The periorbital area or zone around the eyes is the focus of facial expression and communication. Subtle changes in these soft tissues create a profound change in how we are perceived by others. For example, laxity and drooping of soft tissues to side of the brow and eye can convey sadness or fatigue, while depression in the central brow area suggests distress or hostility. Blepharoplasty or eyelid lift has long been a technique to correct these problems. However, at the Hilger Clinic, we know that the eyes cannot be evaluated in isolation but need to be part of a treatment plan that embraces the entire region around the eye if one is to achieve a refreshed, relaxed, approachable continence. Thus, consideration of aesthetic surgery around the eye must include not only the eyelids, but also the brow/forehead and upper cheek areas. A personalized treatment plan is essential for every patient. An obvious example of this need is that we would never apply a female aesthetic for a male patient. As in all areas of our patient care, an additional goal is to provide education and guidance for the treatment plan you select.
The eyelid skin is the thinnest soft tissue of the face, and laxity along with other aging changes will often manifest there first. An upper lid blepharoplasty, which is a minimally invasive procedure, can create a remarkable improvement.
Lower eyelid correction or lower lid blepharoplasty, can greatly improve a tired appearance. The approach in our practice differs from the traditional fat removal surgery in that volume restoration to a deflated area is a routine consideration. The techniques we have developed employ less fat removal but improved lower eyelid contour by repositioning the fat in the adjacent hollows. Thus reducing the fat bulges and at the same time creating a youthful transition from eyelid to cheek.
The brow is essential in defining the eye area, and its’ position is always evaluated in our office before a treatment plan is developed with you. Improvement in the brow posture is achieved with a browlift or forehead lift. There are a variety of techniques available to accomplish this change. Our office was the first in the area to adopt a less invasive endoscopic browlift. We presented a paper on this technique, at a national meeting, over 20 years ago, and reported long-lasting correction and brow position, improvement in forehead wrinkles and expedited recovery. Our photo gallery demonstrates these concepts and can help you understand why you deserve an approach tailored uniquely for you. Minimally invasive techniques can provide remarkable enhancement in this vital area. For example, Botox injections can relax over-active muscles that exaggerate wrinkles. The spectrum of fillers that we use in our practice can be of great benefit to efface wrinkles, add volume to areas depleted over time. Skin quality is routinely improved with a skin care program developed for you with our aesthetician, Stacy.