Posts Tagged ‘blepharoplasty’

Facial Rejuvenation Procedures with Short Downtimes

When you think of facial rejuvenation, you probably think of a traditional “facelift.” But in reality, there’s a large range of cosmetic procedures that can have you looking great with far less downtime. If you want a radiant, youthful look without a long recovery period, consider minimally invasive or nonsurgical facial rejuvenation techniques.

Big Impact with Little Recovery Time

There are several facial rejuvenation procedures that offer great results with hardly any downtime. They can be performed in the office using topical or local anesthesia, and they can yield long-term or even permanent results.


Botulinum toxin injections (Botox is the most common brand) are used to treat dynamic wrinkles and lines that appear when we make certain facial expressions. The injection takes just a few minutes and there’s no downtime — you can go right back to work. It takes about seven days to see the full results and it lasts for three to four months, depending on how strong your facial expressions are.

Botox injections are commonly used to treat:

  • Chin dimples
  • “Crow’s feet” (the small wrinkles that develop next to your eyes when smiling)
  • Downward turned corners of the mouth
  • Forehead lines
  • Muscle (platysma) bands on the neck
  • “The elevens” (the two vertical lines that appear in the middle of your eyebrows)

Dermal Fillers

Dermal fillers are injectable products used to improve deep wrinkles and volume loss in the face. There are different types of dermal fillers. The most common and safe products are made of hyaluronic acids (HAs). Fillers can reshape your face and “lift” the tissues, improve facial symmetry and highlight facial contours. Results usually last from six months to a year.

Fillers are commonly used to:

  • Fill in tear troughs (undereye)
  • Hide dark circles
  • Plump the upper cheeks
  • Reshape the lips or jaw line

Lip Lift

As we age, our upper lip tends to get longer and flatter. A lip lift permanently reshapes the lip to give it a shapelier appearance. The procedure is performed under local anesthesia and involves a small cut under the base of the nose. The cut is hidden beneath the nostrils, leaving no obvious scarring. Some bruising and swelling are common for a few days after the procedure, and stitches need to be removed about a week after surgery.

Chin Liposuction

If you’re concerned about your “double chin,” you may want to consider local liposuction. The area to be treated is numbed with local anesthetic and a small instrument is used to remove excess fat and sculpt the neck. The procedure can be performed in the office and usually takes 30 to 45 minutes. Results are immediate and permanent. There will be swelling and bruising in the area, but you can typically return to work and normal activities within a few days.

Upper Eyelid Surgery

Upper eyelid surgery (blepharoplasty) rejuvenates the upper lids by treating excess skin and puffiness. Your surgeon removes excess skin and fat from your eyelids and tightens the tissues. This procedure is commonly performed under local anesthesia and takes about 45 minutes. Small incisions are made in the natural creases of your eyelid, so the scar can be hidden. Bruising and swelling is expected for a few days after the procedure. Ice and anti-inflammatory medicines are used to speed up recovery.

Chemical Peels

Chemical facial peels improve skin texture, fine lines and discoloration. They work by removing several superficial layers of skin and stimulating collagen production. There are different peels that penetrate the skin at different levels. Superficial peels require just a few days of recovery. Deeper peels may require a few weeks recovery but provide longer-lasting results.



Emory Aesthetic Center

Emory Aesthetic Center is experienced in the full range of facial rejuvenation procedures. From facial peels to facelifts and everything in between, we can give you the results you want. Schedule your complimentary consultation today.

About Dr. Miotto

Gabriele C. Miotto, MD, is an assistant professor of surgery in the division of Plastic and Reconstructive Surgery at the Emory University School of Medicine, and the associate program director of the Emory Aesthetic Center Fellowship Program. She is fellowship trained in aesthetic and oculoplastic surgery and certified by the Georgia Composite Medical Board as well as the International Society of Aesthetic Plastic Surgery and Brazilian Society of Plastic Surgery. Dr. Miotto is also certified by the National Board of Medical Examiners.


Request an appointmentor call us at 404-778-6880.

Blepharoplasty: Eyelid Surgery and Recovery Explained

Blepharoplasty, or eyelid surgery, can make you look years younger. Nonsurgical options include hyaluronic acid and fat injections.People often refer to eyes as windows to the soul. In fact, our eyes do provide lots of information about our emotional state. According to Psychology Today, we can tell a genuine from a fake smile by looking at a person’s eyes. The mouth shape of a smile is easy to fake—we do it all the time out of politeness. But our eyes are usually the giveaway.

The area around our eyes (the periocular area) also plays a crucial role in how we express ourselves and communicate with others. Aging in this area can change how others see us and can mean the difference between being seen as “bright-eyed” or tired.

As we get older, our eyelid tissues become thinner and our skin loses elasticity. We may also notice more puffiness around our eyes, as well as dark circles and wrinkles. The good news is there are several options for rejuvenating the periocular area:

  • Blepharoplasty (eyelid surgery)
  • Hyaluronic acid fillers
  • Fat grafting

Eyelid surgery for a younger, fresher look

Eyelid surgery, or blepharoplasty, is a common procedure that can refresh the area around your eyes. Making tiny incisions along your eyelids (in the natural creases so the scars are hidden), your surgeon will remove any excess skin or fat from your upper and/or lower eyelids, and tighten the tissues.

Blepharoplasty is an outpatient surgery usually done under local anesthesia with sedation. This involves numbing the area around your eyes to prevent any feeling of pain during your procedure in combination with medicine to calm you. In some cases, your surgeon may recommend general anesthesia instead.
Either way, you can go home the same day.

Typically, you can expect a complete recovery in about two weeks. You will experience some bruising and swelling for a few days after your surgery, so you may not want to plan any major social events during that time frame. Use ice and anti-inflammatories (such as ibuprofen) to help with your swelling or any discomfort. You may also need to have stitches removed a few days after your procedure.

Nonsurgical options

If you can’t or don’t want to have surgery, you still have options for refreshing your look. For hollowed eyelids (or deep, dark circles), hyaluronic acid fillers or fat grafting are effective, nonsurgical methods for plumping up the tissue around your eyes.

Hyaluronic acid fillers are temporary, but can be repeated as needed. Our specialists provide hyaluronic acid injections in the office using topical anesthetic to numb the area around your eyes.

Fat grafting is a more permanent solution, but since fat is partially reabsorbed, you may need more than one injection session. In this procedure, fat is taken from another area of your body and injected into hollow or drooping areas around your eyes. Because it’s your own tissue, your body won’t reject it – it’s your own natural filler. Fat grafting requires local anesthesia to numb the area where the fat is harvested and where it will be injected.

You can go home immediately after both procedures. There may be some bruising and swelling for a few days following your injection or grafting procedure, but you should experience a quick recovery. Ice is recommended to help with swelling and Ibuprofen can be used to help with any discomfort.

Emory Aesthetic Center

If you’re ready to refresh your eye area, the expert cosmetic surgeons at the Emory Aesthetic Center can help you determine the best treatment option for you.

Or call us at 404-778-6880 to schedule your personal consultation

The Skinny on Non-Surgical Facelifts

happy-ladyNothing could sound better, right? Getting all the benefits of a facelift without the need to undergo cosmetic surgery? But like most things, if it sounds too good to be true, it usually isn’t. The truth is that non-surgical treatments simply can’t replace what a facelift can do. In order to get the best results in your facial rejuvenation, it is often a combination of both non-surgical and surgical options that give you the best result.

More and more, we find ourselves actually combining surgical and non-surgical techniques to give our patients the best results. For example, while a blepharoplasty (eyelid tuck) can tighten the loose skin of the upper eyelid or reduce bagging of the lower eyelid, Botox® can be used to treat the “crow’s feet” at the corner of the eyes while chemical peels, micro-needling, or lasers can help improve the appearance of the lower eyelid skin.

Although a brow lift can create a more open appearance to the eyes, it may not totally address the wrinkles of the brow. Botox® can help here as well, and in addition, dermal fillers can add attractive volume to the brow itself or fill in a temple that has lost volume. In the face, fat grafts as part of a facelift can soften the deeper nasolabial folds (the lines that run from the sides of the nose to the corners of the mouth) but will not help fill in the more superficial lines around the mouth. Chemical peels, lasers, or dermal fillers can be employed to do that.

For a sagging jawline or jowls, only a facelift can predictably help to create a smoother, more youthful jawline. A facelift is the only real tool to tighten loose and sagging skin in the neck. With that being said, it is important not to underestimate the power of non-surgical treatments in this area as well. While they cannot remove the jowls, injectable fillers can camouflage the jowls in younger patients. And while it cannot tighten the loose skin of neck, neurotoxins like Botox® can soften muscular bands in the neck.

In order to figure out what is right for you, it is important that you have a consultation with a surgeon who is an expert in providing both surgical and non-surgical treatments to the face. The options will change depending on your individual needs, your preferences, and your age. At the Emory Aesthetic Center, our board certified physicians are here to help you figure out a treatment plan that is customized just for you.


or call us at 404-778-6880 to schedule a consultation

About Dr. Eaves

eaves-iii-felmontDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

Asian “Double Eyelid” Surgery FAQs

asian-eyesThe eyelid crease refers to the natural inward folding of skin on the upper lid. The appearance can be quite variable depending on a person’s ethnicity. Only about 50% of the Asian population has an eyelid crease that result in a “double eyelid”, while the remainder of the population lack a crease. For those without a fold, a blepharoplasty procedure can create a natural-looking crease. Known as “Asian double eyelid surgery,” this procedure surgically creates creases in the eyelids.

The surgery has gained popularity over the years due to the brightening effect that can result from the eyelids having a more open appearance. Additionally, it allows patients to have a space where eye makeup can be applied. There is the perception by others that those desiring Asian double eyelid surgery want a Caucasian appearance to the eyelids, but this is false. Most Asian patients desire to maintain their Asian features even after the surgery.

Below are a few questions frequently asked by my patients.


The surgery is oftentimes done as an outpatient procedure (meaning the patient goes home after the surgery) but it sometimes be done in the exam room of the office. It generally takes about 30 minutes to an hour to perform. The anesthesia that is administered varies depending on the surgeon, but sedation with an IV (intravenously) is the most common method. This means that the patient is awake during surgery, although heavily sedated and very comfortable throughout the procedure. When done in the office, a localized numbing shot in the eyelid is the only anesthesia given. This method is also well tolerated by most patients.


There can be several different techniques to the “double eyelid” surgery, also called an Asian blepharoplasty. One technique can involve just placing a stitch through the eyelid at the approximate location of where the patient desires the crease. Although this is a quick procedure with a fast recovery, the effects of the surgery do not last.

More commonly, an incision has to be made to create the crease, along with removal of small amount of skin and possibly fat. The amount of skin and fat that has to be removed usually increases with age, but of course this is individually tailored to the patient. And the scar from the incision is hidden within the crease.


Initially, there can be swelling, bruising and very mild discomfort, if any. The crease will look a little higher early on, but then settle into the intended height as the swelling goes down. It will take about a month or two for complete healing to occur.

The board certified surgeons of the Emory Aesthetic Center can answer any questions that you may have around double eyelid surgery. We will work with you to tailor a plan that fits your needs and desires.


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What is the Difference Between an Eyelid Lift, Blepharoplasty and Ptosis Surgery?

BlepharoplastyI am often asked by patients during a consult – “What is the difference between an eyelid lift, blepharoplasty and ptosis surgery?” and “Which one do I need?” These are both great questions to address. As we age, we become more aware of the puffiness around our eyes, the extra eyelid skin, the wrinkles and the droopiness (ptosis) that slowly become apparent over time. But many of us are not sure exactly what can be done to reduce this or what the right terminology is to address it. Let me help to clarify each of these terms and what they treat.

Eyelid lift is a generic term that can mean blepharoplasty and/or ptosis surgery. The term conveys the end result of the procedure being performed. Based on the name, it rightly gives the impression that tissue can be lifted, trimmed and/or repositioned to lift the eyelid. It is, however, not the technical name of any procedure that surgeons employ.

Blepharoplasty is the actual term used for eyelid surgery to trim away extra skin and either remove or reposition the fat to reduce the puffy appearance in eyelids. In the upper lids, blepharoplasty gets rid of the excess skin that can overhang on lashes, and it reduces unwanted fullness. It is a similar operation in the lower lids as well. The only difference here is that many surgeons don’t just excise the unwanted fat in the lower lids but instead moves it to an area in the cheek that is hollow to further improve on the results.

Ptosis surgery applies to lifting the upper eyelids generally by manipulating the eyelid muscle tendon that has gotten “stretched out”. Risk factors for weakening of the eyelid muscle tendon include advancing age, gravity, contact lens use, and post lasik or cataract surgery. When ptosis surgery is performed, excess skin and fat can be trimmed at the same time so it is all still one procedure.

A key element of choosing the procedure that is best for you is a thorough exam and evaluation performed by a cosmetic surgeon. The highly-skilled oculo-facial surgeons at the Emory Aesthetic Center offer multiple options to improve the appearance of the eyelids, brow and orbital area (eye socket). Depending on your age, degree of and signs of aging, and goals, we can recommend the right solution for you.


About Dr. Hayek

Brent Hayek, MD

Brent Hayek, MD, areas of expertise include both reconstructive and cosmetic procedures. He addresses “droopy” (puffy) or malpositioned eyelids, treats Graves disease or thyroid problems as they affect the eyes, and orbital problems including tumors around the eye and fractures that affect the protective bony walls. Dr. Hayek also handles tearing problems that involve obstruction, infection or other issues of the tear drain system. Dr. Hayek performs a number of eyelid and facial cosmetic services include Botox®, facial fillers and peels, upper and lower blepharoplasty, midface and endoscopic forehead lifts.

Dr. Hayek’s research interests include eyelid and orbital tumors, as well as various implants suitable for long-term eyelid reconstruction. He has published articles in peer-reviewed publications, book chapters and has presented at regional, national and international meetings.