Eyes

Patient is a 49 year-old-female who feels that her eyes look puffy and tired despite getting adequate rest and watching what she eats. She would like more crispness of the upper eyelids and less wrinkles beneath her lower eyes.

Upper blepharoplasty with lower eyelid TCA chemical peel.

Patient is a 39-year-old male who has long standing asymmetry of the upper eyes. He likes the upper eyelid crease that is present in the left upper eyelid and would like them to match.

Right upper blepharoplasty with creation of supra-tarsal fold. He was delighted with the result.

Patient is a 56-year-old female who has long standing heaviness of her eyebrows and bags of the upper and lower eyes that make her feel tired and unapproachable. She is frustrated that her eyes make her appear much older than she is, as would like to look younger and more attractive.

Lateral temoporal endoscopic brow elevation, upper and lower blepharoplasty with canthopexy and fat transfer to lower eyes, mid-face, cheekbones, and nasolabial folds. Note that the lateral endoscopic browlift is an important component of the treatment plan as much of the lateral eyelid hooding is from lateral brow descent.

Patient is a 42-year-old female who feels that she constantly looks tired despite adequate rest, and is often asked such. She has also noticed that she has lost some of the youthful angularity of her face in recent years and would like to look more rested and youthful.

Bilateral lower blepharoplasty with fat transfer to lower eyes, midface, nasolabial folds, jawline, and corners of the mouth.

45-year-old female who felt that her eyes and sagging brow made her appear very tired and unhappy. This seemed to run in her family, and she desired to look fresher and more attractive.

Endoscopic brow lift, upper and lower blepharoplasty.

61-year-old female who desires to look more attractive. She feels that her eyes make her look sleepy and detract from the rest of her face.

Upper and lower blepharoplasty.

45-year-old female who feels that she has always had beautiful eyes that she was complemented on, but finds that in the recent past that she has to apply more makeup to accentuate them. She desires crisper upper eyelids.

TBilateral upper blepharoplasty.

34-year-old female who is constantly asked if she is tired when she is not. She would like crisper upper eyelids, and less puffiness of her lower eyelids. She would like to have her procedures done in the office if possible.

Upper blepharoplasty, lower blepharoplasty with TCA chemical peel, performed in the office under oral sedation with local anesthetic.

47-year-old male professional who also models. He is bothered by the wide appearance of the middle of his nose and nasal tip in photographs, and would like subtle changes that make him appear more refined while maintaining his masculine features. He would also like to address the extra skin of his upper eyes and droopy left upper eyelid so that his eyes appear crisper and more symmetric.

Rhinoplasty with refinement of nasal dorsum, repair of deviated nasal septum and sculpting of the nasal tip, with upper blepharoplasty and ptosis repair of left upper eyelid.

51-year-old female who has had significant sun exposure who feels that her eyes make her appear both fatigued and harsh. She would like to look both well-rested and prettier.

Upper and lower blepharoplasty.

48-year-old female who enjoys being out in the sun and has been a long time smoker. She realizes that as she ages, her face appears very tired and sad, just as her mother’s did. She is especially bothered by her eyes and forehead. She would like to look happier and more attractive.

Endoscopic brow lift, upper and lower blepharoplasty, fat injections to the lips.

51-year-old female who is of Irish descent with significant sun exposure and a desire to look younger and less fatigued. She has noticed rapid changes in her skin after menopause, and does not feel as old as she appears. She used to be complemented about her beautiful eyes and their almond shape.

Face lift, endoscopic brow lift, upper and lower blepharoplasty

41-year-old female who has always had very puffy upper and lower eyelids that are both familial and related to her allergies. She feels that they make her appear unhealthy. She desires to look well-rested and more attractive.

Upper and lower blepharoplasty.

52-year-old female who maintains an active lifestyle and enjoys being in the sun especially playing golf. She feels that her eyes make her appear much older than her stated age.

Upper and lower blepharoplasty

51-year-old female who is constantly asked why she is so tired. She feels that she looks much older than she feels, and would like to appear younger and more attractive.

Face lift, endoscopic brow lift, bilateral lower blepharoplasty.

53 year old female who feels that her heavy upper eyelids make her appear both tired and older than she feels. She would like to look fresher and well rested.

Bilateral upper blepharoplasty.

50 year old female who is often told she looks tired when she is not. Specifically she wants to address the puffiness of the upper and lower eyes and the deep shadowing of the lower periorbital region.

Upper and lower blepharoplasty with fat injections to the periorbital region.

39 year-old-female with familial “heavy eyes” that make her feel she looks tired and much older than her age. She desires a fresher more relaxed appearance. She also wanted more proportion of her jawline and chin but was afraid of a chin implant.

Upper and lower blepharoplasty with fat transfer to the lower eyelids cheekbones, jawline, and upper and lower lips.

32-year-old female who desired treatment of her heavy upper eyelids and desired a more attractive nose with more elegant tip definition with less bulbous tip. She wanted a nose that would naturally complement her facial features.

Rhinoplasty with narrowing and sculpting of the nasal tip, mild dorsal reduction and bilateral upper blepharoplasty.

32-year-old female who desires to address her heavy upper eyelids that she feels make her look both tired and unhappy. She would like to have this done in the office under local anesthesia.

Bilateral upper blepharoplasty performed in the office under local anesthesia with oral sedation.

29-year-old Asian female who complained of persistent puffiness of the lower eyes that made her look constantly tired and in poor health. She had tried different allergy medicines and adjustments in her diet, but the problem persists as it does in other family members. The patient also inquired about the hollowness beneath her eyes that seemed to accentuate the fullness.

Transconjunctival lower blepharoplasty (no external incisions) with fat transfer to face for a total of 8cc including lower eyelids and midface. Notice how much healthier and attractive she appears with addition of the fat to the midface.