Eyelid and Brow Lift

Blepharoplasty

If you are in your 30's or 40's, you may have already noticed your upper eyelids starting to sag. Puffy "bags" may be forming beneath you lower lids as well (these are often inherited). As you age further, the sagging may increase and wrinkles develop. The excess skin is trimmed from the upper eyelids and puffiness removed from the lowers. The eyelid shape is not changed, unless you desire a slight angulation at the corner, which can be done. When necessary, tightening of loose or rounded lower eyelids restores their original shape. For some patients with puffy lower eyelids, surgery can be done without a scar (transconjunctival approach), and is sometimes done in conjunction with laser resurfacing to improve the skin texture. Blepharoplasty is usually done under a twilight anesthesia in our office facility, and has a 6-8 day recovery time to looking passable. After surgery your eyes appear bigger and brighter, projecting an alert, rested and more youthful appearance. This is the third most popular cosmetic surgery procedure in the United States.

Mini Brow Lift

The most important concept in doing brow lifting is subtlety. Many patients express concern about not wanting their brows too high after surgery.  That is because they have seen numerous people with that surprised look. Clearly this is undesirable and fortunately it is totally avoidable.  The whole thing is about judgment, aesthetic sense, balance and harmony.
 
Today the vast majority of our brow lifts are accomplished by the "MINI" approach.  This less invasive procedure maintains the eyebrows at a satisfactory level and produces the effect of lifting the outer part of the brow, dramatically refreshing the eyes. This is often done at the same time as eyelid surgery, and may be particularly helpful if the patient has had previous blepharoplasty and needs refinement or refreshing.

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Daniel C. Morello, MD, FACS

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