Cosmetic Eyelid and Forehead Surgery

Cosmetic Concern: 54-year old woman who feels her appearance makes her look tired. She wants to refresh her appearance but wants the results to look very natural.

Diagnosis:

1. Hooding of the upper eyelids.
2. Bilateral eyebrow ptosis.
3. Full lower eyelids due to herniation of the orbital fat.
4. Lower eyelid wrinkles.
5. Midface ptosis

Treatment:

1. Bilateral endoscopic forehead lift.
2. Bilateral upper eyelid anchor blepharoplasty.
3. Bilateral lower eyelid transconjunctival blepharoplasty.
4. Bilateral midface lift.
5. Bilateral lower eyelid chemical peel.

Discussion: In this instance, a very detailed approach was needed to comprehensively improve her eyelid area. Pushing a single approach too far causes an over-operated appearance. Her appearance is very natural because of the detailed problem oriented approach to addressing her aesthetic concerns.