Also Serving San Jose and the San Francisco Bay Area
As we age the eyes often show the first signs of aging. This can create a tired appearance to the overall face. There are two reasons the upper eyes can look tired. Either the brow has dropped as a result of last of the supports and elastin and collagen in the forehead skin or there can be excessive eyelid skin or hooding of the upper eyelid. In a female the brow should be approximately one centimeter above the orbital rim with the highest portion of the brow approximately two thirds of the way across the brow starting at the center. In a male the brow should be located at the level of the bone of the orbital rim without much lateral arch.
Dr. Jill Hessler will evaluate you during your consultation to determine which factors contribute to your condition. If the tired appearance of the eyes is caused by extra eyelid skin but the eyebrow is in its proper place than eyelid surgery is the best treatment. If the brow has descended significantly then brow lift surgery, also referred to a forehead lift, will help provide a more natural position of the brow and a more youthful appearance. During your consultation with Dr. Hessler at her facial plastic surgery San Jose / Palo Alto offices, she will examine the placement of your eyebrows. If lifting the eyebrows will not remove all of the redundant skin, then performing forehead lift in conjunction with eyelid surgery will be your best treatment.
There are many factors to consider when Dr. Hessler determines which type of browlift or forehead lift surgery to recommend. The most important factor to consider is the location of your hairline. An endoscopic forehead lift will elevate the hairline slightly as will the coronal browlift. For someone with a long forehead or high hairline, a pretrichial approach is best. Dr. Hessler also treats fine lines and forehead wrinkles with non-surgical products, including Xeomin, Dysport and Botox in Palo Alto.