Posts Tagged ‘eyelid surgery’

Do I Need a Brow Lift, Eyelid Surgery or Both?

brow lift blogIt’s been said that eyes are the windows to the soul. But do you feel like your eyes are representing what’s really inside you? If you look in the mirror and see droopy skin, dark circles or wrinkles around your eyes, maybe it’s time for a refresh. Read on to learn more about brow lift and eyelid surgery.

Why do my eyes look older than I feel?

Your eyes get a lot of attention. They’re usually the first thing people notice about you, and they help bring beauty and expression to your face. Unfortunately, they are also often the first place we show signs of aging.

Think about how the skin around your eyes crinkles when you’re smiling or furrows when you’re concentrating. Over time, your skin loses its elasticity and those crinkles become wrinkles. The loss of skin elasticity can also lead to droopiness that makes you look tired.

To make matters worse, the skin around your eyes typically becomes thinner as you age, which causes things like dark circles and puffiness.

How can I rejuvenate my eyes?

The good news is that you don’t have to accept it. There are relatively minor cosmetic procedures that can help you rejuvenate your eye area and leave you looking naturally beautiful and refreshed.

Brow lift
Horizontal lines on your forehead, the vertical lines between your eyebrows, and drooping skin over your eyelids are signs that your eyebrows are sagging. They can make you look as though you’re upset, which is certainly not the way you want to present yourself to the world. If this is a concern to you, it may be time to consider an eyebrow lift.

A brow lift (sometimes called a forehead lift) removes excess skin on your forehead and repositions your brows to give a smoother, brighter appearance. It’s performed with tiny incisions hidden in your hairline.

Eyelid surgery
If your eyelids look droopy and heavy or if you notice dark circles and puffiness around your eyes, eyelid surgery may be your answer.

Eyelid surgery (blepharoplasty) is a common procedure to treat the excess skin, puffiness and dark circles that contribute to that “tired look.”

During eyelid surgery, your surgeon removes excess skin and fat from your eyelids and tightens the tissues. Lower blepharoplasty is primarily used to address under-eye bags and pockets of fat beneath the eye, while upper blepharoplasty is used to correct drooping upper eyelids that affect expression and possibly even your vision.

A combination of cosmetic eye procedures
Sometimes, a combination of procedures is needed to accomplish the best results. For instance, if your eyelids are sunken or hollow, fat grafting or hyaluronic acid fillers can be added to your eyelids for a more rejuvenated look.

Some people find they have both drooping brows and excess skin on their eyelids, so they choose to have a combination of both a brow lift and eyelid surgery.

How long does it take to recover from brow lift and eyelid surgery?

Whether you’re considering a brow lift or eyelid surgery, you can rest easy knowing that both procedures can be performed as outpatient surgeries under local anesthesia and sedation or general anesthesia—which means an easier recovery for you. Bruising and swelling is expected for a few days after these procedures. You can use ice and anti-inflammatories to help with any swelling and discomfort.

In some cases, you may also have stitches that will need to be removed one to two weeks after your surgery.

It takes at least two weeks to completely recover. So, make sure you schedule your procedure at least three weeks before any event you plan on attending where you want to look your best.

Emory Aesthetic Center

Schedule a complimentary consultation with an expert cosmetic surgeon at the Emory Aesthetic Center. We can help you determine which procedure(s) is right for you and provide you with beautiful and natural results that fit your unique needs.

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

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.

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

Brow Lift Versus Eyelid Lift: Which One Do I Need?

eye-checkAre you tired of looking tired? As we age, excess skin or drooping brows can cause our eyes to lose their sparkle, leaving us looking chronically fatigued. You may assume that the problem is excess skin on your eyelids—and you might be right. However, sometimes the reason is more complex. If your eyebrows have drooped, they may be causing your eyelid skin to bunch up and even crowd your eyelashes.

So, do you just have to go through life looking exhausted? Fortunately, no. Eyelid lifts and eyebrow lifts are two options that can immediately enhance the appearance of your eyes and bring back your natural sparkle. Emory Healthcare cosmetic surgeons can help you determine if you’re a candidate for an eyelid lift, a brow lift or a combination of the two.

Do I Need an Eyelid Lift?

If the issue is skin excess in your upper lids alone, without any need for change in brow position, an upper eyelid lift may be all you need. This is a relatively simple and low-downtime, cost effective way to improve the brightness of your eyes. In some cases, it can even be performed under local anesthetic.

Do I Need an Eyebrow Lift?

You may be wondering how you can tell if your eyebrows have drooped. Well, ideally, a woman’s eyebrow should start in a gentle curve above the top of her nose and rise above her orbital bone (brow bone) until it peaks at the outer edge of her eyelid. Then, the brow should gently curve out and slightly downward. The entire course of her brow is preferred to be at, or slightly above, her brow bone and both brows should be relatively symmetric.

Many people hold their eyebrows up to compensate for drooping, without even realizing they’re doing it. In order to assess if this is the case for you, stand in front of a mirror and close your eyes. Take a deep breath in and out and purposely relax your brows and forehead. Open your eyes slowly, taking care not to raise your forehead, and look at your eyelids and brow position. If your brows seem to have dropped lower than you thought they were, it’s likely that you inadvertently hold them up and may benefit from a brow lift.

Although a brow lift may sound invasive or complicated, the procedure is actually not particularly high-risk or painful.

How Will I Look After an Eyebrow Lift?

To imitate the effect of a brow lift, watch in a mirror as you take your fingers and place them between your eyebrows and hairline. Gently lift a little to see how your brow position changes and if excess skin on your eyelid is reduced. If doing this improves the skin excess at your eyelids and makes a favorable change in your appearance, a brow lift may be the right option for you. If there is still excess skin on your eyelids, even as you’re gently pulling, your surgeon may recommend a combination of eyebrow and eyelid lifts for best results.

What Can I Expect?

Satisfaction rates for brow and lid lifts are high and the downtime can be as little as five to 10 days, depending on your individual surgery. Results usually last many years and don’t often need to be “tucked up” in the way that some other plastic surgery procedures require.

Eye Enhancement at Emory Aesthetic Center

If you’re considering rejuvenating and improving the appearance of your eyes, come see one of the board-certified physicians at Emory Aesthetic Center for a complimentary consultation. We can discuss your goals and determine what treatment is right for you.

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

Eyelid Surgery: Using Eyelid Spacer Grafts

checking-eyesI have many patients come into my office asking how I can help minimize or remove the puffiness or fat bags under the eyes. Fortunately, there is a cosmetic solution to help with that. Lower eyelid blepharoplasty is a great choice for many patients who want to rejuvenate the eyelids and reduce the puffiness from under the eyes. This technique requires removing fat from the under eye area and trimming excess skin as needed. There are some potential issues that can arise, however. Though uncommon, one of the complaints is the lower lid can look “pulled down”. This condition is called eyelid retraction. It can arise from a variety of factors, one of the main ones being excess skin removal. This may be coupled with loose eyelid ligament support, prominent eyes, or excess scarring in the lid. Fortunately, many cases of mild lid retraction resolve in the post-operative recovery period. For those that do not, one potential option is the introduction of an eyelid spacer graft.

Eyelid spacer grafts can be helpful for a variety of conditions, including repair of lower eyelid retraction after blepharoplasty. The purpose of the grafts is to lengthen the eyelid vertically. This helps improve lid closure, reduce eye irritation, and make the lids look more natural in their resting position on the eye. They are placed into the eyelid on the back half so they cannot be seen from the outside. This requires an outpatient or in office procedure to perform. The recovery period is similar to that of most eyelid surgery and the outcome can be very satisfactory.

Eyelid spacer grafts aren’t the only option for repair, and of course, some people may require something different to get the best results. But eyelid spacer grafts have proven themselves to be very effective on giving the lower eyelid the support it needs to ensure proper lid position and closure after blepharoplasty.

If you are considering eyelid surgery to rejuvenate and improve the appearance your eyes, come see one of the board-certified physicians of the Emory Aesthetic Center for a complimentary consultation. We can discuss your goals and determine what treatment is right for you.

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

About Dr. Hayek

hayek-brentBrent 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.

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.

404-778-6880
emoryaesthetic.org

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.

How Do I Know if I Need an Upper Eyelid Lift or a Brow Lift?

Brow LiftSagging eyelids are a common problem that most people will experience with the aging process. Because the face functions as a single unit (meaning what occurs in the forehead affects the eyebrows and eyelids, which in turn can affect the lower face), it can be difficult at times to determine a single source for a particular concern. The truth is, it is the combination of sagging brows and excess skin on the eyelids that result in the sagging appearance of the eyelids. No two patients are alike, and it is important to tease out what is contributing to the sagging eyelids to determine which surgical repair is the most appropriate.

Upper eyelids lose elasticity over time and become redundant, giving them a tired appearance. For most women, this starts to occur in their early forties as they start to notice difficulty applying and visualizing their eye makeup. For men, it usually becomes a problem much later. When the redundancy is mild, it is mainly a cosmetic issue. When it becomes severe, it can sometimes interfere with a patient’s vision. Either case, the surgical treatment for this is an eyelid lift (blepharoplasty), where the excess skin, and usually the fat underneath the skin, is removed. This is a very common procedure that is performed and can significantly help to restore the rejuvenated appearance to the upper face.

A sagging brow should be approached with more caution, since a brow lift can significantly change the appearance and expression of the upper face. An aesthetically pleasing eyebrow usually rests at or slightly above the brow bone. For females, the outer aspect of the brow is slightly arched so that the tail of the brow is higher than the inner corner. For males, the brow tends to be essentially straight. With the aging process, the loss of skin elasticity and loss of volume from fat atrophy, result in sagging of the brows that can contribute to the sagging appearance of the eyelids. When the brows drop significantly below the brow bone, it will most likely need to be addressed surgically in order to enhance the results seen from a blepharoplasty.

There are several techniques to correct a sagging brow depending on the patient. Traditionally, a large incision across the hairline was required. There are still instances where this type of correction is needed, especially for patients with a severe droop across the entire length of the brow. Alternatively, a direct brow lift is where the incision is made immediately above the brow hairs and an ellipse of skin and soft tissue above the brows are excised and stitched closed. Although highly effective, it does leave behind a visible scar, thus making it ideal for male patients with thick brow hairs that can mask the scar. A modified version of this approach is to address the outer aspect of the brow, which leaves a minimal scar with good results. With the advent of endoscopic surgery, a brow lift can now be performed with just a small incision behind the hairline.

Many different options exist and each patient needs to be evaluated individually. A thorough preoperative examination by your surgeon is always necessary to determine which combination of surgeries would result in the best cosmetic outcome. Let the board-certified surgeons of the Emory Aesthetic Center help develop a plan that is tailored specifically to your desires and needs. Come in for your complimentary consultation.

404-778-6880
emoryaesthetic.org

Eyelid Surgery: Lower vs. Upper Eyelid Lifts

Eyelid LiftEyelid lifts are a great way to rejuvenate our appearance. Our eyes and mouth are the two most common aspects of ourselves that people focus on. Think about that the next time you speak with a friend or family member – it’s unconsciously driven.

The eyelids are also one of our most defining features. One of my earliest oculoplastic surgery mentors once told me, “The eyelids are the most beautiful part of a person.” I at first thought this strange, but over the years I really have come to appreciate this thought and try to implement this concept with all my eyelid lifts.

Eyelid lifts are one of the most common cosmetic surgery procedures preformed to help rejuvenate our face. A few reasons for this include:

  1. Great result with relatively minimal surgery;
  2. Out-patient procedure – with no need for general anesthesia (if preferred);
  3. Mild post-operative recovery;
  4. Typically, imperceptible incision lines; and
  5. Long-lasting results—may not ever need repeating.

Upper Eyelid Lift: One of the most common complaints an individual may have is that with age and gravity they have noticed extra skin and fullness pushing their eyelids down, creating an aged look. Women often stop using mascara because it smears with the extra skin. An eyelid lift can address these issues by removing some of the extra skin and usually some fat that is contributing to the problem.

Lower Eyelid Lift: As we age, our cheeks slowly deflate as youthful fat is lost and begin to sag. Our lower lids develop more wrinkles and puffiness, typically developing underneath the skin. There is generally a hollow look between the cheek and the eyelids making us look older than we feel. Three main contributing factors include:

  1. Lower eyelid puffiness—usually fat;
  2. Loss of elastin and collagen in skin with wrinkle formation; and
  3. Separation of the eyelid and the cheek—remember when we are young, our lower eyelids and cheek blend together creating a youthful appearance.

To address these issues, fat is not sculpted back but is instead used to blend the cheek and the lids to create an even younger appearance than the more traditional lower lid lifts.

The surgeons at the Emory Aesthetic Center are trained to treat people of all different races and genders. Approaches may change depending on these factors and our patient’s goals. A thorough understanding of these anatomic relationships and how to tailor them to each person’s individual needs is critical. The physicians at the Emory Aesthetic Center will consult with you to help determine your needs and provide you with an optimal result.

About Dr. Hayek

Brent Hayek, MD

Dr. Hayek’s 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.