Question:
I want the area around my eyes to look younger and less tired and I can’t decide between a few surgeries. What are the differences in browlifts and eyelid surgery as far as manipulation of anatomy and their overall outcome in improving the top portion of the face?
Answer:
When we discuss the upper third of the face we are generally referring to your forehead, your brow, and upper eyelids. Many individuals who are concerned with the appearance of aging in this area have excess skin of the upper lids or eyebrows which have fallen and appear to hood the upper eyes. For those individuals with upper lid skin excess, an upper lid blepharoplasty is all that needs to be performed. In many people, however, the brows need to be elevated in order to give the eyes a refreshed appearance. The key is to prevent the eyes from having a surprised look when the brows are elevated too aggressively. During your consultation for upper face rejuvenation we will discuss the contribution each of these areas makes to your overall appearance and which surgical approach is best for you.
The area that you have described and seem to most concerned with is referred to as the midface. Facelift techniques that deal specifically with the midface would likely improve this area best. I perform both endoscopic and non-endoscopic midface lifts with or without subperiosteal dissection. The results are really quite impressive and will not only elevate your cheeks but will also decrease the depth of your nasolabial folds and decrease the hollowness that you may be appreciating below your eyes.
Posted by Dr. Philip Schoenfeld