Which procedure would be best for minimizing angry appearance? (photo)

You may be a good candidate for a facelift. Your area of concern is minimizing an angry appearance. A facelift can help reverse these signs of aging and give you a dramatically more youthful appearance. While some signs of aging can be addressed without having surgery, a facelift can help correct them long-term and give you a more youthful appearance for the next 10-20 years. The procedure involves lifting and tightening the skin and repositioning the underlying fat and muscle. Many patients benefit from having complementing procedures such as fat grafting, an eyelid lift (blepharoplasty), a brow lift, or laser resurfacing with their facelift to create a natural appearance.

There are a number of features resulting to an "angry look" even when we are not angry. Overactivation of frown muscles can create vertical lines between the eyebrows and horizontal lines at the root of the nose. This can be best addressed by neuromodulators or botulinum toxins. Tightly pressed lips with or without thinning of lips and perioral lines can be addressed by lip lift surgery in combination with energy-based devices and collagen stimulators to ease the perioral lines. Non-surgically, downward turn of the corner of the mouth can also be addressed by precise neuromodulator injections to depressor of mouth. Hyaluronic acid fillers and be applied to the lips and with specific technique, can improve and upturn the corner of the lips. A dimpling chin or tensed upturn chin can be addressed with injecting neuromodulators to relax the chin muscle. Dark undereye circles and sunken eye can be addressed by lower blepharoplasty with or without canthoplasty or canthopexy and energy-based device. Deep plane facelift can address the overall mid and lower face heaviness. If a patient also presents with low set brows, which may present as angry-looking, browlift can also be performed in conjunction with facelift.

Thanks for the questions! As we get older, our skin does not bounce back as it once did, causing increased skin laxity. There are a couple of suggestions that could help. One of the areas you mentioned, the eyes: that is caused a blepharoplasty. It removes excess skin above and below the eyes. It does not change the shape of your eye, but rather it opens and reveal the natural shape of your eye. We also add a little fat to the upper cheeks for volume. For a more thorough review and ideas on how to reach your goals, schedule a consult with a Board Certified Plastic Surgeon.