Aesthetic Eye-facial Treatment
A relatively new and exciting aspect of Oculoplastics is the application of minimally invasive techniques in enhancing the aesthetics of an individual. The use of modern techniques permits safe and predictable outcomes with minimal down time. Various techniques of eyelid and facial rejuvenation use either of the following or in combination: Botulinum toxin injections, Tissue fillers, Skin rejuvenation with chemical peels and lasers, and surgeries which include Brow lift, upper and lower blepharoplasty, which may be done in combination a face lift.
The earliest signs of ageing is seen around the eyes – freckles, crows feet with puffiness and sagging of the upper and lower eyelids. In those with a ‘single’ eyelid, these changes tend to appear earlier. A droopy upper eyelid may be made worse by a droopy eyebrow from descent of the forehead tissues. This may convey a tired disinterested appearance and thus lead to face-mind disparity. Causes of ageing changes include genetics, long standing exposure to the sun (ultraviolet light), aggressive use of facial muscles, gravity and systemic disease.
Dynamic changes are typically seen in the form of moderate to profound creases in various parts of the face. These are typically seen in the forehead as the frown lines (glabella), around the eyes (crows feet or laugh lines) and sometimes around the rest of the face and mouth. Botulinum toxin injection relaxes the muscles and minimizing these lines. Tissue fillers may also be used to fill up grooves and depressions and may even achieve a modest ‘face lift’ effect.
In the upper eyelid it may block the upper field of vision and thus affect visual function. Patients may also experience fatigue from constant use of the forehead to raise the eyebrow and the eyelids. It is for these reasons, a droopy upper eyelid or eyebrow will benefit from an eyelid lift and / or brow lift not only improving appearance but also to relieve fatigue and improve visual function as well.
In the lower eyelid it is seen as puffiness and as ‘ eyebags’ below the eyes which although may not interfere with vision may be severe enough to interfere with wearing spectacles or even cause tearing.
When office procedures may not offer relief of symptoms and appearance, rejuvenating procedures like blepharoplasty, browlift or face lift may help replace tissues to restore a more youthful, relaxed and rejuvenated state.
In patients who have obvious sagging of the forehead, the eyebrow, eyelids or the rest of the face, surgery may be required to restore them to the original position. It is in these situations that a brow lift usually performed through keyhole incisions in the scalp, blepharoplasty of the upper and lower eyelids where excessive skin/fat can be sculpted to the desired outcome. These may be combined with a midface lift to improve the facial lines and also to minimize the cheek descent. Use of modern surgical techniques using endoscopes, keyhole incisions hidden within natural creases or hidden areas have not only greatly enhanced outcomes but also minimize complications and help patients to recover fast with minimal downtime.
In summary, a combination of various techniques – Botulinum toxin, fillers, skin rejuvenation with chemical peels or lasers and modern surgical techniques may be utilized to restore a more youthful and well rested appearance in patients who desire total facial rejuvenation.
For more details please contact your Ophthalmologist or Eye Plastic Surgeon who can discuss with you your requirements and tailor them to your needs.