Austin Browlift & Eyelids plastic surgery
As we age volume is lost in our central upper eyelids and the skin loses. The skin folds over and obscures the lower part of the upper lid. At the same time in the portion of the lid near the nose fat bulges.
In the lower lid changes are also seen. The tissue that supports lower lid fat weakens causing bulging and the skin laxity yields folds and wrinkles. The upper cheek slides down away from the lower eyelid effectively lengthening the vertical dimension of the lid. This lengthening is one of the stigmata of facial aging.
The eye brows descend. Their descent further adds to the skin crowding in the upper eyelids, in particular laterally. Vertical wrinkles form between the eye brows and horizontal wrinkles form between the hairline and the eyebrows.
Upper blepharoplasty (incorrectly dubbed “eyelid lift”) addresses the problems of the upper eyelid that result with age. A small amount of the bulging fat near the nose is removed. The excess skin is precisely removed leaving a refreshed appearance.
Lower blepharoplasty increases smoothness the lower eyelid and elevates the upper cheek. Almost all lower blepharoplasties I preform inherently have some component of an upper cheek lift as the two are synergistic. Fat is repositioned instead of removed in order to restore youthful volume and contours. Excess skin is removed.
The endoscopic brow lift is better thought of as an upper facelift. While a large focus is repositioning the eyebrows to a youthful position the forehead is also addresses. By restoring brow position and thus relaxing the forehead muscles horizontal lines are reduces. By treating the muscles in the lower forehead the vertical lines between the brows are reduced. This procedure is synergistic with the upper blepharoplasty by reducing the lateral crowding of excess eyelid skin. The benefits however extend beyond the eyes and brows to the lateral temple and upper lateral cheek. These tissues are also elevated, hence the term upper facelift.Key Points
- Occuloplastic training
- Extended impact endoscopic brow lift – upper third facelift
- Avoidance of surprised look
- Avoidance of upper eyelid hollowing
- Lower lid blepharoplasty controls cheek position
The recovery from these procedures is generally the same in terms of timing as the face/neck lift. There is one exception to this. Patients who undergo lower lid blepharoplasty can experiences swelling for periods greater than a week or more. The results are generally powerful and the increased recovery time is justified as long as a patient’s expectations are appropriate.