What can one do for bags under the eyes? For many years, patients would come to me asking to remove the bags under the eyelids, saying the bags made them look old and tired. I usually recommended a standard blepharoplasty or Eye lift. That involves making an incision right under the eyelashes, lifting skin and the muscle that is right under the skin. I would then remove the fat. It was the standard solution but it had several drawbacks.
Many young women come to my office when they start noticing a little bit of ‘extra skin’ on their eyelids, or sagging upper eyelids. They have heard about Eye lifts (blepharoplasty), and how easily it can be performed- under local anesthesia. Naturally, they are very interested because the procedure is performed in the office and takes only 1-2 hours. However, the Upper eye lift is not an ideal procedure. I don’t think the results are as good as a brow lift. Furthermore, if too much skin is taken off, the eye lids will have a had time closing and the patient can suffer with dry eye syndrome. In fact, I usually prefer to perform a Brow Lift instead of an Eyelift in order to achieve a better result. The Brow Lift will elevate the brow to it’s youthful position, and in the process it will lift the upper eyelids. The result is a refreshed natural appearance.
Most patients who come to my office don’t come in asking for a full facelift. Most come asking for a specific face procedure to “make them look younger”. If they are relatively young, they focus on the nasolabial folds the lines that go from the side of the nose to the corners of the lips). Or they may mention the lips, how they are getting thinner. If they are somewhat older, they will focus on the jawline and neck. I listen to them, because that is what they are concerned about, but then I have to ask: Do you want to look better to yourself or to others?
Today I got a very nice letter from a patient who had consulted with me about Eyelid surgery. I had recommended a Brow lift with a mid Facelift. She thanked me for a very thorough and knowledgeable consult, but decided to go ahead and get just her eyelids done by an ophthalmologist who does Plastic surgery. This is an issue I encounter often, and I thought I would write my thoughts down in case anybody can benefit from this. First of all…