Oculoplastic surgery is a branch of surgery focused on the tissue surrounding the eyes. These areas are high-impact zones as it relates to cosmetic improvements. While many plastic surgeons perform surgery on the eyelids, not all surgeons are oculoplastic surgeons.
Dr. Weinfeld has additional fellowship training in oculoplastic surgery, making him specially qualified to perform procedures on the eyelids and surrounding structures such as the forehead, eyebrow regions, and upper cheeks.
What Is Blepharoplasty?
Surgery of the eyelids is referred to as blepharoplasty. Sometimes blepharoplasty will be referred to as an eyelid lift. Blepharoplasty can be performed on the upper and lower eyelids. During a blepharoplasty procedure, skin and fat are surgically repositioned and/or removed to provide a more awake and youthful appearance.
How Is Lower Lid Blepharoplasty Done?
Lower lid blepharoplasty is often best done under general anesthesia; however, there are less involved, less invasive versions of lower lid blepharoplasty that can be performed with the patient awake. One of the less invasive versions is called a skin pinch lower lid blepharoplasty. This version is ideal for someone who has a small amount of excess skin and wrinkles in the lower lid but does not have a lot of excess or poorly positioned fat. The excess skin is numbed, pinched to show what is excess, and trimmed away. A few small sutures are required.
How Is Upper Lid Blepharoplasty Done?
Upper lid blepharoplasty can be performed with the patient awake using injection anesthesia only or with the patient asleep using general anesthesia. Sometimes, upper lid blepharoplasty is performed for functional results. This means that it is done for medically indicated reasons. Some people have such excess upper lid skin that it drapes over the eyelids and eyelashes, pushing them down in front of the eye. When this occurs, a portion of the vision is obstructed or blocked. In this situation, the removal of upper eyelid skin improves vision and, thus, may be covered by insurance.
Insurance companies have strict criteria for the consideration of financial coverage of upper lid blepharoplasty. Often, a special diagnostic test called a visual field exam is required to demonstrate medical necessity.
What Is a Brow Lift?
The eyes, eyelids, and tissue surrounding them are called the periorbital region. The brows are an important periorbital feature. In women, brows that are too low and too straight can create a tired and less feminine appearance. A brow lift shapes and elevates the brows. This is done in a way that creates a natural appearance without creating a tight, surprised look.
When possible, Dr. Weinfeld prefers to perform endoscopic brow lifts, as they involve less numbness and scarring. During a brow lift, the muscles that create forehead wrinkles can be modified in order to reduce wrinkle formation. This can reduce or eliminate BOTOX® Cosmetic requirements for patients who have incorporated it into their ongoing aesthetic treatment regimen.
Most brow lift techniques require going fully to sleep with general anesthesia. If a small amount of lift is needed or desired, techniques requiring only local anesthesia can be used to do a brow lift in an office setting with the patient awake.
Can Men Get Brow Lift Surgery?
Males also undergo brow lifts, although the goals are slightly different. Women often seek arched and lifted brows. Men desire straighter brows that are lifted but not quite as high as women. There are other less common approaches to brow lifting to address special conditions when present. These involve pretrichial brow lifts, coronal brow lifts, and direct brow lifts.
Get In Touch
Patients respond to Dr. Weinfeld's expertise and caring patient focused approach. If you have any questions about a procedure or are ready to schedule a consultation, please call 512-324-2765 or fill out the form below.