Lower bleph, upper bleph and brow lift? (photo)
Doctor Answers (14)
Upper and lower blepharoplasty (+/- browlift)
Upper and Lower Blepharoplasty with Lateral Browlift
Quad Bleph and Brow lift
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Upper and lower blepharoplasty
The primary goal of lower eyelid surgery is to remove the 3 fat pads on the lower lids through trans-conjunctival approach which create the puffy look. When patient's have excess lower lid skin a small pinch technique of lower eyelid skin is trimmed and closed with tissue glue.
For many examples please see the link the below
Nonsurgical Lower Lid Rejuvenation Combined With A Nonsurgical 3D Vectoring Browlift --Simple Options For Improving The Eye Unit
The loss of this volume and its downward displacement in the direction of the jaw (due to weakening of the supporting ligaments and the downward pull of gravity) elongates the lower lid to several times its narrow youthful width and leaves it somewhat sunken. In addition, like a balloon having lost its air after being fully inflated for a long while, the skin of the lower eyelid fails to snap back to its youthful smoothness, and instead remains crinkled and baggy.
Today, we can address these problems nonsurgically with the injection of fillers and volumizing agents to restore the volume to the lower lids and recontour them, and mask the bags. A variety of have been tried for these purposes. My personal favorites for dealing with tear troughs--for providing overally smoothness, shape and lift-- are the recently approved Belotero Balance and Restylane L.
In my experience, while more prominent bagging may be improved considerably with this approach, some degree pf bagging typically persists following treatment. On the other hand, for mild to moderate bags, it usually takes about five minutes to treat each lower lid with immediate that typically evoke a "Wow!" response from patients when they look in the mirror.
While minimal bruising, tenderness, swelling and redness may occur following treatment in this delicate region, these are usually temporary and disappear spontaneously within one to seven days. Most people can return to work or social activities immediately or the following day and coverup may be used if desired.
In cases where a nonsurgical lifting of heavy brows is desired or more appropriate than surgery, a totally non-invasive approach, the Nonsurgical 3D Vectoring Browlift, might be considered. The technique is analogous to that used for performing the Nonsurgical 3D Vectoring Facelift and the Nonsurgical 3D Vectoring Necklift. Optimal lifting is best achieved with the injection of volumizing fillers, such as Radiesse or Radiesse combined with Juvederm Ultra Plus XC, . The principle for this approach is exactly that of the other two procedures mentioned, i.e. to reverse the downward deflationary vectoring of the aging (the sagging) brow with an upward and outward flare to the brow.
The injection technique is quite simple and takes only minutes to perform and yields results that are both immediate and longer term (improve over the next six to eight weeks) as neocollagenesis (new collagen formation) occurs where the volumizer was injected that leads to further retraction and benefit. Owing to its simplicity and lack of downtime, this treatment makes an excellent nonsurgical browlift option for people of any age. If needed, the brow elevation may be further enhanced by the instillation of a few droplets of a neuromodulator, such as Botox, Dysport or Xeomin.
Naturally, consultation with a board certified aesthetic physician experienced in each of these techniques is a must.
Upper and Lower Bleph with Brow Lift
Initially, you consulted for lower blepharoplasty which to me means that you are not actually concerned much about your upper eyelids and brows, until it was recommended.
Based from your photos, you will definitely benefit from conventional lower blepharoplasty.
For the other procedures, in my opinion, it is the lateral (outer) end of your brows and upper lids that looks heavy and droopy while the medial (inner) ends are still acceptable though they also show slight drooping.
Another option aside from doing upper blepharoplasty and brow lift is temple lift, however, only a personal consultation will determine which approach will be best.
Lower bleph, upper bleph and brow lift?
Brow lift and 4 lid blepharoplasty
Bleph v brow lift
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.