Facial Plastic Surgery Questions and Answers: Part 03

Question: I’m 30 and have excess eyelid skin that results in a “third eyelid”. What procedures would be safe and would age well? 
Answer: The photo demonstrates asymmetrical skin creases on the upper lids and then differing amount of fat in the 2 eyelids as well. An upper blepharoplasty procedure can accomplish a more symmetrical single eyelid crease and a small amount of fat grafting from the more full eyelid to the more hollow eyelid may be helpful as well.

Question: Would i benefit from lower eyelid surgery? 
Answer: From the one photograph, it appears that you have significant eyebags related to herniated fat in the lower lids. A trans conjunctival approach lower blepharoplasty can accomplish removal of those bags. The fat is removed from two small incisions on the inside of the eyelid. No external incisions are required. This procedure is performed under a brief general anesthesia as an outpatient procedure.

Question: Should I let my eyebrows grow in before a brow lift?
Answer: Yes, that’s probably good idea So that your plastic surgeon can see exactly the position of your entire eyebrow, including asymmetric eyebrows. Another issue to be concerned about regarding your brow lift is important to know how high your hairline is which will determine the incision placement. Another issue to consider is the vertical and horizontal creases in the forehead and whether or not those muscles need to be softened as well.

Question: What kind of treatment(s) would be most suitable for my hooded upper eyes? 
Answer: An upper blepharoplasty procedure can accomplish improvement of the excess skin creating the hooded look on your upper eyelids. Your Eyebrow position is normal, therefore a brow lift is not necessary. An upper blepharoplasty can be performed under local or general anesthesia depending upon patient’s desires.

Question: Would I benefit from a brow lift in addition to a blepharoplasty? 
Answer: When making the decision about a brow lift, your eyes must be open then we look at distance between your eyelids and your eyebrows. From the limited photographs, it appears that your eyebrows are in an acceptable position. You do have extra skin on the upper lids for which an upper blepharoplasty can improve. The goal of lower blepharoplasty is to remove fat bags creating the puffy look.

Question: Blepharoplasty or endoscopic brow lift? 
Answer: The position of your eyebrows from the limited photographs are adequate, therefore a browlift is not necessary. Consider an upper blepharoplasty. This procedure can be performed under local or general anesthesia.

Question: Can eyelid surgery make your eyes appear larger?
Answer: A full set of facial photographs are required to make a determination about how best to proceed. The primary goal for upper eyelid surgery is removal of extra skin and a small amount of fat creating the hooded appearance of the upper eyelids.

Question: Age 27, What injections/surgery could fix my under eye problem? 
Answer: I assume your are referring to the puffiness in your lower lids created by the fat bags. If that’s the case, a very conservative fat removal through a trans conjunctival approach lower lid blepharoplasty performed under a brief general anesthesia can accomplish removal of those fat bags. The incision is located completely on the inside of the lower lids and there’s no external incision.

Question: Blepharoplasty or eyebrow lift? Was told my eyebrows are too heavy. 
Answer: The eyebrow position is excellent, therefore a brow lift is unnecessary. Consider a very conservative skin only upper blepharoplasty which can be performed under local anesthesia.

Question: What would be best for fat under the eyes: Thermismooth or Microneeding RF?
Answer: Noninvasive treatments simply will not have any effect upon fat bags located in the lower lids. A surgical lower blepharoplasty is required. There are three fat bags located under each eyelid, and those fat bags are usually removed from two small incisions on the inside of the lower lid call the trans- conjunctival approach. This procedure takes approximately 30 minutes under a brief general anesthesia as an outpatient procedure. A full set of eyelid photographs would be helpful to make sure that you’re a candidate for the procedure.

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