Choose the right procedure for tired looking eyes

Tied looking eyes develop for several different reasons associated with aging, so a proper diagnosis is critical to obtaining younger more open looking eyes without looking operated. No two eyes are the same, even in the same face, an careful analysis of the entire upper face in needed to design a procedure specifically for each patient. We’ve all seen the scary looking results on Burt Reynolds and Kenny Rogers, they were given a women’s brow arch which does not look right on a man. Doing the right procedure on each patient avoids those bad results.  Soft or heavy brows often contribute to excess upper lid skin, and some form of brow lift is needed. The lower lid puffiness treated with fat removal in the past created a flatter, smoother eyelid but not a younger looking eye. State of the art fillers often give a better result than surgery. When necessary, excess upper lid skin must be removed gently to minimize swelling and should be accompanied by muscle and fat sculpting to get an optimal aesthetic result. All brow and eyelid procedures can be performed in the spa surgical area with topical and local anesthetic for the safest technique and the fastest recovery. Medications by mouth and a soothing massage prepare even the most anxious patients for a remarkably pleasant and almost pain free experience. I have not had an infection or major complication with eyelid surgery in 20 years.

Upper Lid Blepharoplasty

When tired looking eyes are caused by excess tissues of the upper lid, the skin, muscle, or fat can be removed to expose a deeper, smoother upper lid crease and a more open eye. Bulging fat pad and thick muscle causes hooding that can be sculpted. A special crimping of the skin is done to ensure precision in skin removal. Topical and local anesthetic is all that is needed and fine dissolving stitches are used to eliminate to need for painful stitch removal. Bruising and swelling a kept to a minimum with a gentle touch and meticulous technique and usually resolves in 7-10 days. Many patients have returned to non-exertional work in as little as four days.

Lower Lid Blepharoplasty

The tired appearance caused by puffy, hollow, wrinkled lower lids comes on due to a loss of supporting fat under the muscle that keeps the eye smooth and full in youth. Rejuvenation of the lower lid may include removal of a small amount of skin in extreme cases but most commonly involves non-surgical filling of the hollow under the eye and restoring cheek contour in many cases. Sculptra, a collagen stimulating filler, or Radiesse can be used in many cases. When only the tear trough or dark circle toward the middle, is involved, Evolence®, the new collagen is used in my cases for a really soft rested look.

Brow Lift

Since the majority of brow laxity is within an inch of the eye, I rarely do full forehead lifts, why tear up a whole forehead just to get to the rim of the eye?  Pelleve’ Skin Tightening can smooth creases and contract skin, which gives a lift to the brow and adds new collagen to the skin. In many cases forehead wrinkles are literally “ironed” away. I perform a brow suspension to properly position a sagging brow, through the upper eyelid incision, eliminating the need for a prolonged recovery and visible scars. By putting the brow in the proper position, different for men and women, the overall open eye result is achieved.

Your eyes should be the first thing people see when looking at your face and they can be open and vibrant or heavy, hollow, and tired looking. If you are aging around the eyes and feel younger than you look, come to Spago Dayspa, Medispa, and Salon for a complimentary comprehensive consultation and find out what you need to get younger more rested looking appearance.