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| Patient A (before) |
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The Cause:
The face is held together by both bone and soft tissue elements. As a person ages, both elements lose their structure and strength. The changes can lead to aging. Within the eye, the ligaments holding up your eyebrow begin to weaken and the result is the descension of the eyebrow towards the eye or iris. The descent of the eyebrow itself can lead to a tired or angry look. With its lowered position, the ligaments that hold up the eyelid have a constant pressure placed on them. This pressure weakens the ligaments and soft tissue elements that hold it up and together. The consequence is a loss of the eyelid crease's distinction in the upper eye. The fat within both the upper and lower eyelids begin to protrude outwards giving a puffy appearance. All of these forces add to make a person's eyes looked aged and tired. Within the cheek area, the loss of fat in the substance of the cheek coupled with the weakening of the ligaments and soft tissue scaffolds that hold the cheek up lead to descent of the lower lid. A line develops underneath the eye and the lower eyelids fat pockets also protrude secondarily due to the weakening of the supports located there. The weakening of the supporting elements also effects the angles produced by the alignment of the eyebrows and eyelids themselves. A youthful beautiful eye and eyebrow should be at 9 and 18 degrees from the horizontal, respectively. As the ligaments within the eye lose their resilience, the lateral brows and lateral edge of the eyelids descend further adding to a droopy quality to the appearance of the eye. The loss of the angularity leads to a loss of the association of the eye and eyebrow shapes with other structures of the face which people see a subconscious connection with. The effect is a loss of balance, association, and harmony. The ultimate result is an unaesthetic quality placed on the particular face by the observer. |
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| Patient A (before) |
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The Treatment:
As discussed under the browplasty section, you can alter the way the brow looks through surgical elevation of the eyebrow. The eyelids can also be addressed by removal of any excess skin. The beauty of the eye can also be improved by the recreation of a distinct eyelid crease. Both of these possibilities are readily addressed by a blepharoplasty. To remove the excess skin, we make an incision at the level where the future eyelid crease will be and then another incision where the excess skin can be removed just at the right amount. To recreate the eyelid crease, a little special suturing is all that is needed to recreate its action to correctly beautify the eye. Even the angularity of the eyebrows and eye fissure can be altered to make the eye appear younger and more beautiful. Importantly, in order to make an eye beautiful, one must know what elements in particular makes an eye beautiful. If a surgeon doesn't know what makes an eye beautiful than how can you as a patient expect him to achieve just that. This is where an understanding of the theories of facial beauty come in to play a vital role. |
