This 61 year-old woman wished rejuvenation of her face, neck and eyelids. She wanted to lift and tighten the skin of her face and neck, define the jawline, remove the fullness under her chin and reduce the jowling. In addition, she wanted to remove the excess skin in her upper eyelids.
This 49 year-old woman wished rejuvenation of her brow, face, and neck. She wished to remove the lines in her brow, permanently. She also wished to lift and tighten the skin of her face and neck, reduce the fullness under her chin, and redefine her jawline.
This 69 year-old woman had a complicated past medical history that contributed to her lid droop. First, she had a tumor removed from the front of her skull that left her with a bony depression in her forehead. During the surgery to remove the tumor and repair the bony defect, there was an injury to the nerve that stimulates the elevation of the brow muscle. An ophthalmologist mistakenly attributed the drooping to excess upper eyelid skin, and performed a blepharoplasty to remove some skin. In fact, the problem was not extra eyelid skin, but a drop in brow position. When I saw this patient in consultation, I recommended direct brow lift surgery to restore proper brow position. NOTE: This patient was lucky that her prior surgeon removed only a minimal amount of upper eyelid skin, or she might not have been able to fully close her eye after the direct brow lift surgery.