I need these three surgeries and I know there are a lot of eye surgeons that will do them at the same time but is that a wise choice? I would prefer to do the brow lift first, then the upper lid, and then the lower lid, so there is less of a chance for asymmetry. Doing it this way means having surgery three times so it will be more expensive and it will take a lot longer to see the final result but is it the proper way to do it in order to get the same result on both eyes?
Answer: Not sure I agree that you need all of these procedures.
Can you safely have all three together? From a systemic health stand point-sure. But why get something you don't need? From your photo it very much appears that a forehead lift may be all that you need. It you actually need anything in the form of an upper blepharoplasty, would be extremely subtle and it might be best to first heal from the forehead lift before proceeding with an upper blepharoplasty. For the lower eyelid, the probablity of a transcutaneous lower blepharoplasty harming your lower eyelid position is at least 50% which is quite high. Transconjunctival lower blepharoplasty is inappropriate for you because you have no herniated orbital fat. At most you might need a lower eyelid skin pinch or possibly a chemical peel. Be careful out there and good luck.
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CONTACT NOW Answer: Not sure I agree that you need all of these procedures.
Can you safely have all three together? From a systemic health stand point-sure. But why get something you don't need? From your photo it very much appears that a forehead lift may be all that you need. It you actually need anything in the form of an upper blepharoplasty, would be extremely subtle and it might be best to first heal from the forehead lift before proceeding with an upper blepharoplasty. For the lower eyelid, the probablity of a transcutaneous lower blepharoplasty harming your lower eyelid position is at least 50% which is quite high. Transconjunctival lower blepharoplasty is inappropriate for you because you have no herniated orbital fat. At most you might need a lower eyelid skin pinch or possibly a chemical peel. Be careful out there and good luck.
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CONTACT NOW Answer: Is It Too Risky Having a Brow Lift and a Blepharoplasty on Top and Bottom Eyelids Performed at the Same Time?
The brow lift can be performed first. Then leave it to the discretion of the surgeon whether to do the upper blepharoplasty at the same time if necessary. Skin pinch blepharoplasty for the lower eyelid may be the best option, but I am not sure you need it. The wrinkling present is inferior and lateral to the lid and may be better served by other modalities. Kenneth Hughes, MD Los Angeles, CA
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CONTACT NOW Answer: Is It Too Risky Having a Brow Lift and a Blepharoplasty on Top and Bottom Eyelids Performed at the Same Time?
The brow lift can be performed first. Then leave it to the discretion of the surgeon whether to do the upper blepharoplasty at the same time if necessary. Skin pinch blepharoplasty for the lower eyelid may be the best option, but I am not sure you need it. The wrinkling present is inferior and lateral to the lid and may be better served by other modalities. Kenneth Hughes, MD Los Angeles, CA
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May 13, 2013
Answer: Upper eyelid blepharoplasty and browlift
Your concern is valid but should be easily addressed by an experienced qualified surgeon. The excess skin above the eye is due to a combination of forehead drooping and excess eyelid skin. The combination can be 80:20, 50:50, 20:80 etc. Your surgeon should be able to discern that at the time of physical examination before surgery and then know how much skin to remove from the upper eyelids at the time of browlift surgery. You can see this for yourself but pushing the forehead up with your fingers until the eyebrows are at or just above the upper eye socket bone rim. The amount of excess upper eyelid skin is then evident.
Most surgeons take the extra precaution of doing the browlift in sequence before the eyelid surgery but I have seen good surgeons do it in the opposite order without a problem. The vast majority worldwide are done together in the same surgery and not staged but there is nothing wrong with staging it if that is what you want.
I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.
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CONTACT NOW May 13, 2013
Answer: Upper eyelid blepharoplasty and browlift
Your concern is valid but should be easily addressed by an experienced qualified surgeon. The excess skin above the eye is due to a combination of forehead drooping and excess eyelid skin. The combination can be 80:20, 50:50, 20:80 etc. Your surgeon should be able to discern that at the time of physical examination before surgery and then know how much skin to remove from the upper eyelids at the time of browlift surgery. You can see this for yourself but pushing the forehead up with your fingers until the eyebrows are at or just above the upper eye socket bone rim. The amount of excess upper eyelid skin is then evident.
Most surgeons take the extra precaution of doing the browlift in sequence before the eyelid surgery but I have seen good surgeons do it in the opposite order without a problem. The vast majority worldwide are done together in the same surgery and not staged but there is nothing wrong with staging it if that is what you want.
I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.
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May 6, 2013
Answer: Usually not necessary
With an experienced surgeon, it is unlikely that you should need separate surgeries to achieve symmetry.
Most often than not [95% plus] no further surgery is necessary when these three procedures are done together. And in the other 5% of cases, one revision would solve the problem.
So what you are suggesting is doing surgery three times for what can be achieved in one surgery 95% of the time, and two surgeries 5% of the time.
Overkill, in my opinion.
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Answer: Usually not necessary
With an experienced surgeon, it is unlikely that you should need separate surgeries to achieve symmetry.
Most often than not [95% plus] no further surgery is necessary when these three procedures are done together. And in the other 5% of cases, one revision would solve the problem.
So what you are suggesting is doing surgery three times for what can be achieved in one surgery 95% of the time, and two surgeries 5% of the time.
Overkill, in my opinion.
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May 6, 2013
Answer: Brow lift with upper and lower lid blepharoplasty
It is acceptable to undergo upper and lower lid blepharoplasty and brow lift simultaneously. We have done this many times in our practice over the last 20 +years, and patients have done very well. Please see the link below for examples of browlift and blepharoplasties.
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Answer: Brow lift with upper and lower lid blepharoplasty
It is acceptable to undergo upper and lower lid blepharoplasty and brow lift simultaneously. We have done this many times in our practice over the last 20 +years, and patients have done very well. Please see the link below for examples of browlift and blepharoplasties.
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May 6, 2013
Answer: Not Too Much Surgery
No it is not too risky for an experienced PS. The brow lift will lessen the need for more skin removal of the upper lid. The brow lift does not effect the lower lid procedure. Best wishes. DR. ES
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Answer: Not Too Much Surgery
No it is not too risky for an experienced PS. The brow lift will lessen the need for more skin removal of the upper lid. The brow lift does not effect the lower lid procedure. Best wishes. DR. ES
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