Eye Procedures Archives - Scott Mosser M.D.

This is a question that only can be answered in-person, based on an anatomic evaluation. Some patients can do fine with eyelid surgery only, when the problem is simply excess upper eyelid skin.
However if the problem lies in the descent of the brow, then it’s wise to consider how much their brows are contributing to the situation and whether or not a brow lift may be necessary for positive results.

Book a consult with a Board Certified Plastic Surgeon skilled in the procedures you’re considering, and go from there. There are also nonsurgical brow and lid rejuvenation procedures that can offer minimal and temporary fixes, but can give you a better idea of how things might look after more invasive surgical procedures are performed.
Typically eyelid scars are present but minimal and usually takes a person knowing exactly what to look for in order for them to be seen. Usually they are hidden by the lid fold, when performed by a skilled surgeon. Incisions shouldn’t be too high or too low, and they should only go out laterally as far as necessary to remove the excess skin, for the best outcome.

Suture choices can also play a factor in the visibility of scars, as well as whether or not the patient follows their post-op directions properly. Resting with your head above heart level can help to keep swelling to a minimum, as excessive swelling can contribute to more scar visibility. All in all, consult with your surgeon and discuss all possible outcomes before making your decision.
Yes, but it will depend entirely on variables unique to your situation. The extent of the wrinkling will play a factor, as well as your age and the results you are looking for. The best course of action is to schedule a consult to discuss your options and decide the best treatment options for your situation.

Treatment options range from Botox, chemical peels, Thermage skin tightening, Juvederm or Dysport fillers, or even, depending on the severity of lines lower eyelid surgery.
We communicate constantly with our eyes. Even throughout the day when we are silent, our eyes convey volumes of information about what we think and feel to the outside world. The problem is when the appearance of the eyes is inconsistent with the emotions inside of a person. Many patients come to me frustrated that the energetic vibrant person that they are inside is communicated incorrect by eyes that look tired or disinterested.

Skilled surgery in the eyelid and brow areas removes the features commonly associated with a tired, apathetic appearance, and brings those eyes back into balance with the person on the inside.
The best treatment for eye wrinkles depends on the area where the wrinkles are located and the severity of the wrinkles. Botox or Dysport can be very effective in eliminating the appearance of crow’s feet, or the lines near the outer part of the eye. Sometimes a filler such as Juvederm can be used to reduce the appearance of lines or wrinkles to the under eye areas.

Some people see success with treatments like Thermage skin tightening or chemical peels. These can be effective with very fine lines although you may need a series of these treatments to really see a difference.

Depending on the severity of the lines under the eyes, a lower blepharoplasty (or eyelid surgery) may be a good option. The best bet really is to schedule a consult with a Board Certified Plastic surgeon, allow him or her to assess the problem in person, and make recommendations based on your unique situation and desired outcomes.
This depends greatly on your individual circumstance. Some asymmetries can be repaired, and some can’t. And most people have some facial asymmetry anyway to a degree. A surgeon who is skilled can assess any asymmetries you may have and help you come up with a surgical plan to minimize them as best as possible. A skilled surgeon will also be able to highlight those asymmetries that can’t be improved upon, and let you know up front so that you don’t go in with unrealistic expectations.
I recommend visiting with a Board Certified Plastic Surgeon who can do an assessment and discuss with you what options would best achieve your goals. It is possible that a Botox treatment could assist in lifting the brow in question, or a unilateral brow lift may be a good option, if you are a candidate for the procedure. But the only way to assess this properly is a one-on-one consult, so your surgeon can examine you and discuss the options. Just keep in mind that while asymmetries can be reduced, we all have them to a degree and most often they can’t be completely corrected.
Blepharoplasty procedures should not change the shape of the eye; they are meant to showcase the natural look of your eye, while removing excess skin and fatty tissue which can create a tired, older appearance.

At times, the Asian Blepharoplasty can be thought of as “changing” the shape of the eye, but unless that is your situation or you are suffering from a lateral down-turn in the lower lids, a Blepharoplasty is simply enhancing that which is already there.

If you have a specific concern about the shape of your eyes, it’s best to visit a Board Certified Plastic Surgeon with a lot of experience specifically with eyelid surgery. They can help you define your goals and decide what options might be available to help.
This refers to the creation or accentuation of an eyelid crease, most commonly performed on an Asian eye. For that reason, it’s often called the Asian Blepharoplasty. This procedure is performed in order to make an Asian eyelid look more like a Caucasian eyelid by creating a visible fold.
Transconjunctival blepharoplasty is a procedure which targets the fat deposits, sometimes referred to as “bags”, of the lower eyelid. The incision is made on the inside in order to access orbital fat. The latest techniques give you a much more natural look by replacing or repositioning the fat. The incision is not visible and is an effective way to remove fatty tissue from the lower eyelid.

There are many different techniques for operating on the lower eyelids, and it is important that you find a plastic surgeon that is skilled in this area. Schedule a consult, and discuss the options that are best for you.
All of us wish that there were good alternatives to droopy brows and eyelids other than surgery. Although there can be many underlying issues that affect eye appearance, sagging eyelids are very common to getting older. Some dietary considerations like salt reduction and good hydration, as well as getting plenty of sleep can help at least a little bit with puffy lower eyelids but are unlikely to help with drooping brows or upper eyelid issues.

Botox injections can slightly raise the brow, and by turns raise the skin of the upper eyelid, therefore opening up the eyes more. Although Botox can assist a small amount in raising the brow and in reducing the appearance of droopy eyelids, if what you notice most is excess skin above the eye, usually eyelid surgery, or blepharoplasty is the best way to address this issue.