by Dr. Steven Wallach
Most plastic surgeons would agree that the facelift is one of the most effective ways to rejuvenate the face and remove a decade or two from the profile. One thing patients don’t often consider during a facelift, though, are the eyes, which can be one of the first places that aging begins to show. Eyelid surgery, also called blepharoplasty, can be performed as a separate procedure, but it can also be performed at the same time as a facelift. Here are some reasons you might talk about your eye rejuvenation options during your consultation.
The traditional facelift generally focuses on the lower- and mid-face, smoothing out wrinkles and tightening the underlying structures. This can be great for things like smile lines, sagging cheeks, or even parts of the neck. Some patients, however, can still retain baggy or heavy eyelids that are the result of aging and loss of volume. Sometimes, a forehead lift can correct this, and sometimes a blepharoplasty is required. Because of the way a facelift works, it isn’t always easy to access the skin around the eyes and correct it, so another incision might be required.
Despite your great results with a facelift, you might not have the complete de-aging results you want if your eyes still appear heavy, baggy, or hooded. As you age, the natural fat surrounding your eyes can sink down into the bags and make the eyes appear tired. A blepharoplasty can remove the underlying fat and excise any extra, sagging skin, brightening up the eyes and the rest of the face.
Sometimes, hooded eyes can be caused by a sagging forehead instead of excess skin around the eyes or genetics. In some cases, though, a blepharoplasty can correct the issue without the need for an additional procedure with your facelift. A blepharoplasty usually results in more discreet scarring, as incisions are placed either within the fold of the upper eyelid or inside the lower eyelid. If you still struggle with forehead lines, you can consider your options for Botox® or other neuromodulators.
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