William Portuese MD

Facial Plastic Surgery Questions and Answers: Part 09

Question: After weight loss, what can be done about turkey neck? 
Answer: Congratulations on your weight loss, that is quite an accomplishment!  When the face and neck have been deflated with a significant weight loss, there is usually lots of extra skin present in the neck and some residual fatty deposits as well.  A lower face and neck lift procedure is going to be required to tighten loose facial and neck skin, tighten loose facial and neck muscles, and remove the residual fatty deposits in the neck along with a platysma plasty.  For more information and many before and after examples, please see the link and the video below.

Question: What treatment is best to correct my “hooded eyes”? 
Answer: An upper blepharoplasty procedure can accomplish improving the hooded eyelids.  This procedure involves removal of excess skin and a small amount of fat from the upper eyelids to rejuvenate them.  For many examples, please see the link and the video below.

Question: My eyes look tired and old. Considering upper and lower blepharoplasty or DOT laser. What would help? 
Answer: The primary goal for upper lid blepharoplasty is to improve the hooded look by removal of excess skin and a small amount of fat. The primary goal  for lower blepharoplasty is to remove the bags created by herniated fat, and a small amount of excess skin. The  amount of excess skin in the lower lids is determined at rest, not when smiling. Botox is best used for crows feet. Fractionated laser can be used in the lower lids after  a conservative amount of skin has been removed from that area.

Question: I have excess eye lids skin. Would removal help with pain from glaucoma, cataracts, dry eye, PVD and allergies?
Answer: Performing an upper blepharoplasty procedure  will not have any effect on the medical conditions of your eyes or eyelids. Important not to remove too much skin from the upper lids to make the dry eye issue worse.

Question: I am very insecure about my face asymmetry, especially my eyes what can I do to fix them?
Answer: A full set of facial photographs with your hair pulled back and no makeup would be required to make a determination about how best to proceed.

Question: What would help my eyes look less droopy and maybe not so hooded? 
Answer: The goal of an upper blepharoplasty procedure is to remove excess and hooded skin creating the tired look. A small amount fat is also removed. Fatty compartments in the eyeballs are not diet and weight related, therefore it must be removed with surgery, not weight-loss. For many before-and-after examples of upper blepharoplasty, please see the video  below.

Question: I have two different eyelids, what would be the best way to fix this? 
Answer: There is significant asymmetry in the upper lids due to the differential amount of skin and fat in that location. An asymmetrical upper blepharoplasty can accomplish making  both eyes look more symmetrical, but they will not be perfect. Choose your surgeon wisely based on extensive experience producing natural results. This procedure can be performed under either local or general anesthesia, depending upon the patient’s desires.

Question: How soon can I return to work after my facelift, neck and eyes?
Answer: In our practice, most patients take approximately two weeks off from their work environment, especially when performing strenuous activity associated with it. Visible bruising and swelling will be present for the first two weeks anyway after these two procedures. For many before and after examples, please see the link and of the video below.

Question: Eyes 2 completely different shapes and sizes. What can I do? 
Answer: A closer set of close-up photographs from all angles are required to make a determination about how best to proceed.  Also best to show the pictures at rest, not when smiling.  Nice catfish!!  For information about upper and lower blepharoplasty in addition to many before and after examples, please see  video below.

Question: My eyes aren’t even, what can be done to correct them? 
Answer: Everyone has some degree of eyelid and facial asymmetry.  There is no perfect and symmetrical set of eyelids.  A full set of facial photographs going to be required in addition to an in-person examination to determine what the appropriate procedure will be,  If any.  For many examples of blepharoplasty,  please see the link and the video below.

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