One of the things that I have learned in more than twenty-five years as a board certified plastic surgeon and otolaryngologist specializing in facial procedures is that there is almost always more than one path to the same goal. While we may all want to reduce the signs of facial aging, like fine lines, wrinkles, and sagging, every patient is unique and brings to the table their own specific obstacles that must be taken into consideration. Fortunately, there is a vast array of plastic surgery techniques available, many of which can achieve similar results in subtly different ways. This truth is particularly evident when dealing with facial aging around the eyes, forehead, and in the upper third of the face.
The area of the face around the eyes is obviously the focus of most of our personal interactions, so it can be subject to a great deal of scrutiny. However, because the tiny muscles responsible for changes in expression keep the face in almost constant motion, this area is also one of the first to manifest the signs of facial aging. As the skin loses its natural elasticity it slowly begins to sag and droop, sliding lower on the face and creating deep furrows in the forehead or giving the brows a heavy, hooded appearance. While several different plastic surgery procedures can help tighten the underlying musculature and smooth the sagging skin, it is my philosophy that the most subtle, natural-looking results can be attained by combining smaller, tightly-focused complementary procedures to achieve a synergistic effect.
A full face lift, for example, can remove or tighten excess, sagging skin and effectively eliminate wrinkles and droopy areas across the entire face. However, a brow lift, or forehead lift procedure, is designed to alleviate forehead wrinkles, frown lines, brow furrows, and sagging eyebrows specifically, achieving customized results with less extensive surgery. In some cases, I can even use an advanced, endoscopic “key-hole” technique that reshapes and smooths the forehead with only minimal surgical incisions. The appearance of the upper third of the face can then be further improved by enhancing the effects of the brow lift with a blepharoplasty, or eyelid surgery. Removing excess skin and fat deposits from the upper or lower eyelids, a blepharoplasty can correct puffy, droopy eyelids and leave the eyes looking more refreshed and alert. Used together, these two procedures can rejuvenate the entire area around the eyes without the need for more comprehensive plastic surgery, and combining minor surgical procedures into a single hospital visit can help save on costs and reduce the overall amount of time spent in recovery.
If you are interested in discussing what approach would be best suited to your specific facial rejuvenation needs, I would welcome you to contact me, Dr. Fernando Burstein, to schedule a consultation. Keep up with the latest plastic surgery news and events by connecting with me on Facebook, Twitter, and Google+.