The Eyes are an Important Part of Full Facial Rejuvenation

Upper and lower eyelid surgery are important and integral parts of full facial rejuvenation, in order to obtain the most natural effect.

Along with the front of the neck, the eyes are the first things you look at when you meet a person, and one of the first features that changes as they age.  Plastic surgery of the eyelids historically is challenging and has inspired a wide spectrum of surgical techniques.  Although upper and lower blepharoplasties are often performed along with a facelift,  some surgeons avoid eyelid rejuvenation because of the potential for long-lasting complications and an unnatural look if it is not done correctly.

Eyes look old when they begin to sag, bulge, wrinkle, and become hollow.  Older patients often complain of sagging skin and excess wrinkling, which also makes their eyes look tired.  Even younger patients who request plastic surgery of the eyes have noticed a change in the shape of the eye, including the beginnings of saggy upper eyelids, or bulging lower eyelid fat, which will give them a tired look.

One of the reasons eyes look old is that fat pockets in the face begin to increase, or deflate, and change shape, with separations forming between them.  This makes transition zones like the lower lid and cheek junction more obvious. This phenomenon is sometimes more marked in men than in women.   A blepharoplasty attempts to remove or shift the fat pockets and skin to restore the eye to its original shape, or as closely as possible.

Steps involved in achieving the most natural looking effect from eyelid surgery involve:

1.    Augmenting the supportive deep malar fat compartment in the cheek by soft tissue injection
2.    Preserving the lower lid muscle with minimal fat removal (if at all)
3.    Removing minimal skin

The goal of the eye rejuvenation is to minimize structural changes in the face and avoid the unnatural wind-swept look of old-style facelifts that can make the skin look shiny and features look strained.

Key elements of the eyelid rejuvenation process are restoring and preserving the natural shape and contour of the eye by preserving fat, preserving eyelid muscles at all costs to make it safe and keep the eye from becoming dry as we age, and restoring the deep malar fat compartment in order to blend the eyelid-cheek junction.

But before it is necessary to undergo a blepharoplasty or facial rejuvenation, we suggest avoidance of sun exposure, use of sunscreen which will go a long way in putting off premature aging of the face. Many people use botox and soft tissue fillers to the face which can help to prolong a youthful look.