Eyelid Lift (Blepharoplasty)
“I’m tired of looking tired!” The eyes are incredibly expressive. We can interpret the full array of human emotion with tiny movements in and around the eye. Blepharoplasty an incredibly powerful way to rejuvenate the face.
We all age in 3 ways. We get sun spots, we lose volume (fat), and we lose skin elasticity. The rate at which these occur depends on your heritage and your degree of exposure to the environment (sun, smoke, etc).
Lower Eyelid Surgery
The bags under your eyes are the product of fat loss in the cheeks. The fat around the eyeball does not change along with the fat pads of the face. As the volume in your cheeks decreases, the normal amount of fat around the eyes is exposed to a greater extent and makes it look like it is bulging.
The current method with which we correct lower lid bags is a blending of the lid-cheek junction to create youthful contours of the lower eyelid and cheek. This typically requires fat transfer to the cheeks and rearrangement of the fat around the eyes in order to smooth the transition from lower lid onto the cheek. Once the volume is replaced, then a tiny incision is made to get rid of any excess skin.
Upper Eyelid Surgery
While the lower eyelid can cast a shadow and give us bags or dark circles, the upper lid is critically important to our ability to see. It moves much more than the lower lid in its effort to protect our eye and works together with the eyebrow to optimize our vision.
The Aging Eyelid
As we age, our eyebrows begin to descend, but our upper eyelids are constantly sensing the amount of weight placed upon them and send signals back to the forehead to lift the brow in order to optimize our vision. As the brow drops further, the signals become stronger to lift the brow and we begin to see lines across our forehead. Our body is so good at coordinating this relationship that we don’t need to think about it. We never see the eyebrows drop to their true, position until you close your eyes.
The eyebrow and eyelid work together
Removing upper lid skin could take away the signal to lift the eyebrow and then after surgery you may find that your eyebrow droops more than it did before surgery. Additionally, once the eyebrow has been lifted to its normal, youthful position, the “excess” skin of the upper lid, may now be just the right amount of skin for normal function and contour. Dr. Rankin will make sure that your receive the procedure you need to achieve beautiful, durable results.
A word on the function of the upper eyelid. There is a muscle called the levator that lifts the upper eyelid when your eyes are open. If you have noticed that one eyelid sits lower than the other when your eyes are open, this may be due to weakness or even disruption of levator attachments to your eyelid. Restoring the normal relationship of the levator to the eyelid margin can restore normal function, symmetry and make you look more alert and rested.