William Portuese MD

Facial Plastic Surgery Questions and Answers: Part 01

Question: Can eyelid surgery make your eyes appear larger?
Answer: A full set of facial photographs are required to make a determination about how best to proceed. The primary goal for upper eyelid surgery is removal of extra skin and a small amount of fat creating the hooded appearance of the upper eyelids.

Question: What would be best for fat under the eyes: Thermismooth or Microneeding RF? 
Answer: Noninvasive treatments simply will not have any effect upon fat bags located in the lower lids. A surgical lower blepharoplasty is required. There are three fat bags located under each eyelid, and those fat bags are usually removed from two small incisions on the inside of the lower lid call the trans- conjunctival approach. This procedure takes approximately 30 minutes under a brief general anesthesia as an outpatient procedure. A full set of eyelid photographs would be helpful to make sure that you’re a candidate for the procedure.

Question: Would an eyebrow lift help my tired eyes? 
Answer: Much more information is needed, such as a full set of facial photographs looking directly into the camera to make a determination about the need for an upper blepharoplasty, ptosis repair, or browlift. From the two limited photographs, it does not appear that a browlift would be necessary.

Question: Can a wide bridge (between the eyes only) be thinned by shaving it vs breaking it? 
Answer: Yes, the wide bridge can be narrowed with osteotomies placed in the nasal bones and re-setting the nasal bones in a more narrow position. A closed rhinoplasty approach can accomplish your goals.

Question: How can I treat the asymmetry under my left eye? 
Answer: The limited photographs demonstrate herniated fat in all three compartments in the left lower lid creating the puffy look. A trans-conjunctival approach lower lid blepharoplasty can accomplish removal of that herniated fat. The Incision is located completely on the inside of the eyelid. In our practice we do not recommend fillers placed around the eyes for a variety of reasons.

Question: Brow lift for deep set eyes with prominent brow bone?
Answer: From the limited photographs, it does appear that you have low-set eyebrows. A brow lift procedure can accomplish raising your eyebrows so that your eyes are more open. Nothing can be done about deep set eyes. In our practice, a brow lift procedure is performed under General anesthesia as an outpatient procedure.

Question: What treatment would you recommend to refresh my eyes? 
Answer: The extra pleat of skin on your upper eyelids can be removed with the incision placed right in the crease itself. A skin only upper blepharoplasty is what would help rejuvenate your upper lids, and this procedure can be performed under local anesthesia as an outpatient surgical procedure.

Question: Good lower eyelid surgery candidate? 
Answer: The photographs demonstrated herniated fat pads in your lower lids. A trans conjunctival approach lower blepharoplasty with a conservative fat removal can get rid of the puffy look for you. The incisions are completely located on the inside of the lower lids. The procedure is performed Under a brief general anesthesia as an outpatient procedure.

Question: I have large round eyes – where exactly do they cut for a brow lift? 
Answer: Much more information is needed, such as a full set of facial photographs demonstrating where your current hairline is, and the extent how low both of your your eyebrow positions are. If you have a high hairline, then the incision is placed at the frontal forelock and the non-hair bearing skin is removed which lowers the hairline. If you already have a low hairline, then the incision is placed behind the hairline. Asymmetry of the eyebrows can also be adjusted in addition to softening the frontalis and corrugator muscles the forehead which create vertical and horizontal lines in the forehead itself. Choose your plastic surgeon wisely based on extensive experience. Our current price list is located on the link below

Question: What will be the best treatment with long term results for my eyes? 
Answer: A full set of facial photographs that are in focus are going to be required to make a determination about being a candidate for upper eyelid surgery and lower eyelid surgery. The primary goal of upper eyelid surgery is to remove the excess skin and a small amount of fat on the inner corners. The primary goal for lower eyelid surgery is to remove the fat bags and sometimes a small amount of skin at rest, not when smiling.

 

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