Out of all the facial features, the eyes are often the first to show signs of aging and gravity. Dr. Nirav Savalia, a trusted Newport Beach plastic surgeon, sees many patients in their 40s, 50s and 60s that are concerned with the way their eyes look and are curious about a treatment solution. Here, Dr. Savalia explains the most common ways the eyes age, and discusses some of the best solutions to these problems. Continue reading “What Happens to the Eyes as You Age (and How to Correct It)” »
BOTOX® Cosmetic and eyelid surgery, or blepharoplasty, are both common treatments for signs of aging in the eye area, BOTOX® is a nonsurgical injection that relaxes the facial muscles that create dynamic wrinkles, while eyelid surgery addresses overhanging eyelid skin that can give the eyes a drooping appearance. But when it comes to treating crow’s feet—the wrinkles extending from the outer edges of the eyes—is one option better?
The Nature of Crow’s Feet
Crow’s feet are dynamic wrinkles. This means that they are caused by repeated muscle movements. I find that treating dynamic wrinkles is best done with muscle relaxants like BOTOX®, which temporarily cause the targeted muscles to relax, smoothing out crow’s feet. By comparison, eyelid surgery cannot actually treat crow’s feet, since crow’s feet are not a result of loose or baggy skin.
However, eyelid surgery has other cosmetic uses. I commonly use eyelid surgery to improve the appearance of men and women who have puffy bags under the eyes or redundant eyelid skin that gives the appearance of being constantly tired or obstructs vision. While many of my blepharoplasty patients elect to have the procedure to address signs of aging, others use eyelid surgery to improve their natural eye shape regardless of age.
If you’re considering the benefits of either BOTOX® or eyelid surgery, you may find that a combination of both is the right approach for you. While eyelid surgery can bring a refreshed, alert, and youthful appearance to the eyes, BOTOX® can smooth out crow’s feet, frown lines, and under-eye lines, taking years off of your facial appearance.
If you feel like your eye area looks noticeably older than the rest of your face, you might benefit from cosmetic surgery… but which procedure should you choose? While guidance in finding the right option to help you meet your cosmetic goals should be on your list of must-haves for a good facelift surgeon, there are a few test questions you can ask yourself when you can’t decide between a brow lift and an eye lift.
1. Are You More Concerned with Droopy Lids or a Heavy Brow?
When the upper brow loses elasticity and takes on a heavy appearance, a brow lift can effectively raise the forehead back to correct excessive overshadowing of the eyes. However, when the eyelids themselves become droopy, an eye lift may be needed to eliminate excess skin.
2. Are Frown Lines or Under-Eye Bags More Prominent?
Brow lifts can do wonders for deep frown lines that develop in between the eyebrows and just above the nose by tightening the muscles that support the brow. When bags under the eye become overly prominent, an eye lift can remove fatty under-eye deposits and help lift and firm the delicate skin below the lash line.
3. Do You Look More Tired or Angry?
This is the question can really help you distinguish what procedure will help you the most. Patients who describe themselves as having a tired appearance typically benefit the most from an eye lift, while patients who feel they always look angry or stressed (even when they aren’t) usually need a brow lift.
Remember, an eye lift and a brow lift are complementary surgeries that are often performed together. If you answered “yes” to all these questions, having both procedures might deliver the best results.
Noticing that your reflection in the mirror is starting to look older than you feel can definitely be unsettling. For my patients who are concerned about early signs of aging but are not ready to commit to a facelift, I recommend a few alternatives they can try for great results.
1. BOTOX® and Injectable Fillers
BOTOX® was the most popular nonsurgical cosmetic procedure performed in the United States last year, according to the 2013 plastic surgery statistics from the American Society of Plastic Surgeons. BOTOX® can smooth away dynamic wrinkles and work preventatively to keep skin looking younger, while dermal fillers like JUVÉDERM® can restore lost volume to minimize deeper lines like the nasolabial folds.
2. Fat Transfer
As a natural alternative to synthetic fillers, I can add volume to the midface for a more youthful look or diminish wrinkles using fat cells taken from your own body. This microfat grafting offers organic, lasting results for facial rejuvenation.
3. Eyelid Surgery
Eyelid surgery is a wonderful solution for helping men and women look younger without a facelift. The delicate skin around the eyes makes this area particularly susceptible to showing signs of premature aging. With eyelid surgery, I can lift droopy lids and remove bags below the eyes for a well-rested, more alert appearance.