Whats Better? Seattle eyelid surgery experts Dr. William Portuese and Dr. Joseph Shvidler share the real differences, benefits, and considerations between laser and traditional blepharoplasty techniques. What Is Blepharoplasty? Blepharoplasty, also known as eyelid surgery, is a procedure that removes or repositions skin, fat, and muscle around the eyes to improve vision or appearance. In Seattle, patients often choose between traditional blepharoplasty (using a scalpel) and laser blepharoplasty (often using a CO2 laser). Is Laser Blepharoplasty Better? The short answer is — it depends on your goals and anatomy. Laser blepharoplasty uses a precise beam to cut and seal tissue, which can reduce bleeding and swelling. Traditional blepharoplasty is performed with surgical instruments and can be more versatile in complex cases. Neither method is universally “better”; the right choice depends on factors like skin type, degree of eyelid droop, and whether vision is affected.

Question: What’s the best approach for hereditary hooded eyes that make me looks sleepy/eyeless? Answer: The photograph is rather limited, your eyes look very acceptable in the one limited photograph. If you want to improve the hooded look, a very conservative Upper eyelid blepharoplasty can be performed under local or general anesthesia. An in-person examinations going to be required to make that determination. Question: Recommended surgeries to fix my nose, smooth out my eyes and straighten brows? Answer: A revision rhinoplasty procedure can accomplish narrowing and straightening the bridge line in addition to reducing the hanging columella. It better set of pictures are required to make a determination about eyelid surgery. Question: What options would be available to treat my under eye wrinkles? Answer: The primary goal for lower eyelid surgery is to remove the fat bags through trans-conjunctival approach on the inside of

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

Question: Can I include a rhinoplasty, chin lipo, brow lift and under eye procedure with my forehead lift? Answer: Yes, a rhinoplasty, chin liposuction, brow lift and eyelid surgery can all be performed simultaneously under one anesthesia with one recovery period. From the photographs presented, the eyebrow position is normal, and therefore Brown lift is unnecessary. The side profile photograph demonstrates an overly projecting nose and an under projecting chin. Consider performing a chin implant procedure along with your rhinoplasty for better facial balance, especially from side profile. A closed rhinoplasty approach can accomplish straightening the nose, shaving down the dorsal hump, decreasing the projection of the nose with all incisions placed on the inside of it. Placement of a chin implant can accomplish augmenting the chin forward.  Question: Would upper blastoplasty with forehead fillers (i.e. Juvederm) be an effective option for my sagging

Question: Is there any surgery that can correct my eyelids? Answer: The photographs demonstrate significant asymmetry of the upper lids which can be addressed with the upper blepharoplasty procedure. The more full eyelid will require skin and fat removal, while the fat would then be grafted to the more hollow upper lid on the opposite side to make them more symmetric. It’ll never be perfectly symmetrical, just improvement. Question: Can I get a lower blepheroplasty if I’ve had Volbella? Answer: A full set of eyelid photographs from all angles are required to make a determination about how best to proceed. Also best to have the filler reversed , to make an accurate determination about how much fat to remove from the lower lids. Question: Can I get brow lift with plasma eye lift on dark skin? Answer: The pictures demonstrate more than adequate position