The age old proverb that the eyes are the mirrors of the soul places appropriate emphasis on this beautiful and defining facial feature. It is truly the most individual aspect of the human face. Like fingerprints, eyes differ absolutely from one person to another. Often, the eyes are the first thing that we notice about an individual's face and the last thing we can forget.
Aging of the skin around the eyes, especially of the upper and lower eyelids, can detract from their impact. Eyelid rejuvenation refocuses the emphasis on this feature, which can reveal emotion and sophistication like no other.
This case depicts a 45 year old woman who wished to address her "heavy" upper eyelids and the fact that others often perceived her as angry.
Dr. Belsley felt that she would benefit from elevating the position of her eyebrows in addition to having upper and lower eyelid lifts. The combination of the brow lift and eyelid lifts opened up her eyes and defined her.
Upper eyelid creases, while maintain a youthful fullness to the upper eyelid. The post-operative photographs depict her appearance at two weeks after surgery. Dr. Belsley performs brow lifts using a few short incisions within the hairline. The position of the eyebrows alone can be elevated using the incision through which an upper eyelid lift is performed.
This case depicts a 52 year old woman who underwent an upper eyelid lift and a short scar face lift.
Her post-operative photographs depict her appearance at approximately four months after surgery.
Although a short scar face lift does not require any incisions beneath the ears, it can have a profound effect on the jowls and the skin and fat beneath the chin.
This case depicts a 44 year old woman who underwent a lower eyelid lift in which the lower eyelid fat was rearranged rather than removed.
The result of this procedure is a smooth lower eyelid contour devoid of the bulging or "bags" that many individuals exhibit. The change can most readily be seen in the photographs in which an individual is looking upwards.
The post-operative photographs depict this woman's appearance approximately four months after surgery.
This case depicts a 60 year old woman who wished to undergo facial rejuvenation. She underwent an endoscopic brow lift, upper and lower eyelid lift and a short scar face lift with liposuction of the upper neck. Her post-operative photographs show her at approximately three and one half months after surgery.
Because the brows frame the eyes, a brow lift is as important for rejuvenating the appearance of the eyes as an eyelid lift in certain individuals. The two combined can achieve a result that neither alone is able to obtain.
The following photographs depict a 59 year old woman who wished to undergo facial rejuvenation to achieve a brighter and less tired appearance. She underwent a short scar face lift, involving no incisions behind the ears, liposuction of the neck and an upper eyelid lift.
The post-operative photographs depict her approximately 15 months after her surgery. New techniques in plastic surgery have made more individuals candidates for procedures involving shorter incisions. Although the incisions are shorter, the results are comparable to the traditional techniques which involved longer scars.
This case depicts a 56 year old woman who underwent upper and lower eyelid lifts in concert with an endoscopic brow lift. The majority of the heaviness in her upper eyelids was due to descent of her brow, which was addressed by the brow lift. Her post-operative photographs depict her appearance at approximately 4 months after surgery.
In individuals who exhibit sagging of the skin of the brow, a brow lift is necessary to rejuvenate the upper third of the face and to release the heaviness from the upper eyelids. When an upper eyelid lift is performed at the same time as a brow lift, the result can be dramatic and long lasting.
This case depicts a 59 year old woman who wanted to achieve a more youthful appearance. She was specifically concerned with her jowls and the fullness beneath her neck. She underwent an upper eyelid lift, a lower eyelid lift, a short scar face lift and ultrasound assisted liposuction of her neck and jowls.
The pictures show her approximately six months after surgery. The lower eyelid lift performed in this case did not involve removal of the fat that normally resides in the lower eyelid.
Instead, the fat was repositioned to fill in the hollows of the lower eyelids, making the transition from the lower eyelid to the cheek smoother and more aesthetically attractive.
This case depicts a 49 year old woman who wanted to achieve a more youthful appearance. She underwent an upper and lower eyelid lift, a midface lift and a short scar face lift with liposuction of the upper neck and jowls.
Her post-operative photographs show her approximately six weeks after surgery.
In appropriate individuals, liposuction alone can achieve a youthful, attractive appearance of the neck. This allows for shorter incisions and often a more rapid recovery.
This case depicts a 56 year old woman who wished to improve the appearance of sagging skin that she had developed as a result of age and dramatic weight loss.
She underwent an endoscopic brow lift, upper and lower eyelid lifts, a short scar face lift and a neck lift. Her post-operative photographs depict her appearance at approximately 4 months after surgery.
Although a properly executed short scar face lift can effect some improvement in the appearance of sagging skin in the neck with no incisions behind the ears, individuals with an extensive amount of skin and muscle descent require longer incisions and a formal neck lift to achieve dramatic results.
This case depicts a 55 year old woman who wished to achieve a more youthful facial appearance. In addition, others felt that she often appeared "angry." She underwent an endoscopic brow lift, upper and lower eyelid lifts and a short scar face lift which addressed the skin and fat beneath the chin, the jowls and elevated the midface. The post-operative photographs depict her appearance approximately three and a half months after surgery.
A short scar face lift often requires no incisions behind the ears and can achieve an excellent result in appropriately selected cases. The recovery time ranges from two to four weeks, although some individuals return to work as early as one week after surgery.
Questions Related to Eyelid Lift
Repositioning eyelid tissue for a longer lasting result
When performing eyelid surgery, I try to remove as little fat as possible around the eye in order to prevent a “hollowed out” appearance later in life. Rather than removing fat, I try to reposition the fat and the lower eyelid muscles so that they don’t droop. I think that this gives a better and more long lasting result that removal of fat from around the eye.
More >>An Eyelid lift may address a droopy forehead
As one ages, everything begins to droop, the skin of the forehead over the orbital margins descends imperceptibly until the previously recognizable upper lid is covered and hidden. Since in normal conversation, persons tend to look into each other’s eyes, this may be the first change a person is told about by their well-meaning friends.
The technique employed varies according to the situation, the patient’s needs and the surgeon’s preferences but in general it is performed under local anesthetic on an out-patient basis.