By Parviz Hiroshi Goshtasby, M.D., F.A.C.S., a.k.a. “Dr. Go”
Have you ever been told that you look tired, even though you may feel fine? Often, the first area of our bodies people look at to communicate and ascertain our moods is our eyes, and when the usual sequelae of aging occurs, this can be misconstrued as a sign of tiredness and fatigue. Common aging changes of our eyelids include laxity and hooding of the skin, herniation of the fat pads around our eyes, and weakening of the cartilaginous tarsal sling that supports the eyelid structure and tone. Sun damage can also lead to many fine lines and wrinkles with contour irregularities around the eyes, as well as pigmentation changes that can further add to a worn out and exhausted look.
Dermal Fillers and Injectables
Thankfully, there are procedures available that can dramatically rejuvenate your eyelids and give you that fresh appearance you had when you were younger! These procedures range from simple, minimally invasive office procedures to surgical techniques that address more advanced aging changes. Everyone’s eyelids are different, and each procedure can be tailored to treat unique aspects and concerns for each individual. Hyperactive orbicularis oculi muscles that lead to the ‘crow’s feet’ appearance upon facial animation can be nicely relaxed using commonly available neurotoxins, such as Botox® or Xeomin®. Mild hollowing of the under-eye tear trough region can be augmented and smoothed out in the office using a hyaluronic acid filler product, such as Restylane® or Juvederm®.
The more static wrinkles and creases that occur from long-term exposure to the harmful ultraviolet rays of the sun, the better they respond to skin resurfacing procedures, such as microdermabrasion, chemical peels, or CO2 lasers. Although the more aggressive resurfacing procedures can require a few days of downtime, the results can be significant. Finally, for more advanced eyelid changes, the blepharoplasty/eyelid lift procedure can dramatically restore the aesthetic contours and tone of your youth. This procedure, which can be performed under local sedation or general anesthesia, can remove loose skin, excise herniated fat pads, and tighten the weakened tarsal support structure to better define your eyelids.
The Asian Blepharoplasty
Occasionally, the eyelid lift procedure can be used to create a more Westernized look by creating a double-crease of the upper eyelid, which is considered aesthetic in many Asian cultures. The “Asian blepharoplasty” addresses the unique anatomy of the Asian upper eyelid, which usually has more fullness, as well as a lower insertion point of the orbital septum, leading to the classic ‘oriental’ look. The creation of the double-crease has become extremely popular in countries such as China, Japan, and South Korea. Being half-Japanese myself and having visited Japan many times, I have seen a significant rise in interest in these cosmetic procedures. Thorough knowledge of anatomy and surgical techniques are critical to achieving an excellent result.
Schedule Your Consultation
If you have concerns over the appearance of your eyelids and want to learn more about what can be done to help rejuvenate them, let me help you achieve your goals! As a triple board-certified plastic surgeon with extensive experience performing these procedures, I will be able to conduct a thorough examination and discussion in order to recommend a treatment plan that meets your objectives and maximizes your aesthetic results. You deserve to have bright and revitalized eyes, so what are you waiting for? Give my office a call today!