Over time, the long-term effects of gravity, exposure to sun, smoking, and genetic factors takes its toll on an individual's facial appearance. Jowls can develop under the jaw line with folds and fat deposits. Sometimes creases begin to form between the nose and the mouth. A facelift can considerably reduce these signs of aging by removing excess fat, tightening the underlying muscles, and redraping the skin around the neck and face. Facelifts can be done alone, or frequently performed in conjunction with another procedure such as a brow lift, eyelid surgery, or nose reshaping. If your problem areas are limited to the neck, a more conservative procedure, known as a "neck lift" will be recommended.
In some patients, excess skin and fat in the neck or under the chin may be the most prominent sign of overall facial aging. Correction of these changes may include liposuction under the chin area, repositioning of neck muscles, and skin resection as described previously for a facelift. Your surgeon will be able to point out your problem areas and recommend treatment designed specifically for you.
A forehead lift or "brow lift" is used to correct a drooping brow line (eyebrow area) reducing the horizontal lines and furrows (worry lines) that often make a person appear angry, sad or tired. The procedure creates a refreshed, youthful appearance to the forehead area above the eyes. When performing a forehead lift procedure, muscles and tissue areas that droop or cause creases are removed or corrected to smooth the skin on the forehead to reduce frown lines and raise the eyebrows. There are two surgical methods, and during your initial consultation the procedure that works best for you will be recommended. The first is the most conventional method where a surgical incision is hidden just above the hairline. Brow lifts are also performed using an endoscope which enables the procedure to be performed with a minimal number of incisions. While the traditional method can sometimes attain more lift, both methods create smoother, flatter skin on the forehead.
Eyelid Surgery (blepharoplasty)
Eyelid surgery (Blepharoplasty) is designed to remove excess skin from the upper and/or lower eyelids. The procedure removes folded skin in the upper lids that tend to sag with time and the puffy bags below the eyes. In some cases, excess fat may be removed or redistributed to create a smoother, more pleasing appearance in the area of the eyes. The procedure usually takes about 1.5 hours for upper or lower eyelids and 2.5 hours for all four eyelids. The procedure is generally performed with twilight anesthesia as an out-patient. Blepharoplasty can be done as a single procedure, or in conjunction with other facial surgery such as a facelift or a brow lift.