There are surgical and nonsurgical options when one wishes to improve the appearance of their brow and upper eyelids. Nonsurgical options are usually best for people who are seeking mild degrees of improvement. Botox can be injected in the strategic locations to achieve a "chemical browlift". In doing so, the eyes themselves, can appear more refreshed, and the lines between the eyebrows can be softened to give one a more youthful and pleasant appearance. When droopiness of the brow and excess upper eyelid skin progresses, surgical solutions offer the best results. Typically, a browlift in conjunction with surgery to remove the excess skin from the upper eyelids, is an excellent combination that can be done together. It is important that if a droopy brow and excess upper eyelid skin do co-exist in a given patient, the surgeon needs to be aware and address both of these issues, because if the excess upper eyelid skin is removed without improving the brow, removal of the eyelid skin can actually pull the brow even further down towards the eyes.

We perform our facelift procedures in the operating room under a twilight anesthesia, called monitored anesthesia care. After one undergoes such a procedure, they are not allowed to drive home, nor should they stay by themselves the night after surgery. Fortunately, we can arrange to have someone take you home or to a nearby hotel, after surgery, and stay the night with you. This can be discussed at the time of your consultation.

There are multiple ways to place cheek implants in the face; one of them is to create a small recipient pocket, in which the implant is positioned, and the other is to actually secure the implant with a small screw or suture. Regardless, when done correctly, mild trauma should not cause displacement of the implant. However, if one does experience trauma around the area where an implant was recently placed, it is always a good idea to have the surgeon evaluate things because there is a possibility that the implant can shift. One would also expect that it could increase the duration of swelling as well.

After fat transfer surgery, it is normal to have a moderate degree of swelling related to the procedure. Initially this swelling is manifest by a certain degree of firmness, which over time, will soften. Long-term, the area should not feel hard.