Facial Plastic Surgery Questions and Answers: Part 10

Question: What is the best treatment option for my eyes? 
Answer: It’s impossibleTo tell if you have a ptosis in the current photo. From the one very limited photograph, you appear to have asymmetric amounts of fat and extra skin in each eyelid. An upper blepharoplasty procedure can accomplish improvement for your Eyelid asymmetry for cosmetic purposes. An upper blepharoplasty can be performed under local anesthesia as an outpatient procedure.

Question: How can I fix the unevenness of my eyes? 
Answer: The unevenness of your eyes are related to the unevenness of your eyebrows. You did not need a surgical brow lift. A conservative and asymmetrical skin removal on The upper lids to make them look more symmetrical, however there is no perfect symmetry. Everyone has some degree of facial and eyelid asymmetry which is normal since there’s a left half of the face and right half of the face that come together in the embryo phase and No face is perfect.

Question: Best strategy for mini lift, upper maxilla/mid face augmentation, rhinoplasty and eyelid lift?
Answer: A full set of facial photographs all angles are going to be required to make a determination about being a candidate for  4 completely different surgical procedures.  It is possible to perform all of these at one setting  under one anesthesia with one recovery period.  Most patients in their late 30s do not require a facelift procedure unless there has been a significant massive weight loss scenario.

Question: Is there anything I can do to firm up or remove under-eye skin and fat pads?  
Answer: The primary goal of lower eyelid surgery is to remove the fat bags creating the puffy look. The Secondary or minor goal is to conservatively tighten up loose and inelastic extra skin at rest and NOT when smiling dynamically.

Question: What causes this asymmetry in my upper eyelids? What could be done to correct it
Answer: The asymmetry that your are referring to is genetic, since there is a left Side of face and right side of the face that come together in the embryo phase. To address the asymmetry would require an upper blepharoplasty. There’ll be improvement, but not perfect symmetry.

Question: How soon for separate procedure? Lower body lift after lower eye lift
Answer: Waiting 3 to 4 months is a good amount of time between your lower face/neck lift and eyelid surgery and the body lift. It does not matter which procedure comes first.

Question: Is it possible to remove silicone malar implants 20 years after they were implanted?
Answer: Yes indeed, it is certainly possible to remove cheek implants that were placed 20 years ago.  Just remember, once you remove the implants your cheeks will be going back to their original flat projection.  Before you remove the implants, it might be best to get a workup from an plastic surgeon about the eyelids spasms.

Question: What’s better for my puffy under eyes & eye bags, laser lipo or lower blepharoplasty? 
Answer: The fat bags creating the puffy look on your lower lids are best treated with a trans-conjunctival approach lower blepharoplasty. The Incisions are totally located on the inside of the lower lid. No external incision is required. This procedure is performed under a brief general anesthesia as an outpatient procedure. it’s impossible to do liposuction in the lower lids.

Question: Puffy and discolored under eye bags: am I a good candidate for lower blepharoplasty? 
Answer: From the photographs presented, you have herniated fat bags in both lower lids creating the puffy look. A trans-conjunctival approach lower blepharoplasty can accomplish removal of those fat bags. Two very small incisions are made on the inside of the lower lid. No external incisions are required. Make sure your allergies are under good control with nasal sprays and anti-histamines. We do not recommend filler in this area.

Question: What do I call this in my eyelids? Best surgery to fix this? 
Answer: The extra fold of skin on your upper eyelids called dermatochalasis. A conservative skin only upper blepharoplasty can accomplish improvement in this area, and it can be done under local anesthesia as an outpatient procedure.

    Contact Dr. William Portuese