appearance of her upper eyelids. She is shown before and again, 5 months after upper eyelid blepharoplasty performed under local anesthesia in the office. She is thrilled with the natural appearing improvement after her surgery.
Blepharoplasty – Patient 112
A man in his early 50’s who was bothered by always being told that he looks tired. He is shown before an again, 6 weeks after bilateral upper eyelid blepharoplasty with lateral sulcoplasty. He has had NASHA type fillers in the office to replace aging related loss of volume in his cheeks.