Facial Plastic Surgery Questions and Answers: Part 6

Question: Am I a good candidate for lower eyelid surgery?
Answer: From the one very limited photo, there does appear to be herniated fat in the lower lids. A full set of eyelid and facial photographs are going to be required to make a better determination. When the fat bags are present in the lower lids, a transconjunctival approach on the inside of the lower lid can accomplish removal. This is performed under a brief general anesthesia as an outpatient procedure.

Question: Brow lift before or after eyelid surgery blepharoplasty? 
Answer: If the hooded and extra skin on your upper lids is all that is bothering you, then perform a conservative skin only upper blepharoplasty. This procedure can be performed under local anesthesia. The eyebrow position appears normal. When performing a browlift, the entire forehead comes up as a unit including both eyebrows.

Question: Would eyelid surgery work for me, or should I take another route? 
Answer: If the only thing that is bothering you is the heaviness in your upper/outer eyelids, then consider conservative skin only upper blepharoplasty. This can be performed under local or general anesthesia. A brow lift may make you look too surprised.

Question: Can I get away with just doing a lower blepharoplasty?
Answer:The 1 photograph is rather limited, but there does appear to be a small fat pads located on one Lower eyelid.. A trans-conjunctival approach lower blepharoplasty can accomplish removal of the fat pads that are herniated creating the puffy look. Fat grafting is not necessary. There also appears to be ptosis in your upper lids.

Question: Which surgery would I need? 
Answer: From the one limited frontal photograph, you do not appear to have ptosis. Your left eyebrow is lower than your right, and therefore you have an extra pleat of skin on your left upper lid, which can be removed under local anesthesia is an outpatient procedure. This will make your left upper eyelid platform look similar to your right.

Question: I’m 37 and my eyes are aging me. Could upper and lower eyelid surgery help the appearance of this area? 
Answer: From the photos presented, your upper eyelids are certainly showing some excess skin which is touching your eyelashes and you are great candidate for an upper blepharoplasty. Regarding the lower lids, there does not appear to be any fat bags in the lower lids. A conservative pinch technique of excess skin at rest( not when smiling) can accomplish improvement in that area. This incision Is located directly at the mascara line and is closed with tissue glue. Upper eyelid surgery can be performed under local or general anesthesia as an outpatient procedure.

Question: Suggestion on procedure to improve my eyes? 
Answer: The Photographs demonstrate what is called dermatochalasis, and an upper blepharoplasty improve the look of your eyelids. This procedure can be performed under local anesthesia as an outpatient procedure.

Question: Possible candidate for lower eye blepharoplasty? I’m 39 years old. 
Answer: The photographs demonstrate herniated fat pads in the lower lids, and you are an excellent candidate for a lower lid blepharoplasty. The primary goal for lower eyelid blepharoplasty is to remove the fat bags in the lower lids. The fat is removed through a trans–conjunctival approach completely located on the inside of the lower lid. If there is excess skin at rest ( not when smiling), then a small external pinch of excess skin could be performed at the lash line. In our practice, we close this incision with tissue glue. No stitches are required.

Question: Can a Blepharoplasty help hooded eyes and uneven folds? 
Answer: Yes, a skin only conservative upper blepharoplasty can accomplish removal of the small amount of extra skin and the extra skin fold that you have on the one eyelid. This procedure can be performed under local anesthesia as an outpatient procedure. A properly performed blepharoplasty does not change the shape of the eyelids.

Question: Can endoscopic brow lift make my eyes worse? 
Answer: Much more in information is needed, such as a full set of facial photographs to determine if your candidate for the procedure, and it history of any eyelid or forehead surgery. Also important to know how dry your eyes are, if that is an issue already.

    Contact Dr. William Portuese