Complementary Plastic Surgery Procedures to Blepharoplasty
Blepharoplasty, or eyelid rejuvenation, is a popular procedure that addresses the aging effects on the upper and lower eyelids. However, the procedure is often not isolated but rather part of a broader approach that involves other complementary plastic surgery procedures. This article explores common procedures that are frequently combined with blepharoplasty to achieve optimal results in facial rejuvenation.
Forehead Lifts and Brow Positioning
When a plastic surgeon considers eyelid rejuvenation, the entire facial unit is often evaluated as an interrelated system. The position of the eyebrow can significantly influence the overall appearance and youthful look of the face. Sometimes, the simplest approach in blepharoplasty is to remove excess skin from the upper eyelids without addressing the positioning and shape changes caused by the eyebrow. This can lead to an incomplete or unsatisfactory outcome.
To ensure comprehensive results, a short-scar brow lift or a lateral brow lift is commonly paired with upper blepharoplasty. This combination addresses the positioning of the brow, which in turn enhances the overall shape and symmetry of the upper eyelids. By combining these procedures, the result is a more youthful and harmonious appearance.
Complexities of Lower Blepharoplasty
Lower blepharoplasty is more intricate and involves multiple factors that need to be considered. The lower eyelid-cheek junction, which connects the lower lids with the cheek, presents three primary concerns:
Puffiness and Pseudoherniated Lower Eyelid Fat
The first issue is puffiness under the eyes, often due to pseudoherniation of lower eyelid fat. This condition can be effectively managed by either an internal transconjunctival approach, where the fat is removed through the conjunctiva, or an external approach where the fat is accessed through an incision along the lash line. Both approaches aim to reduce swelling and improve the appearance of the lower eyelids.
Deepened Tear Troughs
Another critical aspect of lower blepharoplasty is the deepened tear troughs. These are the hollows that develop below the eyes and can be addressed by surgical or non-surgical methods. Surgical techniques involve fat grafting or exfoliation, while non-surgical options include injecting dermal fillers to restore a smooth contour around the eye area.
Malar Atrophy and Negative Vector Cheeks
The third concern is malar atrophy, which refers to the loss of volume in the midface. This can contribute to a gaunt and aged appearance. Negative vector cheeks, where the loss of volume creates a downward pulling effect on the skin, can exacerbate the aging look. Addressing this requires a holistic approach, often involving facial implants or fat grafting to restore cheeks to their natural contours.
Consulting with a Board-Certified Plastic Surgeon
Given the complexity of lower blepharoplasty, it is crucial to consult with a board-certified plastic surgeon who will conduct a thorough evaluation. The surgeon will provide a detailed examination and discuss various treatment options tailored to individual needs. Depending on the specific concerns, the surgeon may recommend a combination of procedures to yield the best results in rejuvenation.
Overall, when considering blepharoplasty, it is important to view the facial unit as a cohesive system. By addressing the interplay between the upper and lower eyelids and the surrounding structures, a comprehensive and visually cohesive outcome can be achieved. For those seeking a thorough and effective approach to facial rejuvenation, understanding the complementary procedures to blepharoplasty is essential in ensuring lasting and natural-looking results.