Facial Plastic Surgery Questions and Answers: Part 9

Question: Upper blepharoplasty or brow lift? 
Answer: From the photos presented, your eyebrow position is acceptable, so a brow lift would just make you look too surprised permanently. You also have more hooded skin on your right eyelid, and during the upper blepharoplasty procedure a differential amount of skin is removed to make them look more symmetrical. In our practice, we perform upper blepharoplasty under local anesthesia which takes about 30 minutes in our surgery center.

Question: Facial rejuvenation procedures in stages or all at once? 
Answer: At age 50, you’re aging very well. From the photographs, it appears that you really only need your upper eyelid blepharoplasty done. This procedure can be performed under local anesthesia as an outpatient procedure which takes approximately 30 minutes. You do not need a brow lift since your eyebrows are in excellent position. Performing a brow lift would make you look permanently surprised. You do not have any excess fat in the neck jowls or loose skin, therefore you’re not a candidate for a lower face and neck lift procedure.

Question: Suggestions on how to fix my sagging brow? Temporal brow lift? 
Answer: From the photographs presented, you do not have sagging eyebrows, you have hooded upper eyelids. You’re not a candidate for a brow lift, since you would look very surprised permanently. Consider performing an upper blepharoplasty to rejuvenate your upper eyelids. The procedure can be performed under local anesthesia which takes about 30 minutes as an outpatient procedure.

Question: How to widen/open my eyes? 
Answer: A full set of facial photographs at rest and in focus are going to be required to make a determination about how best to proceed. From the 1 Limited photo, it appears that there is extra skin in the upper lids and low brow position. You may be a candidate for a browlift.

Question: Should I let my eyebrows grow in before a brow lift?
Answer: Yes, that’s probably good idea So that your surgeon can see exactly the position of your entire eyebrow, including asymmetric eyebrows. Another issue to be concerned about regarding your brow lift is important to know how high your hairline is which will determine the incision placement. Another issue to consider is the vertical and horizontal creases in the forehead and whether or not those muscles need to be softened as well.

Question: Would PDO threads help my bumpy frown lines or is surgery the only option? 
Answer: No PDO threads will not help with this issue. Botox injected into the muscle will help reduced coordinator muscle function On a temporary basis. If you’re tired of performing Botox, than a brow lift procedure can accomplish this permanently.

Question: What kind of treatment(s) would be most suitable for my hooded upper eyes? 
Answer: An upper blepharoplasty procedure can accomplish improvement of the excess skin creating the hooded look on your upper eyelids. Your Eyebrow position is normal, therefore a brow lift is not necessary. An upper blepharoplasty can be performed under local or general anesthesia depending upon patient’s desires.

Question: Would I benefit from a brow lift in addition to a blepharoplasty? 
Answer: When making the decision about a brow lift, your eyes must be open then we look at distance between your eyelids and your eyebrows. From the limited photographs, it appears that your eyebrows are in an acceptable position. You do have extra skin on the upper lids for which an upper blepharoplasty can improve. The goal of lower blepharoplasty is to remove fat bags creating the puffy look.

Question: Blepharoplasty or endoscopic brow lift? 
Answer: The position of your eyebrows from the limited photographs are adequate, therefore a browlift is not necessary. Consider an upper blepharoplasty. This procedure can be performed under local or general anesthesia.

Question: blepharoplasty or eyebrow lift?
Answer: The eyebrow position is excellent, therefore a brow lift is unnecessary. Consider a very conservative skin only upper blepharoplasty which can be performed under local anesthesia.

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