Blepharoplasty | Brow Lift

Brow Lift and Blepharoplasty in Austin, TX

Aging changes of the eyelids, forehead, and upper face go beyond making us look older– they can also create the appearance of being perpetually angry or exhausted. Rather than resigning yourself to the inevitable aging process, consider a permanent approach to facial rejuvenation.

blepharoplasty / brow lift patient before and after

Brow lifts and blepharoplasties (eyelid surgery) are excellent options for men and women looking to rejuvenate their eyelids and upper face. As a highly trained, motivated, and compassionate facial plastic surgeon, Dr. Yula Indeyeva strives to use these operations to help her patients recapture their youthful expressions and highlight their uniqueness to the world once more.

For more information about brow lifts and blepharoplasties in Austin, TX, we encourage you to contact us online to schedule a consultation with our experienced surgeon today!

Brow Lift and Blepharoplasty – Which is Right for Me?

While patients often get the two procedures confused with one another, these facial plastic surgeries are distinct and correct different issues:

Brow lift

Skin laxity, gravity effects, and repetitive muscle strain can lead to heavy-appearing, saggy brows and deeply-etched lines and wrinkles across the forehead and between the eyebrows.   If not addressed properly, these aging changes add years to a person’s appearance and can also make him/her appear angry or concerned.

blepharoplasty / brow lift before and after

Brow lift surgery helps to smooth skin and revive the brow line and upper portion of the face. During a brow lift, excess skin is removed via small incisions along the hairline. Loose facial muscles and tissues are also tightened and repositioned, thereby raising furrowed brows and smoothing forehead creases. The result is a more alert, approachable, and youthful appearance.

Blepharoplasty

The eyelids are among the first facial features to show signs of aging. Fat pads, which are held back in the eye socket by a thin fibrous membrane, begin to protrude and become more noticeable with age, leading to the appearance of undereye “bags.” Sagging upper eyelid skin also occurs, which can even pose a medical concern by hanging over the eyelashes and limiting a person’s field of vision. Collectively, the processes above lead to drooping upper and lower eyelids, the development of under-eye bags, and fine lines along the eyelids.

Blepharoplasty, or eyelid lift surgery, refers to surgical methods designed to rejuvenate the upper and/or lower eyelids. For individuals with sagging skin of the upper eyelids, an upper eyelid lift can remove excess skin and restore the eyelid crease. This changes the appearance of perpetual exhaustion to a more youthful and refreshed look. A lower eyelid lift can remove excess skin and fat while tightening the underlying eyelid structure. Lower eyelid lifts are best for individuals with sagging lower eyelids or heavy bags below the eyes. Each of these approaches helps patients discreetly shave years off of their appearance.

Multiple strategies may be employed for your brow lift or blepharoplasty procedure. You are unique, and your treatment will be tailored to address your individual needs. Meeting with Dr. Indeyeva for a one-on-one consultation allows you to discuss procedural details and decide on the best plan for you.

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Dr. Yula Indeyeva, a highly trained and board-certified facial plastic surgeon, is a specialist in surgical and non-surgical rejuvenation methods for the face, head, and neck. With her mastery of everything from dermal fillers to facelifts, Dr. Indeyeva loves guiding her patients along their journey towards a more confident, empowered, and beautiful self.

Combination Brow Lift and Blepharoplasty Treatment

While both blepharoplasty and brow lift surgeries are transformative on their own, they are also frequently paired into a combined surgical plan. Consolidating these procedures in appropriate candidates allows them to achieve a superior result and undergo one recovery period.

Whether performed on separate dates or in a combined operation, other surgical procedures can also be beneficial to those looking for a full facial rejuvenation. Your brow lift or blepharoplasty plan may also include:

Patients can also decide to maintain their results with dermal fillersDysport, and other non-surgical cosmetic methods.

Why Choose Dr. Indeyeva for My Blepharoplasty or Brow Lift in Austin, TX?

Becoming a facial plastic surgeon requires rigorous training and practice in facial plastic surgery procedures. For this reason, facial plastic surgeons are the most qualified to perform facial plastic surgery operations. Dr. Indeyeva is a fellowship-trained facial plastic surgeon who has trained among some of the field’s most respected names.

In addition to her facial plastic surgery expertise, Dr. Indeyeva is also a highly accomplished facial injector who works as a GAIN (Galderma Aesthetic Injectors Network) trainer, teaching and training other providers across the nation. She maintains a diverse set of surgical and non-surgical skills to give her patients the look they want.

Above all, Dr. Indeyeva embodies the qualities of compassion, integrity, and professionalism in her practice on a daily basis. You can learn more about Dr. Indeyeva’s training, philosophy, and qualifications here.

How long does recovery take after a brow lift or blepharoplasty?

As a general rule, about 80% of swelling and bruising is gone by 2 weeks, and 90% of swelling is generally gone by 2 months. Your sutures will be removed after 1 week, at which time the incisions may be pink and lumpy. The incisions will continue to improve with time and generally will not be apparent to an average person after 2 weeks. 

Can you operate on only one eye?

Yes, but in vast majority of the time, both eyelids are affected, and it is in the patient’s best interest to undergo rejuvenating surgery on both eyes.  Asymmetry exists universally, and it is possible that one eyelid may require a greater degree of skin removal than the other.  This will be assessed during your in-person consultation, and an appropriate surgical plan will be developed by Dr. Indeyeva.

Is the result of eyelid surgery permanent?

Eyelid results should theoretically last “forever”, as the patient always appears younger than had he/she not had surgery.  Although surgery removes excess skin and fatty tissues, the aging process doesn’t stop, and the age-related changes will continue to accumulate at a rate unique to each person.  On average, a eyelid surgery results can be expected to last 7-10 years before aging changes significantly reaccumulate.

Visit Facial Plastic Surgery of Austin

If you think that you can benefit from having a facelift with Facial Plastic Surgery of Austin, your results are within reach! We encourage you to learn more about facelift surgery in Austin with Dr. Indeyeva, by reading through the FAQs section below or contacting our team today. 

Brow Lift & Blepharoplasty in Austin, TX FAQs

Surgery cannot correct wrinkles that occur ONLY during facial expressions. The creases around the eyes produced with smiling along with the forehead creases that occur with frowning, are due to the contraction of the muscles of facial expression, and are best treated with neuromodulators.  When crow’s feet or frown lines are deeply etched into the skin, we frequently recommend skin resurfacing to improve these lines and cause tightening of the skin.  This is done in the Clinic and causes minimal physical incapacitation. The healing period, however, is two to three weeks as it is with any peeling procedure.

Droopy eyebrows are addressed with a brow lift, not eyelid surgery.  However, most of the time, these two procedures are complimentary to each other and performed in conjunction for the best result.

Dark circles are typically a result of a combination of factors, aside from bulging fat pads and loose skin.  Please see below for additional information about dark circles.

Pouches or bags of the upper and lower lids are generally due to herniations of the fat normally localized within the eye socket. The bulge also casts a shadow over the undereye area, causing it to appear darker.  However, there are other components responsible for dark undereye circles:  1) hyperpigmentation of the lower eyelid skin 2) transparency of the lower eyelid skin, allowing the underlying blood vessels to be visible, which can appear dark purple.  3)  Bony deficiency of the underlying bone, frequently referred to “tear trough deformity”.    All of these issues require different modalities for improvement, and will be evaluated and discussed by Dr. Indeyeva.

The skin of the eyelids is extremely delicate and more susceptible to the damage by various environmental aggressors that accelerate aging.

The right time for getting a brow or eyelid lift varies from patient to patient and depends on how they experience the aging process. Instead of recommending a particular age, Dr. Indeyeva believes that a patient is ready to pursue surgery if what he/she sees in the mirror doesn’t match what he/she feels on the inside. She advises that patients come in for a consultation if they are beginning to feel this way or struggling with any concerns that either procedure can address.

There is no such thing as “too old”.  As long as there are no contraindications to surgery, eyelid surgery can be pursued. Correspondingly, there is no “minimal” age.  There is little rationale to wait for some arbitrary age before having surgery. Dr. Indeyeva believes that when the face you see in the mirror does not match the person you feel yourself to be, that may be the time to consider surgical correction.

The length of surgery depends largely on the specific procedures, individual anatomy, and surgical technique used.  Dr. Indeyeva will be able to provide a time estimate during the time of your consultation.

The duration of each procedure varies depending on each individual anatomy, concerns, degree of aging changes, and surgical approach used.  However, average procedure times can be estimated as follows:

Upper eyelid surgery: 30-45 minutes

Lower eyelid surgery: 1 hour

Brow lift: 1-1.5 hours

Dr. Indeyeva will review your procedure in detail and answer any questions, then proceed with the surgical process. Once surgery is complete, you will be discharged home with post-operative instructions and follow-up appointment.

Before your surgery, Dr. Indeyeva will discuss your sedation options and provide any post-surgery instructions. On the day of your procedure, she will walk you through your procedure, answer any remaining questions, and then proceed with the surgical process. Dr. Indeyeva will discuss your options regarding anesthesia during the initial consultation. The factors in deciding the specific type of anesthesia include your specific concerns, your sense of comfort, and your medical history.  The surgery can be performed at our office-based procedure room under oral sedation and local anesthesia only, or in an outpatient surgical facility with conscious sedation or general anesthesia.

The area to be treated (eyelids, forehead) is anesthetized, and incisions are made in appropriate locations.  The excess skin and fat are removed and the incision sites are closed with delicate sutures.

Eyelid and brow lift surgery are generally very safe.  As with any surgical procedure, risks are inherent, but less likely to occur in the hands of an experienced surgeon.  Following all pre-operative and post-operative instructions is imperative in minimizing risk and optimizing the outcome.

Any surgery involves some degree of risks.  Among these risks are:  reactions to anesthesia or other medical preparations used during and after treatment, infection, poor healing, injuries to muscles, nerves, and other anatomic structures, numbness, swelling, discoloration, distortions, asymmetries, excessive scarring and many others, including those so statistically unlikely as blindness, paralysis or death.  Although complications rarely occur, patients are encouraged to inquire further about the risks of the procedure(s) they are contemplating.

You will likely feel a little groggy and tired for the first 24-48 hours after surgery.  You may experience some discomfort due to swelling/bruising, but our eyelid/eyebrow lift patients typically do not experience significant pain.

You will not be able to drive yourself home, and will need a driver to take you home after your procedures. 

As a rule, eyelid procedures are associated with minor recovery and allow one to return to routine living after a few days using cosmetics and sunglasses. Most patients tell us that there is little or no pain in the postoperative period. Each operation is followed by varying degrees of swelling and/or discoloration, most of which usually subsides within 7-10 days.

You may take a shower or bath the day after surgery. Unless you had a resurfacing procedure, the face may be gently cleansed with cotton balls or with your fingertips. Do not be afraid to get the suture lines wet.  If you had skin resurfacing, follow the instructions referable to those procedures.

As a rule, eyelid procedures are associated with minor recovery and allow one to return to routine living after a few days using cosmetics and sunglasses.  If your work requires you to perform strenuous activity, heavy lifting, or bending over, we will ask that you avoid these activities for 7-10 days after your eyelid/brow surgery.

Regular exercise can be resumed gradually starting at 10 days after blepharoplasty/browlift surgery.  Strenuous athletic activity (swimming, diving, skiing, etc)  should be avoided for at least one (1) month after surgery.

Do not put your contact lenses in for at least ten (10) days after surgery.

Eye shadow and false eyelashes/eyelash extensions should not be applied until at least ten (10) days after surgery.

Initial bruising and swelling usually dissipate within two weeks of your surgery. While you will look younger right away, you will continue to show subtle refinement for a significant period of time.  Therefore, it is important to not evaluate the results of your surgery too soon. Closely following post-surgery instructions and medical grade skincare regimen can help ensure an optimized result and healthy healing process.

Both brow lift and blepharoplasty are considered permanent answers to aging changes around the eye. Although surgery removes excess skin and fatty tissues, the aging process doesn’t stop, and the age-related changes will continue to accumulate at a rate unique to each person. On average, a browlift and blepharoplasty results can be expected to last 7-10 years before aging changes reaccumulate significantly. If you’re considering retreatment following a previous brow lift or blepharoplasty, we recommend contacting our Austin surgical practice for a consultation.

The alterations Dr. Indeyeva recommend to your eyelids and brows will be determined by many factors, including face shape, natural eye shape, and configuration of other facial features.  All in all, we strive to retain your unique features and achieve a natural looking result rather than one which appears to have been operated upon.

Most people exhibit slight asymmetry in the face, so that one side does not look exactly like the other.  This may manifest in one eyebrow being naturally higher than the other, or more skin accumulating on one eyelid than the other.  Eyelid and brow lift surgery are very effective at improving symmetry.  In some cases where asymmetry was very obvious before the surgery, one can expect some asymmetry to be present after the operation. 

Although Dr. Indeyeva makes every effort to minimize bruising and swelling,  you should expect both to occur after your surgery.  The degree of bruising/swelling varies from person to person, and is not always easily predictable.  Both the swelling and discoloration generally reach their peak on the 2nd-4th post-op day, and typically resolve within 2 weeks.  When cold compresses are applied continuously throughout the first post-operative night patients generally have reduced amounts of swelling and discoloration.

In the upper eyelid, the incision is placed into the eyelid crease. 

The lower lid procedure is performed by making an incision in the skin below the lower lashes at a level determined by Dr. Indeyeva and elevating the skin so that the fatty pouches or can be identified. Once fat is removed, the excess skin is trimmed. Small delicate absorbable sutures are used to close the lower lid incisions.

In some patients the fatty bulges in the lower lid can be removed without making an incision in the skin. The incision is made inside of the lower lid, thereby eliminating a skin incision.  It is not possible to remove loose skin or sagging wrinkles when this method is used, but skin resurfacing (laser, peeling or dermabrasion) can be performed at the same time in order to minimize many of the fine wrinkles.

Regardless of the approach, all incisions are made in a way to optimize concealment.  When the incisions are closed meticulously and precisely, they should not be visible after healing is complete.

Having a prior history of scars, does not necessarily guarantee that you will experience them again, depending on the cause of the scar.  Dr. Indeyeva will review your complete medical/surgical/family history and determine whether you are at increased risk for scar formation.  In general, all incisions are made in a way to optimize concealment.  When the incisions are closed meticulously and precisely, they should not be visible after healing is complete in an average patient.

Initial bruising and swelling usually dissipate within two weeks of your surgery, and an average person should not be able to tell you had surgery.  While you will look younger right away, you will continue to show subtle refinement for a significant period of time, for up to 1 year after surgery.

Eyelid surgery may make dry eyes worse in the first few weeks after surgery.  Please advise us of any history of eye diseases or history of visual problems so that we may have them evaluated.  We recommend you have an eye examination prior to eyelid surgery. Ask your eye doctor to send us a report of his findings. We can help you obtain an appointment if you should have a problem.

Yes.  History of PRK or LASIK surgery is not a contraindication to eyelid surgery.  However, we do recommend that you have an eye examination prior to eyelid surgery and ask your eye doctor to send us a report of his/her findings.

There are no dietary restrictions before eyelid lift/brow lift surgery, except to avoid any supplements that may have a blood-thinning effect, such as garlic, green tea, ginkgo biloba, ginseng, vitamin E, fish oil, among others.  You will receive a complete list of supplements/medications to avoid prior to your surgery.

Although there are no restrictions, we typically recommend a bland diet in the first 24 hours after surgery to minimize risk of anesthesia-related nausea.

 

Festoons are swollen, puffy areas that develop beneath the lower lid and over the cheek bones. These are different from eyelid bags, and thought to be caused by uncontrolled fluid accumulation in the tissues. They are, in essence, “bags of water” combined with muscle and skin laxity. 

Direct excision may remove these unwanted tissues, when they become quite large; The resultant scar is hidden meticulously in a natural skin line along the interface of the lower eyelid and cheek.  Although it may be imperceptible, it may require dermabrasion at a later time. 

Yes.  Patients who have extreme amounts of overhanging tissues producing hooding of the upper eyelid may have visual impairment, which can be improved in surgery.  In addition, extreme laxity of the lower eyelid may cause it to pull away from the eye, causing chronic tearing and dry eye.  This condition can also be improved with lower lid tightening surgery.

We typically prescribe post-operative antibiotics, pain medication, and stool softners, and anti-nausea medications as part of your post-operative course, but specific medications vary from patient to patient.