Eyelid Surgery (Blepharoplasty)

The eyes are such an important focal point of the face. They are usually one of the first areas to show signs of aging. The treatment goals in this particular anatomic area have changed significantly over the past few years. Eyelid surgery has gone from procedures that remove large amounts of skin and fatty tissue to procedures that try to preserve as much of the natural appearance as possible. Past techniques usually resulted in a hollow and tight appearance that sometimes looked better but not necessarily younger. Newer techniques try to maintain volume by repositioning existing tissues. The result is not only a better appearance but a more youthful look.

When addressing the upper eyelids surgically several factors must be taken into consideration. These include a critical assessment of the amount of skin, evaluation of the muscles that both open and close the eyes, and analysis of the upper eyelid fat pockets. Many times the appearance of the upper eyelids is significantly influenced by the position of the brow. There are multiple different approaches to performing brow lift surgery. Each one is tailored to the patient’s specific needs.

Lower eyelid surgery can bring about some of the most significant improvements in facial aging of any procedure. Today’s techniques involve less resection of fat pockets and more repositioning of this tissue to help mask areas that have become hollow due to the aging process. The lower eyelid muscles also frequently require tightening and suspension to create a more harmonious blending with the cheek. Conservative skin excision in conjunction with the above techniques provides additional superficial tightening. There are certain situations where the skin itself can be tightened with a laser or chemical peel.

Strategic injections of BOTOX® can be utilized around the eyes especially to treat wrinkles between the eyebrows and lateral to the eyes.

Careful placement of injectable agents such as Juvederm®, Restylane®, and Prevelle® can help to fill hollow areas where the lower eyelids meet the cheeks. These hollow areas are often responsible for a sad and tired appearance. Traditionally this problem is improved surgically with re-elevation of the cheeks back toward their original location. These injectable products offer a means of improving this area in patients who aren’t quite ready to have their cheeks restored in a facelift procedure. They may even be used after a facelift to help fine-tune certain areas over time.

In summary there are multiple surgical and non-surgical options available to improve the appearance of the orbital region. Even patient is unique. At Dr. John M. Sarbak’s plastic surgery practice, we will work with you to come up with a treatment plan that best suits your particular anatomic situation and your personal goals.
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