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EYELIFT | BLEPHAROPLASTY & OTHER OPTIONS
By Seattle's Bellevue Eyelift Expert Dr. Philip Young & Vanderbilt Trained Dr. Rikesh Parikh

Watch us Remove Lower Eyelid Fat in HD with this live video. A brief history and introduction is included.

Click here to see more Eyelift videos with our Eyelift Blepharoplasty Playlist!

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.


You don't have to look tired all the time. Feel more Confident Today & Dramatically freshen your look through an Eyelift.


Before Upper Blepharoplasty | Eyelift and Sutures to Recreate the Upper Eyelid Crease

After Upper Blepharoplasty | Eyelift and Sutures to Recreate the Upper Eyelid Crease

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

“I absolutely love the change in my eyes that Dr Young did. People tell me: ‘Wow, I can’t believe your eyes and face look so good – I don’t know what it is, but you look so much better!’ Dr Young you really did a great job!” - WV 60's Caucasian Female from King Couny, WA

 

Click on this link to See Dr. Young's Own Experience with Fillers for Under Lower Eyelid Hollows

Eyelift | Blepharoplasty & Other Options:

 

One of the earliest signs of aging occurs around the eyes, which may cause baggy skin | eyebags, puffiness, wrinkles, dark circles, hollowing and vision problems, along with a general aging appearance. There are mulitple treatments to restore the eye area’s natural beauty, including temporary options like Botox® Cosmetic | Dysport® to weaken the muscles that cause frowning and injectable dermal fillers to rejuvenate the eye area, such as Restylane®, Perlane®, Radiesse® and Juvéderm®. More permanent procedures are also available. We will discuss all of these options below in more detail. You can click here to find out about Eyelid Lift Surgery Costs | Prices:

Botox® | Dysport®:

Neuromuscular Products, like Botox® | Dysport®, can be used to help with the wrinkles around the eyes. When placed in between the eyes, it can decrease the vertical wrinkles in this area. These wrinkles have been commonly referred to as the “Elevens” wrinkles. You can also place Dysport® / Botox® on the sides of the eyes to help the crows feet. When the “Elevens” are treated along with the crows feet, there is a tendency for your eyebrows to elevate which can further improve the appearance of the eyes through what people call the “Liquid / Chemical Brow Lift”. Some of the wrinkles under the eyes can also be improved by Botox® and Dysport®.

Browlift:

Browlift procedure is another option to rejuvenate the appearance of the eyes. By lifting the eyebrows, the eyes achieve a lightening affect. The brows are less likely to cast a shadow on the eye and in turn brightens their appearance. Also through a brow lifting procedure, some of the extra skin in the upper eyelids can be pull upwards and away from the eyes. This can further achieve enhancement of the eye aesthetics as well. When should you consider a browlift? Dr. Young believes that the distance between the eyelid margin (where the eyelashes are located) and bottom of the brow should be ideally around one iris width in distance (the colored part of the eye). If you are at this distance, then a brow lift may not be the best option. You can still lift the eyebrows more than this distance. But when it gets to be much greater than an iris width, a surprised look will result (anything more than 1 1/2 iris widths). The Browlift is mainly used for the Upper Eyelid Area and Eyebrow Area and not used predominately for the Lower Eyelid Bags and Hollows.


Before Brow Lift | Brow Bone Reduction | Cheek Implants | Hairline Lowering | Rhinoplasty | Chin Reduction | Permalip Lip Implants

After Brow Lift | Brow Bone Reduction | Cheek Implants | Hairline Lowering | Rhinoplasty | Chin Reduction | Permalip Lip Implants

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Facial Implants:

Facial Implants are an option for rejuvenating the eyes. Specifically, most of the time facial implants are used for lower eyelid rejuvenation. Through a tear trough implant, you can volumize the area under the lower eyelid along the inferior orbital rim. This implant throught this placement tends to decrease the hollowing under the lower eyelid and improve the lower eyelid bags in this area. The procedure is performed usually through an eyelid incision that runs just under the eye lashes in the lower eyelid. Sometimes you can make the incision inside the eyelid which is called the transconjunctival approach. The above before and after also shoes an example of Facial Implants used to improve the Lower Eyelid Bags | Dark Circles. The person above had inferior rim implants placed:

Fillers:

Injectibles | Fillers can be used to improve the eye through lifting of the eyes from the volumizing effect that it can create. A Volume Loss plays a major and predominant role in aging of the face. Your face drops back towards your face and then down. When you Volumize & Rejuvenate with Fillers, the face is pushed back out and up in the process, hopefully exactly where it started before the aging process. Traditional procedures tended to pull back and up, which is different from where you began before the aging process. This is an interesting link on the YoungVitalizer that describes this process of aging with volume loss: YoungVitalizer IntroductionFillers can fill in the hollow under the eyes much in the same way as the tear trough implant. But can be more versatile in that you can place the filler in areas other than just the inferior orbital rim. The drawback would be the temporary nature of fillers. Most fillers last between 6 months to a year, although in the lower eyelid the longevity has been found to be longer. Fillers can rejuvenate the upper eyelids by filling the hollowing in the upper eyelid and by lifting the eyelid as well through judicious placement. This is a rather new area of practice for most physicians, so you want to go to someone with a lot of volumizing experience like Dr. Young.

Below is an example of Fillers for Lower Eyelid Bags and Dark Circles:


Before Restylane® Blepharoplasty | Injections to Lift the Lower Eyelids and for Cheek Augmentation

After Restylane® Blepharoplasty | Injections to Lift the Lower Eyelids and for Cheek Augmentation

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

“When I wake up, I don’t look sick or 60 anymore. And I don’t need to wear as much make up! Thank you, Dr. Young.”


Before Restylane® Injections to Lift the Lower Eyelids and for Cheek Augmentation

After Restylane® Injections to Lift the Lower Eyelids and for Cheek Augmentation

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

“When I wake up, I don’t look sick or 60 anymore. And I don’t need to wear as much make up! Thank you, Dr. Young.”

Below are some before and afters for Fillers used to rejuvenate the Upper Eyelid Hollows and Sagging and for the Lower Aging, Eyelid Bags and Hollows:


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Eyelift | Blepharoplasty:

For permanent results, an eye lid lifting procedure, Lower Eyelid Eyelift (blepharoplasty) is used to achieve more youthful eyes and to rejuvenate the face by removing excess skin and fat. Many times, recreating the eyelid crease can be the difference between a good result and an excellent result. As a leading Bellevue / Seattle Asian eyelid surgery specialist, Dr. Young specializes in recreating the eyelid crease and achieving the best possible results. This same technique for Asian patients can be applied to Caucasian patients. Recreating the crease can mean the world of difference in achieving excellent results. Only a few surgeons in the Pacific Northwest can do this particular technique safely and accurately, and Dr. Young is one of the best.


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Fat Injections | Transfer:

In some cases, a fat grafting to add fat to the hollow lower lids will mask dark circles. Dr. Young can also add volume by a fat transfer to the area above the eyes, for a more-youthful appearance with no incisions. With his very unique understanding of facial aesthetics, he can achieve natural and youthful looking eyes without looking like you’ve had a procedure. The idea of using fat to improve the appearance of the lower eyelids and upper eyelids is a rather new idea. With this increased trend in volumizing the face to rejuvenate its appearance, Dr. Young applied his new theory on aesthetics to develop an exciting new procedure called the YoungVitalizer.

CO2 laser resurfacing:

Another approach to help rejuvenate and lift the eyes and eyelids is with the use of Laser Resurfacing. The wrinkles around the eyes from extra skin and droopy skin can be pulled up and reduced through laser skin resurfacing. However, the amount of reduction is less than what can be achieved through traditional eye lifts and face lifting procedures. The additional benefit of laser resurfacing within the lower eyelid is the thickening of the skin tha can be achieved. The laser resurfacing can increase the collagen layer within the skin to help camouflage lower eyelid dark circles. One thought of why people have dark circles is that there is a tissue loss within the lower eyelid. The result is a thinning of the skin that allows the orbicularis eye muscle, and its dark hue, to show through the skin.  Other elements cause the dark circles. A loss of tissue along the inferior orbital rim (relative to the lower eyelid fat pads and the droopy tissue in the middle of the cheek) can lead to a shadowing effect under the lower eyelid fat pads that give the dark circle appearance. This element can be improved with fat injections, facial implants, or fillers along the inferior orbital rim. Or the other approach is to remove the lower eyelid fat pads through a lower eyelid blepharoplasty /eyelift. Below is a picture depicting the lower eyelid bags in the right eye. There are three total eye bags in each lower eyelid. The lower blepharoplasty often entails removing these eyelid fat pockets to decrease the bags and also the dark circles underneath the eyelid bags that are created by the shadowing produced by the lower eyelid bags.

Laser Resurfacing: Below is a result after a full face laser resurfacing that shows some improvement in the lower eyelid area as well. As might be indicated in our other pages (Lower Eyelift for Dark Circles | Eyelid Bags), laser resurfacing to improve lower eyelid bags and upper eyelid extra skin can help. But the percentage of improvement are on the lower end as opposed to some of these other options. We see laser resurfacing as an important addition to use with these other procedures:


Before

After

Note: Individual results will vary. Images do not constitute a promise or representation of any particular outcome or experience.

Mid Face Lift:

Cheek Lifts and Lifting the Middle Face can improve the appearance of the lower eyelids and bags by being a part of the lower eyelid lift. The intention is to lift the cheeks so that the highlighting created by the cheeks are pulled closer towards the eye. The result is a brightening effect to the eye. Also the lifting of the cheek fat, and mid face aims to decrease the hollowing along the inferior orbital rim that can be a contributing factor to the lower eyelid dark circles. It is our opinion, that there are better ways to achieve these effects with more effectiveness / results, and in a less invasive way through the The YoungVitalizer.