EXPERT Q&A

Q: Does a facelift remove the necessity for an eye lift or browlift?

What our experts say:

Over the past twenty years, our understanding of facial anatomy and facial aesthetics has exponentially grown, and this has created a number of different facelift techniques. No single technique is superior to another. Rather, each technique, similar to a tool in a toolbox, has its advantages and disadvantages. I consider a “full facelift” to include brow rejuvenation as this technique improves brow position, midface position, lower facial excess skin and jowling, and also includes a neck lift. A limited incision facelift, also referred to as a lower facelift, will only address the midface, lower face, and neck. A MACS facelift also addresses the midface and lower face, but has more of an incision in front of the ear rather than behind. MACS facelift does not include browlifting. None of the facelift procedures address eyelid aesthetics directly. As such, patients who can benefit from eyelid lifting do need to understand that an eyelid lift is a separate procedure from a facelift. In our practice, we routinely combine eyelid surgery with facial aesthetic surgery as there is a clear synergistic effect between these procedures. We tend to provide more limited incision facelift approaches as well, and as such, tend to do brow lifting procedures only when required. Brow lift procedures are incredibly effective in the right candidates, but not everyone requires a brow lift with a facelift procedure. We have clearly found that individualization of patient desires and anatomy provides the best results in facial aesthetic surgery, and evaluation of each part of the face separately, and the face as a whole, confluent structure gives us the best opportunity for success. In summary, eyelid surgery is separate from facelift surgery, but they are combined very frequently. This combination is both safe, and in many cases, the best possible approach. Face lift procedures do not remove the necessity for an eyelid lift. As well, brow lift procedures can be combined into facelift procedures, but facelift procedures designed to rejuvenate the midface and lower face will not remove the necessity of a brow lift.
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Dr. Alan J. Durkin

Plastic Surgeon

Vero Beach , Florida

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