What Is Blepharoplasty Plus?
Blepharoplasty plus describes additional procedures that are commonly performed to enhance the result of the blepharoplasty surgery. These include:
- BoNT: Injection of the “crows feet” wrinkles or glabellar frown lines with BoNT. This has the effect of freshening the periocular skin and enhancing the result of the blepharoplasty. In addition, BoNT can also be used to lift the brow, further clearing additional skin and brow descent. BoNT can also be applied to other areas of the face such as the lower jaw and neck.
- Hyaluronic Acid Filler Injections: Application of fillers to smooth deep lines around the eyes.
- Skin Resurfacing: Laser treatments and chemical peels of other facial areas may also be performed during an eyelid blepharoplasty procedure. These options have the effect of tightening the skin and reducing fine lines and wrinkles. This is particularly important where transconjunctival ‘scarless’ surgery is employed.
- Eyelash lift: This procedure can be performed at the same time as upper eyelid blepharoplasty surgery. There are two variants of this. A surgical variant involves an anterior lamellar repositioning procedure. As a less invasive option, a laser lash lift can also be performed by tightening the skin at the base of the eyelashes. Please see the images below which demonstrate the extent of the improvement.
- Midface Lift: In cases of midface sagging and cheek descent, a disjunction of the eyelid-cheek interface is observed. A midface lift may also be performed if desired and can be very effective in restoring the continuum between the cheek and eyelid.
- Fat Transfer: This describes the transfer of fat from the stomach or thighs. The fat is removed using a limited liposuction technique and then purified. The mesenchymal stem cells are then isolated and reinjected into the face. This is highly effective in restoring volume and also has the beneficial effect of improving skin quality. Mr Ezra grafts the fat is applied using the latest ‘Microfat’ techniques.
- Platelet Rich Plasma Injections ‘PRP’: There is growing evidence that PRP can be highly effective in improving skin quality. This is sometimes colloquially referred to as the ‘Vampire facelift’. Blood is drawn from the arm and then the component which is rich in growth factors (PRP) is carefully exctracted and then applied to the face, usually as an injection. This can be a very effective additional procedure to blepharoplasty surgery.
Before and After
This technique can improve lash angle by over 90 degrees. A laser lash lift is less invasive and gives a more modest lift.
This patient had quite significant mid face hollowing exacerbating the lower lid bags. She has undergone a lower lid blepharoplasty with autologous fat transfer to blend the lids in with the cheek and this has given a significant improvement to the overall surgery.