The eyes are the focal point of the face, and therefore can be a true marker of beauty when they look fresh and youthful. As the face begins to age, the skin above the upper eyelids starts to sag and the lower lids become heavy and form bags. Several other things happen to the area around the eyes as the face starts to age. The eyebrows and the cheeks begin to fall as a result of gravity. The heavy eyebrows contribute to a tired appearance of the eyes.
The cheek drooping, along with a loss of fat in the face, results in the skeletonization of the bone under the eyes and the creation of a crease and dark shadows, which make the eyes look hollow and sunken.
A careful approach to each of these problems is important. Dr. Miller and Dr. Heller will take the time to evaluate each point and give an ideal facial treatment plan that will revitalize the eyes, which makes the entire face appear more youthful. Let’s discuss each procedure from the eyebrows down to the cheeks.
The endoscopic browlift procedure is designed to reset the eyebrows at a higher, more youthful location. It also takes the heaviness off the outer part of the eyelids and reduces the amount of skin that has to be removed during upper eyelid surgery.
The endoscopic browlift is performed through tiny incisions behind the hairline. An endoscope is inserted, the brow is released, and then fixed at a higher location. This provides a long-lasting and natural result without using the long incisions across the top of the head that were commonplace in the past. Let’s look at an example:
This patient had endoscopic browlift and upper eyelid surgery. Note how the extreme heaviness on the outer part of the eyelid was nicely corrected with these procedures.
Upper Lid Blepharoplasty (Upper Eyelid Lift or Upper Eyelid Surgery)
Blepharoplasty is a very common procedure that treats the heavy skin on the upper lids. An incision is hidden in the natural crease of the upper eyelid and the excess skin is removed. The eyelid is then contoured and the incision is closed.
The procedure is not painful and patients usually incur only mild swelling or bruising for a week. The result is a natural rejuvenation of the upper lids that brightens the entire face as shown in the picture below.
Notice the heavy upper lid skin before the procedure and the nice upper lid crease produced after the surgery. Now eye shadow can be applied easily.
Lower Lid Blepharoplasty (Lower Eyelid Lift or Lower Eyelid Surgery)
Lower eyelid surgery is a simple procedure that reduces the bags under the eyes. These bags are actually fat pockets that fall forward to cause shadowing and heaviness under the eyes.
A small incision is made inside the eyelid to reduce the amount of fat present. If some excess skin is present either the laser is used to tighten the skin or a small skin excision is carried out. Recovery is usually painless, and includes mild swelling. The patient can often return to work in a week.
This patient had heavy bags under the eyes that were nicely smoothed out.
Cheeklift and Fat Injection
As the cheeks fall during the aging process, the bony rim under the eyes becomes more noticeable and forms a groove with shadowing, called the tear trough. In addition to removing some fat from under the eyes, it is often important to replace some fat in the groove under the eyes. This way, a smooth, natural contour is given to the lower eyelid-cheek complex, which revitalizes the midface. This improvement can be further enhanced by lifting the cheeks with a threadlift to help return a youthful fullness to the cheeks.
Dr. Miller and Dr. Heller will personally analyze all aspects of your face. All of the surgery is performed in our state-of-the-art accredited surgery center. Patients are discharged to the comfort of their homes the same day.
Recovery After Eyelid Surgery or Browlift
Postoperatively, each patient can expect some mild to moderate bruising and swelling. Pain is usually minimal, and most patients do not even take the pain medicine that is prescribed. Recovery is about one week, and you will visit Dr. Miller and Dr. Heller 2-3 times for post-operative examinations.
Dr. Miller and Dr. Heller specialize in facial plastic surgery, and they will help you acquire a more youthful appearance by rejuvenating your eyes, brow, and cheeks. Please view the pictures and call us today at (800) 860-1435 for any questions or to schedule a free consultation. We serve patients from New Jersey, Staten Island, NY and surrounding areas.