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BEFORE AND AFTER PHOTOS

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INTRODUCTION

 

 

Eyelids—Early Signs of Aging

 

Often in their 40s, but sometimes much earlier, many men and women complain that they “always look tired.” This is frequently an inherited condition. They recognize the same problem in their mother or father. The sign of facial aging usually start with the eyelids. The skin relaxes, the fat bulges forward, wrinkles develop, and a crease forms along the orbital rim, defining it and demarcating it from the cheek. The curved depression that runs from the inner corner of the eye down onto the cheek, just where a tear would travel, is aptly named the tear trough. The demarcation between the lower lid and cheek, called the “lid-cheek junction” is not to be found on models. In youth, the lower lid blends imperceptibly into the cheek.

 

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DR. SWANSON OFFERS A COMPREHENSIVE RANGE OF COSMETIC PLASTIC SURGERY PROCEDURES IN KANSAS CITY AND THE SURROUNDING AREAS INCLUDING:

 

 

 

 

 

 

 

Blepharoplasty prices at the Swanson Center of Kansas City include the costs of anesthesia and a licensed on-site ambulatory surgery center.

 

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Eyelid Rejuvenation: Cosmetic and Functional

 

Patients usually come in with cosmetic concerns—looking tired—and are pleased to learn that there may be functional benefits too. Extra skin may weight down the upper lid, causing an uncomfortable feeling of heaviness. This skin fold can interfere with makeup application. Older patients may find that the extra skin fold of the upper lid is starting to restrict their vision. They find themselves subconsciously lifting their eyebrows not only to see, but to appear to be awake! They don’t want to give the impression that they are not alert, which is obviously socially undesirable. Some of my patients have told me that looking tired all the time seems to make them feel tired too.

 

Fortunately, this condition is very treatable, and surgery can produce dramatic results. In fact, eyelid surgery is one of the most gratifying procedures for both the patient and the surgeon. The upper lids may be treated alone or in combination with the lower lids. The lower lids may be treated alone, but usually all four eyelids are treated at the same time.

 

Wrinkle Treatment

 

Laser resurfacing may be used simultaneously to treat wrinkles around the eyes, crow’s feet, and over the bridge of the nose. Eyelid surgery on its own does not treat crow’s feet because these lines extend off to the side, beyond the end of the eyelid incisions, which are used to tighten the skin. Often Botox injections are used to soften crow’s feet by relaxing the underlying muscles that compress the skin and form the wrinkles in the first place.

 

Saggy Eyebrows Require a Brow Lift

 

Some degree of overhang of the brow and upper lid, called hooding, may persist in patients with droopy eyebrows. It is important to recognize that a drop in the position of the eyebrow is often part of the problem of hooding of the upper lid. A simultaneous endoscopic forehead lift (synonymous with endoscopic brow lift) is often recommended to treat this eyebrow descent. Caution is needed when this procedure is combined with upper eyelid surgery to avoid incomplete eyelid closure, which can cause dry eyes.

 

It is important that the surgeon is trained and has the capability to perform an endoscopic forehead lift because this is frequently the procedure that is needed, not removal of more eyelid skin. If the operator is not a plastic surgeon, it is possible that he or she may not perform endoscopic forehead lifts. Patients need to know that if the operator does not have the capability of doing a procedure, it will not be offered.

 

 

 

 

 

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