The eyes are often described as the gateway to the soul; however aging and a combination of loose hanging skin around the eyes can make some appear tired and older than they actually are. Loose skin over the eyes can also create pre-mature wrinkles to appear on the forehead by causing an extra strain on the eyes to open. Anti-aging creams and over the counter cosmetics can diminish or hide the signs of a tired appearance, but they can never fully correct the problem. For individuals who desire a long term refreshed appearance around the eyes and brows, a blepharoplasty (eye lid lift) and or a brow lift may be beneficial.
Depending on the condition of the patient, a full or partial blepharoplasty can be performed. By removing the excess skin and muscle around the top and or bottom of the eyes, will open and give them a livelier refreshed look. This will reduce the strain on the forehead as the eyes will be easier to open.
For the reduction of brow and forehead wrinkles, two surgical techniques can be used to rejuvenate these areas, an open brow and an endoscopic brow lift. The open brow lift is more suited for patients with a larger forehead with deep heavy wrinkles. The incisions are made at the top of the ears along the hair line to release and remove excess muscle and tissue, the surgeon then re-drapes the remaining tissue. For an endoscopic lift, 5 strategic incisions are made. An endoscope, (a small pencil thin camera) will be inserted into one of the incision sites to assist the surgeon from the inside to anchor tissue and muscle into place. The benefit of this technique is that it yields less scarring than the open brow lift; however this technique is more suited for patients with a smaller forehead with fine wrinkles. Both techniques share similar results, a plastic surgeon will determine which would be best for a patient during the consultation appointment.