Patient is a 54-year-old female who underwent a previous upper blepharoplasty years ago with another surgeon and since then felt that her eyes lost the crispness and definition that they once had. She also felt that her brow appeared heavy and wrinkled and because she likes to remain thin and fit, the patient felt that her face looked rather gaunt and was looking to regain the youthful voluptuousness that her face possessed when she was younger.
Endoscopic browlift, upper and lower blepharoplasty with 35% TCA chemical peel of the lower eyes. She also underwent autogenous fat transfer to the face for a total of 24cc, including lower eyes and tear-trough, midface, nasolabial folds, jawline, and chin.
Patient 1
Patient is a 60-year-old female who wanted to appear younger and more attractive but was afraid of a facelift. She felt that her face looked quite long and gaunt, and knew that her face had lost considerable volume with age. She specifically wanted to address her forehead and eyes, and also wanted to treat the considerable sun-damage of her skin after years of hiking.
Endoscopic Browlift, Upper and lower blepharoplasty, full face erbium laser resurfacing, and autogenous fat transfer to the face for a total of 93cc including the upper and lower eyes, cheekbones, cheeks, jawline, upper and lower lips.
Patient 2
Patient is a 50-year-old female who wanted to address her upper and lower eyelids. Specifically, she did not like her heavy upper eyes and the puffiness of her lower eyelids that made her appear that she constantly had allergies and was not feeling well.
Upper and lower eyelids with autogenous fat transfer to the lower eyes, nasolabial folds, and cheekbones for a total 29cc.
Patient 3
Patient is a 65-year-old female who was looking to regain her youthful appearance. She feels very young at heart, is active, and wants to enjoy her retirement feeling and looking her best. She had specifically lost the definition of her neck and jawline, and had developed jowls and rounding of her face over the last 10 years. She wanted a well-coordinated result that appeared natural and soft.
High SMAS Facelift, upper and lower blepharoplasty, full face erbium laser resurfacing, autogenous fat transfer to the face for a total of 22cc including lower eyes, midface, nasolabial folds, jawline, chin, and upper and lower lips. She is 7 weeks post-op.
Patient 4
65 year-old-female who feels that she looks much older than her stated age. She had long standing brow asymmetry, and did not like the wrinkles of her forehead, her significant facial drooping and neck laxity, and the wrinkles around her mouth. She desired to look younger and more attractive.
High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty with canthopexy, perioral dermabrasion, and fat injections to the lower eyelids, nasolabial folds, cheekbones, jawline, cheeks, and upper and lower lips.
Patient 5
Patient is a 53-year-old female who underwent a previous browlift and upper and lower blepharoplasty 15 years prior to presentation. 15 years post-operatively she felt that her eyes looked puffy and ill-defined and lacked the “sexy” appearance they had before her initial eyelid surgery. She felt that her brows had descended and wanted the arched eyebrows that always accentuated her lovely eyes. She wanted to appear younger and more attractive.
Upper and lower blepharoplasty, Lateral temporal browlift, and autogenous fat transfer to the face for a total of 34cc, including lower eyes, midface, cheekbones, jawline, chin, and corners of the mouth.
Patient 6
Patient is a 68-year-old female who had been bothered by her puffy eyes and heavy brow that made her look both tired and angry when she was not. She stated that her eyes had always been her best feature, but no one even noticed anymore. She had long been bothered by her eyebrow asymmetry and wanted to address this at the same time.
Endoscopic browlift, Upper and lower blepharoplasty with canthopexy, and autogenous fat transfer to the face for a total of 9cc, including the nasolabial crease and midface. She was delighted with the result.
Patient 7
Patient is a 73-year-old female who underwent a previous facelift and had become concerned regarding her stern appearance that she felt that she appeared very unhappy and unapproachable even though she felt just fine. Specifically, she wanted to improve her downturned mouth, and elderly appearing jawline and neck. She wanted to appear happier, younger, and more attractive.
High SMAS Facelift, Endoscopic browlift, Upper blepharoplasty, and 35% TCA chemical peel of the lower eyes.
Patient 8
Patient is a 49 year-old-female who feels that her eyes look puffy and tired despite getting adequate rest and watching what she eats. She would like more crispness of the upper eyelids and less wrinkles beneath her lower eyes.
Upper blepharoplasty with lower eyelid TCA chemical peel.
Patient 9
Patient is a 56-year-old female who has long standing heaviness of her eyebrows and bags of the upper and lower eyes that make her feel tired and unapproachable. She is frustrated that her eyes make her appear much older than she is, as would like to look younger and more attractive.
Lateral temoporal endoscopic brow elevation, upper and lower blepharoplasty with canthopexy and fat transfer to lower eyes, mid-face, cheekbones, and nasolabial folds. Note that the lateral endoscopic browlift is an important component of the treatment plan as much of the lateral eyelid hooding is from lateral brow descent.
Patient 10
Patient is a 42-year-old female who feels that she constantly looks tired despite adequate rest, and is often asked such. She has also noticed that she has lost some of the youthful angularity of her face in recent years and would like to look more rested and youthful.
Bilateral lower blepharoplasty with fat transfer to lower eyes, midface, nasolabial folds, jawline, and corners of the mouth.
Patient 11
45-year-old female who felt that her eyes and sagging brow made her appear very tired and unhappy. This seemed to run in her family, and she desired to look fresher and more attractive.
Endoscopic brow lift, upper and lower blepharoplasty.
Patient 12
61-year-old female who desires to look more attractive. She feels that her eyes make her look sleepy and detract from the rest of her face.
Upper and lower blepharoplasty.
Patient 13
45-year-old female who feels that she has always had beautiful eyes that she was complemented on, but finds that in the recent past that she has to apply more makeup to accentuate them. She desires crisper upper eyelids.
TBilateral upper blepharoplasty.
Patient 14
34-year-old female who is constantly asked if she is tired when she is not. She would like crisper upper eyelids, and less puffiness of her lower eyelids. She would like to have her procedures done in the office if possible.
Upper blepharoplasty, lower blepharoplasty with TCA chemical peel, performed in the office under oral sedation with local anesthetic.
Patient 15
51-year-old female who has had significant sun exposure who feels that her eyes make her appear both fatigued and harsh. She would like to look both well-rested and prettier.
Upper and lower blepharoplasty.
Patient 16
48-year-old female who enjoys being out in the sun and has been a long time smoker. She realizes that as she ages, her face appears very tired and sad, just as her mother’s did. She is especially bothered by her eyes and forehead. She would like to look happier and more attractive.
Endoscopic brow lift, upper and lower blepharoplasty, fat injections to the lips.
Patient 17
51-year-old female who is of Irish descent with significant sun exposure and a desire to look younger and less fatigued. She has noticed rapid changes in her skin after menopause, and does not feel as old as she appears. She used to be complemented about her beautiful eyes and their almond shape.
Face lift, endoscopic brow lift, upper and lower blepharoplasty
Patient 18
41-year-old female who has always had very puffy upper and lower eyelids that are both familial and related to her allergies. She feels that they make her appear unhealthy. She desires to look well-rested and more attractive.
Upper and lower blepharoplasty.
Patient 19
52-year-old female who maintains an active lifestyle and enjoys being in the sun especially playing golf. She feels that her eyes make her appear much older than her stated age.
Upper and lower blepharoplasty
Patient 20