Joel B. Singer, M.D. - Eyelid Lift

Eyelid Lift

Blepharoplasty

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Eyelid lift

BEFORE

AFTER

BEFORE

AFTER

Fat and skin were removed from both the upper and lower eyelids with a four-lid blepharoplasty.

BEFORE

AFTER

BEFORE

AFTER

A double eyelid or "fold" was created for both of these Asian women.

BEFORE

AFTER

The very first signs of aging are treated with an eyelid lift (both upper and lower lids) and laser resurfacing of the upper lip and lower eyelids.


Patient Assessment
	Excess, baggy eyelid skin that, in severe cases, may even interfere with vision.
	Bags and/or dark shadows under the eyes, frequently caused by excess skin or fat in the lower eyelid.
	Sometimes a browlift is indicated and performed at the same time.

Procedure
	Incisions are made where the natural crease exists in the upper lid and below or behind the eyelash line in the lower lid. Excess fat and/or skin are removed and, if needed, the muscles are tightened.
	The procedure normally takes only one to one and a half hours for upper and lower eyelids . Frequently it is done in conjunction with a facelift or endoscopic browlift.

Recovery
	There will be minimal post-operative discomfort that is easily controlled with medication.
	Swelling and bruising subside rapidly over a week to ten days.

Intended Result
	A fresher, more rested appearance.
	Eyelids no longer interfere with vision.

Browlift-Temporal or Endoscopic Browlift

Patient Assessment
	Droopy brow or furrowed lines above the nose.
	Overhanging brow affecting appearance of the upper eyes.

Procedure for a Temporal Browlift:
	Incisions begin at ear level and run across the top of the forehead. The forehead skin is then carefully lifted so portions of muscle are tightened and excess tissue and skin can be removed.
Procedure for an Endoscopic Browlift:
	Three to five very small, puncture-type incisions are made at the hairline. The endoscope (a mini TV camera with a probe attached) helps guide the surgeon, who removes the muscles that produce frown lines and repositions the eyebrows at a higher level.

Recovery
	The head may need to be elevated for two to three days following surgery to minimize swelling. There will be some post-operative discomfort that is easily controlled by prescription medication.
	Some swelling is inevitable, even around the eyes and cheeks. Bruising and swelling should begin to disappear in a week or so.

Intended Result
	A natural, younger and more rested-looking appearance.
	The upper region, eyebrow and forehead appear open and properly positioned.

		F A Q's

Frequently Asked Questions

I have little scowl lines between my eyes. They make me look angry. I try to cover them with my bangs but often they get brushed aside and I look angry again! Worse yet, I look positively ominous when I scowl. How can I get rid of with these furrowed lines . . . permanently?

You should have a consultation with a Board Certified Plastic Surgeon so that the depth and cause of the lines can be evaluated. Deeper furrows, such as you describe, may best be treated with a browlift for a permanent reduction of the lines. A browlift lifts and smoothes the forehead, reducing deep furrows and helping to eliminate brows that hang over the upper eye. A temporal browlift uses incisions that are made in the hairline above the ears. A newer procedure uses an endoscope for browlifts. Endoscopic browlift surgery requires only three to four small incisions and results in less scarring.

I'm in my 40's and, although I still feel young, my face has aged dramatically the past few years. I have puffy bags under my eyes that make me look exhausted all of the time. I have deep frown furrows in my forehead, and what used to be cute lines around my eyes when I smiled are now full-fledged crow's feet. I'm tired of looking tired. Can you help me?

It sounds like you could benefit from a combination of procedures, including eyelid surgery, a browlift and laser resurfacing. Bags and dark shadows under the eyes as well as droopy lids over the eyes are often caused by excess skin or fat in the eyelid. Eyelid surgery removes that extra skin and fat at the fold of the upper lid and just below the lower lash line. A browlift lifts and smoothes the forehead, reducing deep furrows and helping to eliminate brows that hang over the upper eye. A temporal browlift uses incisions that are made in the hairline above the ears. A newer procedure uses an endoscope for browlifts. Endoscopic browlift surgery requires only three to four small incisions and results in less scarring. Crow's feet can be treated with CO2 laser resurfacing. The CO2 laser gently removes the damaged surface layer of cells on the face, smoothing wrinkles around the eyes.

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