Learn About Our Eyelift Secrets Revealed in these Must See Plastic Surgery Videos. Also find out about the Basics of the Eyelift you should know before considering an Eyelift | Blepharoplasty
There are many options for improving the lower eyelid region. Fillers are temporary solutions to smooth the transition from lower eyelid to the cheek. Fat injections are a much longer lasting option. Removal of fat is another more permanent way of removing the fat bags. The incision can be done inside the eyelid and outside the eyelid. If fat only is needed, you can go inside the eyelid. If you need skin and muscle the outside incision makes more sense.
This video shows how we develop the crease for the asian eyelid that does not have a defined crease. This is different from a routine blepharoplasty which essentially takes out skin and sometimes muscle in the upper eyelid but does not create a crease.
To form the crease, it entails exposing the eyelid into the deeper layers so that the levator aponeurosis or the fan like extension of the levator muscle (which attaches to the tarsal plate and is used to elevate the eyelid) is exposed. The muscle and skin of the eyelid is then attached to the levator in order to allow the crease, and the tissue below, to adhere to the levator as it moves back and the upper eyelid skin folds over the crease. You can click here for our Asian Blepharoplasty Eyelift Crease Procedure.
Below is a video that shows laser resurfacing for the eyelids. The approach uses fractional technology where all the skin in the spot size of the laser is not all treated. A portion or fraction of the spot size is treated. This allows the skin that is not hit by the laser to help heal the treated areas faster. The idea is a lower downtime and less complications.
The video below discusses the lower eyelift - blepharoplasty. Patients will usually complain about their eye bags, extra eyelid skin, lower eyelid dark circles, etc. This procedure entails removing the eyelid fat in the lower eyelid and some extra skin when needed. The incision can be done outside on the eyelid skin or inside the eyelid skin depending on a few factors.
If you have no need for the removal of skin, you can do the incision from the inside. If you have some loose eyelid ligaments this is another reason to go inside the eyelid. If you have a lot of skin, the external incision would be likely needed. Some like the external incision because it feels more comfortable in their minds. Here is a link to our Bellevue Lower Eyelid Lift page.
The video below discusses the direct excision of the malar crest | malar mound. Some people have a prominent malar bag that does not respond to the lower eyelid lift. This direct excision is done with a geometric line closure to hide the incision better. Options to improve this are filler in the cheek, cheek implants, fat injections in the cheeks, the YoungVitalizer to the cheeks, midface lift, etc. The drawback is the incision on the cheek that some people may find as an unattractive option. With the geometric line closure this can heal nicely.
The video below shows how Restylane® is injected into the lower eyelid to treat Lower Eyelid Bags, Hollows and Dark circles. Hyaluronic acid is the main ingredient in Restylane®. This product is broken down into carbon dioxide and water.
It has changed very little from bacteria to humans through evolution. The main way that Hylaronic acid and products such as Restylane®, Juvéderm®, Perlane, Belatero bring volume to the following areas is the attraction of hyaluronic acid with water. The hyaluronic acid is injected into the hollows to smooth the transition from the eyelid to the cheek to improve these signs of aging.
Below the video shows the approach to the upper and lower eyelids using traditional resurfacing with a co2 laser. Related to the spot size described previously in the fractional resurfacing video above, in contrast, with traditional resurfacing the spot size is fully covered instead of partially covered.
There are no intervening areas that are untreated with traditional resurfacing. Hence the spot size during Eyelid Traditional Resurfacing is completely covered by the laser. The result is a much more aggressive treatment with more risk and more downtime, but more importantly there are more results with traditional resurfacing.
Below is a video on how the upper eyelid crease is formed through the orbicularis levator fixation technique. We discuss taking out skin, finding the levator, fixing the crease, controlling the environment: