I had upper eyelid surgery 5 months ago and I'm not really pleased with the results. My lids are still drooping and I don't have that open eyed look I used to have that I was hoping for. I went to one of the top surgeons in my city and my mom had her eyes done by him 10 years ago and they look amazing. I feel like either he didn't take enough skin off or maybe I need a brow lift too. Am I being too unrealistic?
Answer: Upper eyelid surgery When evaluating patients for upper eyelid surgery it is very important to assess the position of the brow. In many patients, the excess skin of the upper eyelid is a dual problem of skin and brow descent. A browlift is sometimes performed at the same time as the upper blepharoplasty. It is difficult to assess this problem from a photo. I recommend that you follow-up with a surgeon who also routinely performs browlift surgery. Good luck
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Answer: Upper eyelid surgery When evaluating patients for upper eyelid surgery it is very important to assess the position of the brow. In many patients, the excess skin of the upper eyelid is a dual problem of skin and brow descent. A browlift is sometimes performed at the same time as the upper blepharoplasty. It is difficult to assess this problem from a photo. I recommend that you follow-up with a surgeon who also routinely performs browlift surgery. Good luck
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Answer: Results of Upper Eyelid Surgery Thanks for the question and photos. Unfortunately, it is difficult to make a thorough assessment based on these images. It does appear a brow lift might help you further enhance your appearance. I recommend you schedule an appointment with a board-certified plastic surgeon who will evaluate you in person and listen to your concerns and goals carefully. From that meeting, you should be able to come up with a customized treatment plan that will put the finishing touch on your rejuvenation efforts.
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Answer: Results of Upper Eyelid Surgery Thanks for the question and photos. Unfortunately, it is difficult to make a thorough assessment based on these images. It does appear a brow lift might help you further enhance your appearance. I recommend you schedule an appointment with a board-certified plastic surgeon who will evaluate you in person and listen to your concerns and goals carefully. From that meeting, you should be able to come up with a customized treatment plan that will put the finishing touch on your rejuvenation efforts.
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May 16, 2019
Answer: Not much difference but in upper eyelids 5 months after surgery There are 2 issues: 1) you still have some swelling in the upper eyelid which is contributing to the lack of a well defined crease. I have seen improvement for as long as a year. 2) you have lest distance between the crease and your brow. After upper blepharoplasty if the brow is not held in position by a browlift the force of closing the eyes can result in slightly pulling the brow down. I have modified my technique over the years and it can easily be done as an office procedure with about 10’days of down time.
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May 16, 2019
Answer: Not much difference but in upper eyelids 5 months after surgery There are 2 issues: 1) you still have some swelling in the upper eyelid which is contributing to the lack of a well defined crease. I have seen improvement for as long as a year. 2) you have lest distance between the crease and your brow. After upper blepharoplasty if the brow is not held in position by a browlift the force of closing the eyes can result in slightly pulling the brow down. I have modified my technique over the years and it can easily be done as an office procedure with about 10’days of down time.
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May 15, 2019
Answer: Creating a more youthful upper eyelid It does appear that there is less skin in the upper eyelid but that there is room to remove more skin laterally. My goal in creating a youthful upper eyelid is creating a more parallel relationship between where the lid fold is and the lash line below. On your photos, even more so on the afters, you can see an upward notching of the inner aspect of the lid fold (an A-frame deformity); there is a greater distance between lash line and lid fold in the inner aspect than in the outer aspect. The distance can be increased in the outer aspect with more skin excision. But this is only part of the issue, as we age there is volume loss in the inner aspect of the upper lid due to bone resorption. To create a more youthful eyelid, and recreate the ideal parallel relationship between lid fold and lash line you would also need to restore volume loss. I normally accomplish this with autologous fat transfer to the inner aspect of the upper lid if done at same time as removing skin. Alternatively, volume can be added with injectable fillers.
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May 15, 2019
Answer: Creating a more youthful upper eyelid It does appear that there is less skin in the upper eyelid but that there is room to remove more skin laterally. My goal in creating a youthful upper eyelid is creating a more parallel relationship between where the lid fold is and the lash line below. On your photos, even more so on the afters, you can see an upward notching of the inner aspect of the lid fold (an A-frame deformity); there is a greater distance between lash line and lid fold in the inner aspect than in the outer aspect. The distance can be increased in the outer aspect with more skin excision. But this is only part of the issue, as we age there is volume loss in the inner aspect of the upper lid due to bone resorption. To create a more youthful eyelid, and recreate the ideal parallel relationship between lid fold and lash line you would also need to restore volume loss. I normally accomplish this with autologous fat transfer to the inner aspect of the upper lid if done at same time as removing skin. Alternatively, volume can be added with injectable fillers.
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May 15, 2019
Answer: Sad appearance after upper lid blepharoplasty Sad appearance after upper lid blepharoplasty. Based on the photos you submitted I would guess that you were a Browlift candidate. I would advise you not to have any further blepharoplasty and definitely not have a lateral brow lift which will make you look more evil. A central brow lift down at the hairline will give you what you were looking for. I would need to examine you to be certain.
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May 15, 2019
Answer: Sad appearance after upper lid blepharoplasty Sad appearance after upper lid blepharoplasty. Based on the photos you submitted I would guess that you were a Browlift candidate. I would advise you not to have any further blepharoplasty and definitely not have a lateral brow lift which will make you look more evil. A central brow lift down at the hairline will give you what you were looking for. I would need to examine you to be certain.
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