Eyes

Eyelid Surgery

Eyelid surgery, commonly known as Blepharoplasty, improves the appearance of the eyelids. Droopy eyelids can make you look older and can also impair your vision. Surgery can correct these problems as well as remove puffiness and bags under your eyes – the bags that make us all look worn out and tired. Dr. Chadwell’s eyelid surgery can help restore a more youthful appearance by:

•Removing fatty deposits and excess, loose skin around the eyes

•Improving vision problems or tired-looking eyes

Brow Lift

Having a tired, sad, or angry expression may not reflect how you are actually feeling. This can be a result of increasing heaviness of the eyebrows. A brow lift can greatly improve this. Many different brow lift techniques are available. Dr. Chadwell uses a variety of these procedures, including endoscopic brow lifts, in order to achieve a more refined look:

•Elevate drooping brows

•Restore a calm, youthful appearance of the upper face

Results

The final results of surgery can take several weeks to become noticeable. Patients can expect to enjoy their eyelid surgery results for many years to come.

If you are interested in eyelid surgery, Dr. Chadwell is an experienced and knowledgeable plastic surgeon who can help you gain a more youthful look. To schedule your consultation, contact us by calling (574) 280-4818 or by filling out our online contact form.

Dr. Chadwell will decide on the best eyelid surgery approach based on the patient’s individual condition, amount of sagging skin and fat, and aesthetic goals.

Upper Eyelid Surgery

Blepharoptosis: Performed for patients with severely drooping upper eyelids that hang down almost to the pupil. To raise the position of the lid and correct impaired vision, an incision is made along the natural eyelid crease. Excess skin and fat is removed, and the eyelid muscle is tightened.

Blepharoplasty: Performed for patients with excess skin and some excess fat in the upper eyelids. An incision along the natural eyelid crease is used to remove excess skin and remove or redistribute fat.

Lower Eyelid Surgery

Transconjunctival: Performed for patients with puffiness and excess fat in the lower eyelids. An incision is made inside the lower eyelid to remove excess fat. If loose skin needs to be addressed, a skin-pinch excision may be combined with the transconjunctival technique, or skin resurfacing using a deep chemical peel may be performed to tighten the skin.

Transcutaneous: Performed for patients who have a significant amount of loose skin beneath the eyes. An incision is made just below the lower eyelash line through which excess skin is removed as well as any excess fat.

Can Correct

Loose or sagging skin
Puffiness in the eyelids
Bags under the eyes
Drooping upper and lower eyelids
Wrinkles around the eyes

Candidates

Those who want to correct sagging skin and excess or displaced fat in the upper and/or lower eyelids may be good candidates for eyelid surgery. Before undergoing eyelid surgery, it is important that the patient…

Is in good physical health
Has realistic expectations
Does not have any serious eye problems
Is a non-smoker or able to quit for a period of time

Recovery

After surgery, patients should apply cold compresses to help with swelling and pain.There will be special instructions provided by Dr. Chadwell that patients should follow to ensure a safe and healthy recovery process. He can prescribe medications that can be taken orally to ease any pain or discomfort. Patients should expect to experience some swelling and bruising, and the eyes may feel irritated or dry during the recovery period.

Brow Lift Surgery Can Correct:

Low or sagging eyebrows

Candidates

A good candidate for brow lift surgery has low-hanging brows. It is important they are in good health, are choosing to undergo the procedure for themselves, and have realistic expectations about the outcome.

Procedure

Dr. Chadwell performs brow lift surgery using local anesthesia, intravenous sedation, or general anesthesia, depending on the technique utilized and the patient’s goals. Dr. Chadwell offers a variety of brow lift techniques to customize each person’s needs. Depending on the patient’s facial anatomy and goals, Dr. Chadwell can perform one of the following brow lift techniques:

Temporal Brow Lift (Limited Incision): Dr. Chadwell makes small incisions above each temple that extend just a few centimeters. Through the incisions, he lifts and repositions the tissues of the outer brow area and removes any excess skin. This technique addresses the portion of the brow closest to the temples and can easily be combined with facelift surgery.

Trichophytic Brow Lift: Dr. Chadwell makes an incision across the upper forehead, precisely in the hairline, which serves to hide the scars. Through the incisions, he lifts the skin from the underlying tissues and removes the excess skin. He then pulls back the remaining skin and sutures it together. This technique addresses the portion of the brow closest to the nose.

Direct Brow Lift: Dr. Chadwell makes an incision above each eyebrow in the brow hair, which easily camouflages the scars. He raises the eyebrows through the incisions and then secures them into a higher position. He then removes any excess skin and then sutures it together.

Mid Forehead Lift: Dr. Chadwell places incisions within the creases of the central forehead. Through these incisions, he elevates the brows to a higher position and removes the excess skin. Typically, patients with significant brow drooping, a receding hairline, and deep forehead wrinkles benefit the most from this technique (the majority of them are men).

Endoscopic Brow Lift: Dr. Chadwell makes small incisions within the hairline and uses specialized instrumentation and video guidance to reposition tissue and muscle beneath the skin and correct sagging brows. Candidates for this procedure are usually females with only mild drooping of their brows.

Recovery

After surgery, incisions are closed using sutures or clips. The incision lines are well-concealed within the hairline or existing skin creases. The forehead may be taped depending on the location of the incisions, and the head is wrapped to minimize swelling and bruising. Patients can resume work and normal activities within two weeks. Sutures or clips will be removed in seven to ten days. For better healing, do not expose surgical wounds to excessive force, abrasion, or motion.

Results

After the sutures or clips are removed, the healing of surgical wounds will continue to improve. As swelling dissipates and incisions lines begin to fade, patients will be able to see their results. Patients will notice the eyes look lifted and rejuvenated, creating a more youthful, rested appearance. Results are permanent; however, brow lift surgery cannot halt the aging process. It is important that patients adopt a healthy skin care regimen while avoiding sun exposure by using skin protection to maintain results. Results are excellent, and ultimately the incisions are imperceptible.

Eyelid Surgery

Brow Lift

Eyelid Surgery & Brow Lift

Results

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Upper Eyelid Surgery

Lower Eyelid Surgery

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Recovery

Brow Lift Surgery Can Correct:

Candidates

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Recovery

Results

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