Facial Plastic Surgery Questions and Answers: Part 05

Question: Am I a good candidate for upper eyelid surgery or eyebrow lift? 
Answer: You have a symmetric upper lids with one more hooded than the other. It’s possible to just do your right eyelid to make it look like your left by removing a conservative amount of skin. Surgery or will raise the crease on that more hooded eyelid. This procedure can be performed under local anesthesia as an outpatient procedure.

Question: How can I treat the asymmetry under my left eye? 
Answer: The limited photographs demonstrate herniated fat in all three compartments in the left lower lid creating the puffy look. A trans-conjunctival approach lower lid blepharoplasty can accomplish removal of that herniated fat. The Incision is located completely on the inside of the eyelid. In our practice we do not recommend fillers placed around the eyes for a variety of reasons

Question: Brow lift for deep set eyes with prominent brow bone?
Answer: From the limited photographs, it does appear that you have low-set eyebrows. A brow lift procedure can accomplish raising your eyebrows so that your eyes are more open. Nothing can be done about deep set eyes. In our practice, a brow lift procedure is performed under General anesthesia as an outpatient procedure.

Question: 55 y/o concerned about hanging skin in neck, jowls, upper eyelids. Which technique would work best for me? 
Answer: To address the hooded skin on your upper eyelids, an upper blepharoplasty procedure can accomplish your goals. The Incision is placed directly in the eyelid crease. The asymmetry on your upper eyelids can be improved as well, with a differential amount of skin removal to make them look more symmetrical. Your neck photos demonstrate platysma muscle cords, jowls, and inelasticity of the skin in the neck. In our practice, we perform a high-SMAS lower face and neck lift which accomplishes tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls, and removing the small amount of fat deposits in the neck which also includes a platysma plasty. You will also need a myotomy of the platysma muscle bands to improve them. Choose your board certified facial plastic surgeon surgeon wisely based on extensive experience. Study your prospective surgeon’s before and after facelift photo Gallery to make sure that it is extensive with lots of results you like that look very natural.

Question: Can a surgeon accommodate for uneven dynamic eyebrows during a brow lift?
Answer: A browlift is done for static purposes to lift the entire forehead, and soften the muscles of expression which include the elevator and depressor functions of the forehead muscles themselves. If you looking for dynamic improvements in your eyebrows, consider Botox. A full set of facial photographs are also be required to make sure you are a candidate for a brow lift procedure, which is only performed for patients who have low set eyebrows.

Question: What treatment would you recommend to refresh my eyes? 
Answer: The extra pleat of skin on your upper eyelids can be removed with the incision placed right in the crease itself. A skin only upper blepharoplasty is what would help rejuvenate your upper lids, and this procedure can be performed under local anesthesia as an outpatient surgical procedure.

Question: Would I be a good candidate for an upper & lower eyelid surgery? 
Answer: From the one limited photograph, it does not appear that you’re a candidate for a brow lift, since the height of your eyebrows are totally fine, and you don’t want to look permanently surprised. The primary goal for upper eyelid surgery is to remove the excess skin creating the hooded look. The primary goal for lower eyelid surgery is to remove the fat bags creating the puffy look. Both your uppers and lowers are ready to do if those issues are bothering you. In our practice, eyelid surgery takes about an hour under general anesthesia as an outpatient procedure. Anticipate two weeks of visible bruising and swelling

Question: Good lower eyelid surgery candidate? Age 22 & have had puffy eyes & dark circles since puberty 
Answer: The photographs demonstrated herniated fat pads in your lower lids. A trans conjunctival approach lower blepharoplasty with a conservative fat removal can get rid of the puffy look for you. The incisions are completely located on the inside of the lower lids. The procedure is performed Under a brief general anesthesia as an outpatient procedure.

Question: Can I smooth the bump on my nose without an implant? 
Answer: If you’re looking to augment upper part of your bridge below your eyebrows, then you’ll need an implant. Otherwise you can just shave down the dorsal hump. Osteotomies placed and the nasal bones will probably be required to close the open roof created from the hump removal itself.

Question: Would a lower blepharoplasty help my dark circles? 
Answer: The primary goal for lower eyelid surgery is to remove the herniated fat bags seen in one photograph. The incision is placed on the inside of the eyelid, and is also known as a trans conjunctival approach The skin color of the skin itself cannot be changed with lower eyelid surgery.

    Contact Dr. William Portuese