Case 15856
These before and after photos show the natural looking results of lower eyelid rejuvenation surgery one year after treatment. This lady had fat grafting to the cheeks and a pinch of skin removed along the lower eyelids.
Lower eyelid surgery is a special interest of mine. I have spent time studying with several leaders in this field. This includes Dr. Feigan (Florida), Dr. Baker (NYC), Dr. Zeltser (Belgium), and Dr. Mendelson (Australia). I have publish research on lower eyelid surgery in the Journal of Plastic and Reconstructive Surgery. This article is one of the most frequently referenced pieces of research on cosmetic lower eyelid surgery.
https://www.ncbi.nlm.nih.gov/pubmed/18176227
Treatment plans are individualized for each person. As we age the cheeks drop. This is due to gravity, shrinkage of cheek fat, and loss of cheek bone. As this occurs the lower eyelid becomes longer. The distance between your eyelashes and the start of the cheeks increases. This also leads to dark areas under the eyes.
There are a number of options to increase lift the cheek and increase cheek volume. These will decrease the length of the lower eyelids and produce a more youthful and rested appearance. Volume can be added by shifting the upper eyelid fat into the area of the eyelid cheek junction (fat transposition). Fat from the abdomen can be transferred into the cheek (fat grafting). Fillers (such as Juvaderm) can be placed into the cheek. The most dramatic method is to use a cheek / lower eyelid implant. In some patients a small amount of upper eyelid skin is also removed.
After surgery there is bruising for 1 – 3 weeks depending on the treatment used.
Learn More About Eyelid Surgery by Dr Anzarut
Case 16399
Upper eyelid surgery (#blepharoplasty) was done for this 76 year old woman to improve her vision. In order to determine the best treatment a board certified plastic surgeon must asses the:
- brow (area above the eyes)
- the upper lid sulcus (the area below the eyebrow and above the eyelid)
- the upper eyelid skin
- upper eyelid fat
- position of the lacrimal (tear gland)
- position of the upper eyelid skin crease (tarsal fold)
- position of the eyelid margin (place where the eyelashes sit)
Age produces a number of possible changes. These include:
- brow descent
- hollowing of the sulcus
- nasal fat pad protrusion
- lacrimal gland descent
- descent of upper eyelid skin excess
- loss of the distinct tarsal fold
- descent of the eyelid margin (#ptosis)
Possible interventions include:
- brow lift
- adding volume to the sulcus
- elevation of the lacrimal gland
- removal or transposition of the nasal fat pad
- removal of upper eyelid skin excess
- recreation of the tarsal fold, and ptosis repair
Working with @drfaigen, @drmendelsonmelbourne, and dr Zeltzer @life_clinic_brussels I have studied the anatomy, assessment, and treatment of eyelid disorders thoroughly during my ten years of plastic surgery training after medical school.
This lady required a skin only blepharoplasty to achieve the functional improvement she desired. A simple a reliable procedure with a recovery of 7 days (2 days to two weeks).
Case 01
This 50-year-old gentleman underwent bilateral brow lift and upper lid blepharoplasty. Decision was made not to undergo ptosis repair.
Case 02
This 86-year-old gentleman underwent bilateral upper lid blepharoplasty, bilateral ptosis repair, and bilateral lower lid blepharoplasty (case #8403). This result is 18 months after surgery.
Case 03
This 75-year-old woman underwent bilateral upper lid blepharoplasty (Case #12526).
Case 04
This 50-year-old gentleman underwent bilateral upper and lower lid blepharoplasty (case #8370).
Case 05
This 57-year-old gentleman underwent bilateral brow pexy, upper lid blepharoplasty, and direct festoon excision (case #12228). Decision was made not to have a ptosis repair of the upper eyelid margin.
Case 06
This 71-year-old woman underwent bilateral upper lid blepharoplasty. The post-operative photo was taken 2 years after surgery (case #10189).
Case 07
This 77-year-old woman underwent bilateral upper lid blepharoplasty (case #10890).
Case 08
This 49-year-old woman underwent bilateral upper lid blepharoplasty (case #13220).
Case 09
This 81-year-old gentleman underwent bilateral brow lift and upper lid blepharoplasty. He had tightening of the lower lid to treat tearing (case # 14135)
Case 10
This 73-year-old gentleman underwent upper eyelid blepharoplasty (case # 7824).
Case 11
This 57-year-old woman underwent a left ptosis repair. Her left upper eyelid margin was elevated using an anterior approach, advancement of the levator muscle, and resection of the excess levator (case #12053).
Case 12
This 75-year-old woman underwent bilateral brow lift and upper lid blepharoplasty (case # 12351).
Case 13
This 65-year-old woman requested improved symmetry of her upper eyelids. She underwent a trans-palpebral brow-pexy and blepharoplasty to achieve improved symmetry without significant evidence of surgical change (case # 15724).
Case 14
This 50-year-old gentleman underwent bilateral brow lift, upper lid blepharoplasty, and lower eyelid blepharoplasty (Case # 13586).
Case 15
This 76-year-old woman underwent right side ptosis repair (Case # 8925).
Case 16
This 56-year-old woman underwent brow lift, upper lid blepharoplasty, lower lid blepharoplasty and fat grafting (Case # 4553).
Case 17
This 80-year-old woman underwent a previous ptosis surgery elsewhere. She was unhappy with the asymmetry. A right brow lift and bilateral upper eyelid surgery was performed to improve symmetry (Case # 61050).
Case 18
This 77-year-old woman underwent upper eyelid blepharoplasty (case # 11556).
Case 19
This 60-year-old woman underwent upper eyelid blepharoplasty (case # 7741).
Case 20
This 42-year-old woman underwent upper eyelid blepharoplasty (case # 8388).
Case 21
This 82-year-old woman underwent upper eyelid blepharoplasty (case # 15355).
