I have been a board-certified plastic surgeon specializing in facial procedures for nearly thirty years, and in that time the region of the face that people have asked about most often is probably the area around the eyes. This is hardly surprising, since the eyes are the focus of most of our social interaction and the thin skin in this area is particularly vulnerable to the ravages of time. There are actually a few different factors that can contribute to “old-looking” eyes, but fortunately there are a variety of different facial plastic surgery procedures that can help address them.
Frown Lines and Crow’s Feet
As skin grows older it becomes less elastic, so creases and wrinkles can start to form in places where the skin needs to stretch and shift frequently. Since virtually every facial expression requires subtle shifts in the tiny muscles around the eyes, this location is often one of the first places where wrinkles appear. Typically, this includes the fine lines radiating from the corners of the eyes, commonly called “crow’s feet,” and vertical creases over the bridge of the nose, or frown lines. Cosmetic injectable treatments, like Botox® or Dysport®, can relax muscular activity and effectively smooth out these wrinkles for three to six months following a single, fifteen-minute office treatment.
Sagging and Drooping Eyelids
The effects of gravity and reduced tissue elasticity on the paper-thin skin of the eyelids can make them sag and droop. When the eyelids hang lower, portions of the eye become hooded, and the patient can appear to be continually tired, bored, or even angry. By surgically removing tiny amounts of excess skin, a upper blepharoplasty can relieve sagging eyelids and reveal more of the eye, making the patient appear more rested and giving them a generally more youthful appearance.
Puffy Under-Eye Bags
Many patients complain that, as they get older, dark circles and puffiness under the eyes become much more noticeable. This is largely because gravity tends to gradually pull the face’s natural fat deposits downward, so that they collect in the recesses between the eyes and the cheek bones. During a lower blepharoplasty, or lower eyelid surgery, I can use fat transfer techniques to remove or reposition some of this fat. Not only can this help alleviate puffiness, but it can also restore lost volume in other areas, giving the face a youthful fullness and potentially taking years off the face’s appearance.
Every face is unique and requires its own customized approach, so if you are interested in finding out exactly what specific facial plastic surgery procedures would be best for you please contact me, Dr. Fernando Burstein so that we can schedule a full consultation. Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.