Facial Plastic Surgery Questions and Answers: Part 04

Question: Age 50 & increasingly tired looking face – brow lift and/or upper blepharoplasty? 
Answer: The position of your eyebrows is acceptable, therefore just an upper blepharoplasty can accomplish removal of the hooded skin on your upper eyelids to rejuvenate them. This procedure can be performed under local anesthesia as an outpatient procedure.

Question: Will a scarless bleph not address skin laxity?
Answer: More information is needed such as Pictures of your eyelids and your face from different angles. The primary goal of upper eyelid surgery is to remove extra skin and a little bit of fat at the inner corners on the upper eyelids. The Incision is placed directly in the upper eyelid crease. Regarding the lower lids, the primary goal is to get rid of the fat bags which are removed through trans- conjunctival approach on the lower lids on the inside of the lower lids. In our practice, we mark the upper and lower eyelids because of the asymmetry present in both upper and lower lids before undergoing surgery. We do not mark the patient for a facelift. For a variety of reasons we also do not do fat transfers in the face as well. Choose your plastic surgeon wisely based on extensive experience. Study your prospective surgeon’s eyelid surgery and facelift photo Gallery to make sure that it is extensive with results that you like.

Question: Would an eyebrow lift help my tired eyes? 
Answer: Much more information is needed, such as a full set of facial photographs looking directly into the camera to make a determination about the need for an upper blepharoplasty, ptosis repair, or browlift. From the two limited photographs, it does not appear that a browlift would be necessary.

Question: Age 49 & concerned about jowls & stringy neck – mini, midi or full face lift? 
Answer: The limited photographs demonstrate hooded upper eyelids, and jowls and laxity of the skin in your face and neck. An upper blepharoplasty procedure can accomplish removal of excess skin on the upper eyelids, and removal of the fat pocket on the inner corner of your upper eyelids as well. A lower face and neck lift can accomplish lifting the jowls, removing fat deposits in the neck, tightening the neck muscles in three locations,Lifting the SMAS, and tightening loose and inelastic facial and neck skin. Choose your surgeon very wisely based on extensive experience producing natural results.

Question: Will a gliding brow lift work for me & will it affect my forehead? 
Answer: Much more information is needed, such as a full set of facial photographs, especially of your forehead from all different directions. From the limited photograph, it appears that the height of your brows appears adequate And it does not appear that you even need a brow lift. You have significant asymmetry of your upper eyelids what can be addressed with an upper blepharoplasty under local anesthesia to make them more symmetrical.

Question: Am I good candidate for upper eyelid surgery? 
Answer: You can certainly do the more hooded upper eyelid surgery side with a conservative skin removal upper blepharoplasty to match the opposite side. This can be done under local anesthesia. A brow lift is not necessary, since the height of your eyebrows is acceptable.

Question: Can a wide bridge (between the eyes only) be thinned by shaving it vs breaking it? 
Answer: Yes, the wide bridge can be narrowed with osteotomies placed in the nasal bones and re-setting the nasal bones in a more narrow position. A closed rhinoplasty approach can accomplish your goals.

Question: 25 y/o male unhappy with appearance of lower eyelids. Which procedure would best benefit me at this age? 
Answer: The photographs demonstrate herniated fat pads in all three compartments on each lower lid. A trans conjunctival approach with the conservative fat removal can accomplish improvement in that area by removal of those fatty bags creating the puffy look. There’s two tiny little incisions placed on the inside of the island. No external incision is required. Anticipate the results lasting 15 to 20 years.

Question: 26, male – am I a good candidate for upper blepharoplasty?
Answer: No, you’re not a good candidate for an upper blepharoplasty due to the fact that you have very low eyebrows. Consider a brow lift to raise your eyebrows which would correct the hooded upper eyelids. In addition, you also have extensive scleral show in your lower lids for which a canthoplasty would be of some benefit. For that, you need to see an ocular plastic surgeon.

Question: Can a brow lift/Botox lift my inner brows like this? 
Answer: The limited photographs demonstrate low eyebrows , and you appear to be a good candidate for a brow lift. Botox will be unable to deliver these results.

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