A woman in her later 50s is shown before and again, 7 months after a coronal (open) brow (forehead) lift and upper eyelid blepharoplasty (eyelid ‘tuck’). In the before photo, the tension and lines in the forehead are seen as she unconsciously tries to elevate her brows to keep her eyelid skin from blocking her vision. Botox would not have worked well for her because it would have dropped her eyebrows further.
After surgery, the brows are in a natural position, without her working to elevate them. The eyelids have a natural, and not “over operated” look. The medial fat pad (bulge at the inner aspect of her eyelid) was contoured during her surgery, but the remaining fat was preserved to prevent a hollow, aged appearance which can result if fat is removed in the wrong places. The eyelid crease has a natural curve but is not over-elevated. An over-elevated eyelid crease can look unnatural and “surgical” in appearance. The comment I like my patients to receive is “did you get your hair cut?”. That means that they look better, but not unnatural or “operated on”
A delightful 65 yo woman is shown before and again, 3 months after bilateral upper lid blepharoplasty, endoscopic brow lift and bilateral lower lid direct excision of “malar (cheek) bags”. Her brow ptosis and upper eyelid skin excess was severe enough to cause partial obstruction of her vision. A natural correction is seen after surgery.