If you are ready to learn more about how a blepharoplasty or brow lift can improve your look, request a consultation online with Dr. Steele, or call our office at (817) 731-5330. We serve patients in Fort Worth, TX and surrounding communities and we welcome patients who wish to travel from outside the Dallas-Fort Worth Metroplex.
– Micah Green
This 50-year-old Fort Worth area female did not like the tired look to her eyes secondary to excess upper eyelid skin…
This 55-year-old female did not like the tired-looking and angry appearance of her forehead and brow region. Dr. Steele identified her primary problem…
This 55-year-old female did not like her excess upper eyelid skin and lower eyelid bags. She felt that she appeared tired or angry…
When it comes to rejuvenating your eye and brow region, Dr. Steele will take the time to develop a unique surgical plan based on your individual anatomy and goals. Some patients benefit from eyelid procedures alone, while those with heavy, sagging brow often require a brow lift as well. Whether you’re a woman or a man, the following options can help you look younger and more attractive:
Upper Eyelid Surgery
An upper blepharoplasty will remove excess skin (and sometimes fat) from the upper eyelid to reverse a fatigued or grumpy appearance. The incision typically follows the natural eyelid crease and extends out toward existing crow’s feet. Because the scar falls in a natural eyelid crease, it is well concealed and rarely noticeable.
Lower Eyelid Surgery
Lower eyelid procedures are very effective for eliminating lower eyelid puffiness and bags. In some cases, the procedure can be performed entirely through the inside of the lower eyelid. This transconjunctival approach leaves no visible external scar. In some cases, a small pinch of skin can be removed in combination with the transconjunctival approach to address skin wrinkling. Patients with more advanced lower eyelid aging may benefit from a traditional lower eyelid incision placed just below the eyelashes. As with the upper eyelid, this incision heals quite nicely.
A brow lift or forehead lift can be quite effective by lifting heavy brows and opening up the eyes. A variety of brow lift techniques are available, and Dr. Steele will help you to choose the most appropriate technique for your situation.
Combined Eyelid Surgery and Brow Lift
Many patients have multiple changes contributing to their aged appearance. It is not uncommon for patients to have saggy brows that are improved with a brow lift and wrinkled eyelid skin that is approved with a blepharoplasty.
Minimally invasive procedures like Botox®, Juvederm®, and Restylane® can improve forehead creases, “parenthesis lines” between the eyebrows, and crow’s feet. These are very effective for younger patients with less advanced signs of aging.
Dr. Steele performs brow lift and blepharoplasty procedures under general anesthesia, typically as an outpatient. When combined with a facelift, an overnight stay may be necessary due to the length of the procedure. Bruising and swelling are typical. Ice packs and elevating the head as much as possible will help to minimize bruising and swelling. Dr. Steele will prescribe topical eye drops and medicated ointments for optimal comfort. Most patients can return to work after a week, though makeup may be needed to camouflage any residual bruising. Light activity can be resumed within a few days, but strenuous activity must be limited for about one month.
Are the scars visible?Blepharoplasty incisions are typically well concealed in the natural creases of the eyelid into the lateral crow’s feet and are hardly detectable. Brow lift scars are typically hidden along the hairline or in the hair. In some males with very deep forehead creases, a direct brow lift may be possible with the scars hidden in the forehead creases.
Is there eye irritation after surgery?Some patients will notice dryness after surgery, particularly patients with a history of LASIK surgery. Poor eye closure due to swelling can make the dryness and swelling worse. Topical steroids, antibiotic ointment, and artificial tears/gels can be very helpful for irritation after surgery. Any dryness or irritation will resolve as the swelling improves.
What about crow’s feet?Crow’s feet are fine lines around the outside of the eyes develop over time due to blinking, squinting, and smiling. Eyelid surgery may help improve these lines slightly. Skin care and skin resurfacing are more effective in reducing the appearance of fine lines. Botox® is very effective in minimizing crow’s feet when used before the lines become noticeable at rest. It can also help reduce the severity of existing lines.
What about my vision?Injury to the eye and reduced vision is an incredibly rare complication of eyelid surgery. Most patients will notice an improvement in their visual fields (particularly along the outer, upper aspect) after blepharoplasty and brow lifting due to elevation and removal of excess skin.
Can I just use Botox® instead of surgery?Younger patients with minimal aging can have significant improvement in the periorbital and forehead region by using injectables such as Botox®. Botox® can smooth active and fine lines and provide a subtle “brow lift” effective with targeted injections. Patients with more advanced aging and excess, hanging brow skin will have better results with surgery.
Brow lift, Facelift, or both?Many patients have extensive aging changes that require a comprehensive approach. A facelift will rejuvenate the midface, lower face, and neck, however a sad, tired look to the eyes and forehead will still leave the patient with an incomplete rejuvenation. Eyelid and brow surgeries can be combined with a facelift for optimal effect. This can be a lengthy procedure, so an overnight stay would generally be required. In patients with isolated changes to their eyes and forehead will do well with eyelid or brow surgery alone.
Will insurance cover my eyelid surgery?Some commercial insurance carriers may cover upper blepharoplasty if there is visual impairment. This requires an evaluation by your eye doctor with documentation of visual field deficits. Government carriers like Medicare typically will deny coverage.
What about my contacts?You will not be able to wear your contacts for 1-2 weeks due to irritation and poor tear film coverage. Dr. Steele will advise you when it is best to resume wearing your contacts.
What can I do to prolong my results?Results from facial plastic surgery are not permanent, but there are plenty of ways you can prolong the results and minimize recurring signs of aging. These include the following:
Good sun protection is especially important for optimal scar healing. Prolonged sun exposure increases and prolongs scar redness. Regular sunscreen use will also help maintain healthy skin, decrease the presence of fine lines, and decrease your risk of skin cancer.
A good skin care regimen including gentle cleansing, moisturizing, sun screen, and retinoid use is very helpful for maintaining a healthy skin appearance while minimizing fine lines. Topical antioxidants and a healthy diet are also very helpful.
Smoking has a significant impact on wound healing and accelerates facial aging. Nicotine causes restricted blood flow which results in wound infections, open wounds, and bad scars. It also causes premature aging and a sallow, discolored appearance. Best to quit smoking one month before and after surgery, and even better for your health to discontinue entirely. This applies to all nicotine products including chewing tobacco, vape cigarettes with nicotine, and nicotine patches/gums.
Dr. Steele will recommend topical scar therapy postoperatively for optimal scar healing.