Question: What to do about heavy eyelids and uneven brows?
Answer: The goal of upper eyelid surgery is to remove excess skin and fat to rejuvenate the lids. The incision is located in the upper lid crease and the procedure can be performed under local anesthesia. Properly placed Botox may be of some benefit for the eyebrows. A browlift is not necessary.
Question: What incision is the best decision for my lower eyelid?
Answer: More information is needed such as your age, and the amount of laxity of the lower eyelid skin. The fatty deposits creating the puffy look are removed thru a trans-conjunctival approach on the inside of the lower lids. If there is excess skin present, then a small incision below the lash line is performed to tighten up loose and inelastic skin in that area. We close this incision with tissue glue. There is no sutures needed for the lower lids.
Question: I am prone to keloid scarring. Can keloids form on the face?
Answer: Yes, keloids can form on the face, but they’re much less chance on the face that on the shoulder/ trunk area. It’s extremely rare to have a keloid form on the Eyelids after a blepharoplasty. A closed rhinoplasty approach can accomplish making the required changes to your nose which would completely eliminate the chance of a keloid. All the incisions are placed on the inside of the nose. No external incisions are required.
Question: Why do my eyes have that fold of skin at outer corners? What would fix it?
Answer: The fold of skin at the outer corners of your eyelids occurs because of aging process of the eyelids themselves. An upper eyelid blepharoplasty can accomplish improvement of this area. This procedure is called an upper blepharoplasty, and can be performed under local anesthesia as an outpatient procedure.
Question: Why is a fat transfer recommended for doing my lower blepharoplasty? And what will happen if I don’t include that procedure?
Answer: In our practice, we perform a conservative fat removal through trans-conjunctival approach on the lower lids. The incision is completely located on the inside of the Eyelids. When there’s excess skin at rest, then we perform a pinch technique of excess skin, and we close this incision with tissue glue. We do not recommend fat transferred to the eyelids. We also perform all lower eyelid surgery under general anesthesia for patient safety and comfort, since removal of the fat deposits can be rather painful and uncomfortable during the surgery itself.
Question: What kind of local anaesthesia is usually used for doing blepharoplasty?
Answer: In our practice we use lidocaine with epinephrine for local anesthesia. Upper blepharoplasty can be performed under either local or general anesthesia and is very well tolerated by the patients. Lower eyelid surgery is best performed under general anesthesia, since it is quite uncomfortable and painful to remove the fatty deposits in that location. Most patients do not want to have conscious awareness with twilight anesthesia.
Question: Why do many celebrities that have had their eyes ‘done’ seem to have smaller eyes afterwards?
Answer: Without a set of pictures, it is difficult ton give a definitive answer. When lots of fillers are placed in the cheeks, it tends to make the eyes smaller. The primary goal for upper eyelid surgery is hooded skin removal, while the primary goal for lower eyelid surgery is to remove the fat bags creating the puffy look.
Question: Does lower blepharoplasty work for crows feet and wrinkles around eye area?
Answer: The primary goal for lower eyelid surgery is to remove the fat bags creating the puffy look. The fat is removed through trans-conjunctival approach on the inside of the lower lids. When there is excess skin at rest ( not when smiling), a pinch technique of excess skin can be performed just below the eyelash line on the lower lids. In our practice, we close this incision with tissue glue, so there are no stitches required. Crows feet are best treated with Botox. Surgery will not help crows feet.
Question: How can I freshen my appearance, is a browlift/eyelid surgery warranted?
Answer: A full set of unadulterated photographs going to be required to make a determination about being a candidate for brow lift procedure or upper eyelid procedure. In some instances, both procedures are performed together. The goals of a brow lift are to raise low set eyebrows, address asymmetry, raise or lower the hairline, and soften the horizontal and vertical frown lines of the forehead. The goals of upper eyelid surgery is to remove excess and hooded skin.
Question: Is it possible to have lower eyelid surgery without causing dry eyes to worsen?
Answer: Much more information is needed such as the degree of dryness of your eyelids in addition to a full set of pictures to make sure your candidate for the procedure itself. The primary goal for lower eyelid surgery is to remove fatty deposits creating the puffy look in the lower lids. This can be performed through trends conjunctival approach through the inside of the lower lid which usually does not affect dry eyes.