I went to see a PS that only works on the eyes. He suggested I have a left brow tack to fix excess skin above left eye and a lower bilateral blepharoplasty. Do you think this is an appropriate route? Why not a brow lift? Will this fix the loose skin under my eye?
Answer: Lower bleph/ Brow tack First, let me congratulate you on seeing someone I assume is an oculofacial plastic surgeon. Since you are most concerned with the area around your eyes, this is easily the best type of doctor to see to address your concerns. That said, I personally am not a fan of the brow tack procedure for many reasons. I prefer brow lifting,. as your post suggests. I don't wish to make specific suggestions based on the one photo you provided. I do suggest that you seek out another opinion from an oculofacial plastic surgeon near you with good ratings on RealSelf. Good luck!
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CONTACT NOW Answer: Lower bleph/ Brow tack First, let me congratulate you on seeing someone I assume is an oculofacial plastic surgeon. Since you are most concerned with the area around your eyes, this is easily the best type of doctor to see to address your concerns. That said, I personally am not a fan of the brow tack procedure for many reasons. I prefer brow lifting,. as your post suggests. I don't wish to make specific suggestions based on the one photo you provided. I do suggest that you seek out another opinion from an oculofacial plastic surgeon near you with good ratings on RealSelf. Good luck!
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CONTACT NOW Answer: Eyelid Surgery Thank you for your question. Treating the peri-orbital area can be a challenge. You have asymmetry and that is actually more common than you think. It is not clear whether you have botox in the forehead, as the position and the shape of the brows look off a little. My preference is to not take additional volume from the eyes as a sunken look to the upper eyelids can age someone. If you look critically at your pictures, you will see a few things. First, the medial (inside) brow looks descended below the level of the bony rim and that is something that a browlift can address. Secondly, You want to have a gentle curve of the brows above the rim (.75-1cm) with the high point being at the level of where the colored part of your eye touches the white (lateral limbus). Last is that you do in fact have a lower eyebrow on the affected side and this needs to be addressed. The technique is surgeon specific, but if those core issues are not addressed, it may not look natural.
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CONTACT NOW Answer: Eyelid Surgery Thank you for your question. Treating the peri-orbital area can be a challenge. You have asymmetry and that is actually more common than you think. It is not clear whether you have botox in the forehead, as the position and the shape of the brows look off a little. My preference is to not take additional volume from the eyes as a sunken look to the upper eyelids can age someone. If you look critically at your pictures, you will see a few things. First, the medial (inside) brow looks descended below the level of the bony rim and that is something that a browlift can address. Secondly, You want to have a gentle curve of the brows above the rim (.75-1cm) with the high point being at the level of where the colored part of your eye touches the white (lateral limbus). Last is that you do in fact have a lower eyebrow on the affected side and this needs to be addressed. The technique is surgeon specific, but if those core issues are not addressed, it may not look natural.
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December 14, 2016
Answer: Opinion on lower blepharoplasty/brow lift A full set of photographs are required to make a determination about eyelid surgery and brow lift procedure. There are many factors to look into regarding a brow lift which include the height of the medial versus lateral eyebrows, the asymmetry of the eyebrows, the strength of the corrugator and frontalis muscles, the presence of the low versus high hairline, and whether or not there's any wrinkles in the forehead. The primary goal of a lower blepharoplasty is to remove the puffiness created from the herniated fat pads the lower lids. The secondary or minor goal is to tighten any loose skin that may be present with a pinch technique. For many before and after examples of both procedures, please see the video and the link below
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CONTACT NOW December 14, 2016
Answer: Opinion on lower blepharoplasty/brow lift A full set of photographs are required to make a determination about eyelid surgery and brow lift procedure. There are many factors to look into regarding a brow lift which include the height of the medial versus lateral eyebrows, the asymmetry of the eyebrows, the strength of the corrugator and frontalis muscles, the presence of the low versus high hairline, and whether or not there's any wrinkles in the forehead. The primary goal of a lower blepharoplasty is to remove the puffiness created from the herniated fat pads the lower lids. The secondary or minor goal is to tighten any loose skin that may be present with a pinch technique. For many before and after examples of both procedures, please see the video and the link below
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December 14, 2016
Answer: Okay, I totally disagree with your plastic surgeon who only does eyes. Your issue has nothing to do with your eyebrows. You have upper eyelid ptosis with a dehiscence of the upper eyelid levator aponeurosis tendon. You are lifting your eyebrow to compensate. Doing a browpexy procedure will not help you. It will make both eyes look hollow. Do to the levator dehiscence, you have an inversion of the upper eyelid so you are missing a normal upper eyelid fold on the right and the fold on the left you fold is hollow but there is the appearance of a fold because the brow on the left side is not as compensated as the right (there is more elevation of the right eyebrow). That is due to the fact that you have more ptosis on the right side. Please don't go to eyelid surgeon who do not understand eyelids. You need an anterior levator resection ptosis repair. This also creates the opportunity to make a more normal upper eyelid fold and allow the eyebrow to relax to a more natural position. I also do not think you will benefit from lower eyelid surgery.
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Answer: Okay, I totally disagree with your plastic surgeon who only does eyes. Your issue has nothing to do with your eyebrows. You have upper eyelid ptosis with a dehiscence of the upper eyelid levator aponeurosis tendon. You are lifting your eyebrow to compensate. Doing a browpexy procedure will not help you. It will make both eyes look hollow. Do to the levator dehiscence, you have an inversion of the upper eyelid so you are missing a normal upper eyelid fold on the right and the fold on the left you fold is hollow but there is the appearance of a fold because the brow on the left side is not as compensated as the right (there is more elevation of the right eyebrow). That is due to the fact that you have more ptosis on the right side. Please don't go to eyelid surgeon who do not understand eyelids. You need an anterior levator resection ptosis repair. This also creates the opportunity to make a more normal upper eyelid fold and allow the eyebrow to relax to a more natural position. I also do not think you will benefit from lower eyelid surgery.
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December 15, 2016
Answer: Many ways to get the look you desire Thank you for the question. I prefer the endoscopic browlift , as it can keep the brow shape while elevating the brow as a unit to prevent lateral peaking of the brow. After this is done and things have settled a bit, a conservative upper lid bleph may be needed. It appears you have minimal fat pads of your lowers, but more photos are needed to completely assess.
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Answer: Many ways to get the look you desire Thank you for the question. I prefer the endoscopic browlift , as it can keep the brow shape while elevating the brow as a unit to prevent lateral peaking of the brow. After this is done and things have settled a bit, a conservative upper lid bleph may be needed. It appears you have minimal fat pads of your lowers, but more photos are needed to completely assess.
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