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Aging Face

If you are unhappy with your appearance, there are many options to consider in cosmetic surgery. Surgery can help to improve your appearance, confidence and overall well-being. It is most important, however, to select a surgeon that you feel comfortable with - someone who clearly explains the risks, benefits, and limitations of each procedure.

Over time, predictable skin changes occur which can result in skin laxity and wrinkles. In the upper 1/3 of the face, these changes can be seen as brow laxity and forehead wrinkles. Between and around the eyes, patients often complain of crow’s feet and furrowing of the eyebrows. In the lower face, aging can produce prominent creases between the nose and lips, jowls, and sagging underneath the chin.

Your surgeon should examine each area of your face in detail to identify individual problem areas specific to you. The following is a list of treatments that are often offered but remember – therapy should always be tailored to your needs.

Brow lift

In this procedure, low or sagging eyebrows are repositioned higher. There are many approaches to this, which may include incisions hidden in the hair or in an existing forehead wrinkle. Endoscopic approaches, which employ smaller incisions, are also possible. This procedure can improve the appearance of low eyebrows, horizontal forehead wrinkles and to a limited degree, crow’s feet around the eyes.

Upper eyelid lift (upper blepharoplasty)

Excess upper eyelid skin laxity can result in an aged or tired appearance. In more severe cases, the extra skin can lead to visual field impairment. Sometimes fat herniation in the eyelid can also contribute to upper lid fullness. In this procedure, skin incisions are hidden in the crease of the upper eyelid and extra skin and fat is removed. This can improve the appearance of the eyes, making you look more youthful and rested.

Lower eyelid lift (lower blepharoplasty)

Lower eyelid blepharoplasty may be used to remove fat herniation and loose skin that forms on the lower eyelid with age. Younger patients may also elect to have this procedure done to eliminate puffiness below the eyes from congenital excess fatty tissue. Lower blepharoplasty can be approached via several techniques including incisions below the eyelashes or hidden in the lower eyelid. The approach will depend on an individual patient’s needs.

Face lift (rhytidectomy)

There are many approaches to the face lift and the placement of incisions is influenced by several factors.  The primary goals should be to hide visible scars, avoid hair loss and hairline adjustments, and avoid loss of normal anatomic structures. A face lift can improve sagging in the midface and tighten loose skin underneath the chin and jaw.

Facial skin rejuvenation/resurfacing

These procedures can often address skin texture issues and shallow wrinkles. This may include dermabrasion, where the most superficial layer of skin, the epidermis, is removed. Chemical peels can also be employed to remove different depths of skin, depending on the type of agent used and the length of application. 

Call us for an Appointment

To find a head and neck specialist for your needs, contact the Head & Neck Institute at 216.444.8500 (or toll-free 1.800.223.2273, ext. 48500)

This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

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