An alert, attentive expression is a positive thing—especially when compared to the alternative of a tired-looking face that conveys disinterest and exhaustion. The eyes are a particularly important feature in this, which is why sagging of the upper half of the face can be a problem. A forehead lift can address a drooping brow, while lax upper and lower eyelids can be corrected with eyelid (blepharoplasty) surgery. Toronto plastic surgeon Dr. Wayne Carman performs both procedures, emphasizing their different, but complementary benefits to patients who want to know more about each.
Identifying the cause of unwanted drooping is key to correcting the problem, since cosmetic issues that originate in the brow will not be altered by eyelid surgery, and vice-versa.
Aging causes the forehead to develop wrinkles and furrows, and eyebrows can appear heavier over time. Through small, judiciously placed incisions behind the hairline, Dr. Carman uses endoscopy techniques to work beneath the forehead skin to lift and re-contour the brow area for a smoother elevated look.
As time passes, gravity and skin laxity also takes its toll on the eyelids, causing the upper lids to sag and crinkle and lower lids to pull away from the bottom of the eye. Fat beneath the skin can also form pouches beneath the eye, creating a puffy, tired look.
Eyelid surgery, more properly known as blepharoplasty, can be performed on the upper lids, lower lids, or both. Upper eyelid surgery involves removing and tightening tissues to create a smoother contour. This procedure may even help to improve vision, if the sagging skin was sufficient to cause a physical obstruction to sight.
Lower eyelid surgery also involves tightening tissues, and is done in a way to preserve the natural protective coverage of the eye itself. Fatty pouches are often repositioned or removed as necessary.
Blepharoplasty and a forehead lift procedures can be performed individually, or they may be combined for ideal facial rejuvenation. Some patients may also choose to address the dynamic wrinkles on the sides of the eyes and on the forehead with BOTOX® injections, further improving their youthful, rejuvenated look.
Learn more about the options for rejuvenating the upper face—including a forehead lift and eyelid surgery—in Toronto by calling Plastic Surgeon Dr. Wayne Carman at (416) 322-7108 or 1-888-451-1140, or visit www.drcarmanplasticsurgery.com.Written by Wayne Carman
Dr. Carman is a Toronto Plastic Surgeon practicing breast, body and facial cosmetic surgery.