The vast majority of personal interaction has always occurred face to face. In fact, advancements in teleconferencing and video chatting have made the face a focus of communication even across continents. Unfortunately, the upper third of the face, where the majority of attention is focused during conversation, can be one of the first places to manifest the signs of aging. Frown lines, crow’s feet, and many of the other wrinkles that result from years of animated expression all surface in the area around the eyes and forehead. As a board-certified plastic surgeon specializing in facial procedures, I have spent a great deal of time perfecting techniques for alleviating signs of aging in these key areas.
Over the years, the skin loses its natural elasticity and begins to sag. In the upper face, this typically means that the skin begins to slide lower, creating deep furrows in the forehead and giving the brows a heavy, hooded appearance. A brow lift, or forehead lift, works to reshape and smooth the forehead and tighten the underlying muscles in order to lift the brows to a more alert and youthful position. I can often diminish the appearance of scars in this procedure through the use of short incisions hidden within the hairline or by using an endoscope in what is known as the “key-hole” technique.
Brow lift surgery is often complimented by eyelid surgery, or blepharoplasty. Fat deposits can accumulate in the upper and lower eyelids, making the eyes appear puffy and the eyelids droop. This can make you appear constantly tired and, in some cases, even obstruct vision. A blepharoplasty can be performed on the upper or lower eyelids, or both, to remove fat deposits and excess skin, leaving the eyes looking refreshed and alert. It is even sometimes possible to achieve some of these results without leaving any visible scars through the use of transconjuntival incisions.
Additionally, a chemical peel can be performed during or after either of these facial plastic surgery procedures to even out the skin’s tone and texture. In most cases, I prefer to use trichloroacetic acid (TCA) peels because they are relatively mild, unlikely to negatively affect pigmentation, and allow for a faster recovery than most other chemical peels. While a mild 15% TCA chemical peel can be done in-office to address minor signs of aging or skin imperfections, I use a stronger 30% TCA peel in the operating room in conjunction with surgical procedures to minimize the appearance of scars, promote collagen production to speed the natural healing process, and generally maximize facial plastic surgery results.
If you are interested in learning more about a plastic surgery procedure I perform, please contact us today. Also be sure to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.