can excess skin be removed and remaining skin lifted up and under the eye? can the outer corners of the eyes be lifted for "sad eyes"? How is this done? if one has an area of excess fat pad under an eyebrow, can it be removed via a coronal brow lift? If not, what other suggestions are there?
Can Excess Skin Be Removed to Tighten Area when Doing a Lower Eye Lift?
Doctor Answers (6)
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Many different techniques
Many different techniques exist to rejuvenate the lower eyelids depending if you have excess fat, fat descent, excess skin, sun-damaged skin, brow descent, or a combination of factors.
Skin excision is definitely part of the rejuvenation process and can be incorporated as part of the surgery. Obviously, each patient is analyzed, and an individualized plan set forth.
A surgeon that has experience in all the different techniques available is paramount to your successful surgery.
Excess lower eyelid skin and sagging of the eye can both be improved
Both of the improvements you ask about are possible to accomplish in a well-done procedure performed by a skilled and experienced plastic surgeon.
The key is to find a qualified surgeon you like and feel you can trust. Find a surgeon first, then worry about the how.
Skin resection during blepharoplasty
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Rejuvenation around the eye and brows
A lower eyelid blepharoplasty is designed to remove or reposition excess fat and possibly skin from the lower eyelid, making a nice transition from the eyelid to the cheek. This can be done from both the inside and outside of the eyelid, and sometimes both. The outside corners of the eyes are often elevated at the same time the lower eyelid is tightened. With regard to brow lifting, excess fat under a brow is generally removed through an upper eyelid incision at the same time as an upper eyelid blepharoplasty is performed. It could be accessed during a coronal lift as well. Talk with an oculoplastic surgeon for recommendations on the best approach to lower eyelid and brow surgery customized for your needs.
Excess and sagging upper eyelid skin.
Excess and sagging upper eyelid skin can often be corrected not with a coronal forehead lift but rather an Irregular Trichophytic Forehead Lift at the hairline. This prevents the hairline from being raised and can lower the hairline at the same time. Most pataients then won't need an upper lid blepharoplasty.
Skin is often removed
It depends on the patient. Some only need fat removed (transconjunctival bleph) while others need a small amount of skin removed (pinch technique) while other patients with more extensive aging changes or deeper hollows between the eyelid and cheek could benefit from a lower eyelid lifting procedure which lifts the midface or cheek to smooth the hollow between the eyelid and cheek. Lower blepharoplasty technique varies a lot by doctor. Make sure your doctor shows you photos of patients whose eyelids look like yours who were corrected by the surgery.
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