lower eye-lid surgery and mini-lift - Eyelid surgery (Blepharoplasty) - Forums & Discussion 

Dear madam
Specifically for the hollowness between the lower eylid and upper cheek I cann recomend you "lipografting"(http://www.cosmetic-plastic-surgery.info/news/liposuction-lipofilling-lipografting).I can told you more after seeing your photo.
with regards Dr. Vrbicky (vrbicky@plasticka-chirurgie-vrbicky.cz)

Hi,
I send you procedural steps:
What happens during facelift surgery?
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
Depending on the degree of change you’d like to see, your facelift choices include a traditional facelift, limited incision facelift or a neck lift.
A traditional facelift incision often begins in the hairline at the temples, continues around the ear and ends in the lower scalp. Fat may be sculpted or redistributed from the face, jowls and neck, and underlying tissue is repositioned, commonly the deeper layers of the face and the muscles are also lifted.
Skin is redraped over the uplifted contours and excess skin is trimmed away. A second incision under the chin may be necessary to further improve an aging neck. Sutures or skin adhesives close the incisions.
Sagging jowls, loose neck skin and fat accumulation under the chin may be corrected with a neck lift. The neck lift incision often begins in front of the ear lobe and wraps around behind the ear ending in the lower scalp.
Step 3 – Closing the incisions
Once healed, the incision lines from a facelift are well concealed within the hairline and in the natural contours of the face and ear.
Step 4 – See the results
The visible improvements of a facelift appear as swelling and bruising subside. Your final result should not only restore a more youthful and rested appearance, but also help you feel more confident about yourself.
What happens during eyelid surgery?
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
The incision lines for eyelid surgery are designed for scars to be well concealed within the natural structures of the eyelid region.
Droopy conditions of the upper eyelid can be corrected through an incision within the natural crease of the upper eyelid allowing repositioning of fat deposits, tightening of muscles and tissue, and/or removal of excess skin.
Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelids is removed.
A transconjunctival incision, one hidden inside the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat.this procedure could be don with laser transconujctival from inside
Step 3 – Closing the incisions
Eyelid incisions typically are closed with:
• Removable or absorbable sutures
• Skin adhesives
• Surgical tape
Your surgeon may use a laser chemical peel to erase dark discoloration of the lower eyelids.
Step 4 – See the results
The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance.

MUDr. Issam Alawa
Medicom VIP

Hi,
The midface is an essential component of an attractive face. With the aging process, the fatty tissue that normally drapes over the cheekbones can begin to sag with gravity. The result is less prominent cheekbones, and a droopy fold of skin and fat between the nose and the cheek (the nasolabial fold). The sagging cheek fat can also alter the appearance of the lower cheek. For example, bagginess of the lower eyelids often becomes more apparent after the fat of the upper cheek begins to sag. This in essence 'unveils' the bagginess of the lower lids, which have always been there. In addition to sagging of the skin and fat of the midface, there is also volume loss from the cheek with aging, due to loss of cheek fat and muscle.

WHAT CAN A CHEEK LIFT ACHIEVE?
Using minimally invasive cheek and midface lift techniques with limited incisions, the droopy cheek tissue can be lifted up over the cheekbone restoring the more prominent youthful contour, improving the tear trough and bagginess of the lower lids, and softening the undesirable cheek fold.

With best regards,
MUDr. Issam Alawa
Medicom VIP

The only blepharoplasty that will help a tear-trough is one that redraped the fat from the orbit and attaches it to the midfacial soft tissues. A fat-redraping blepharoplasty with midface lift is probably what you are asking about. This usually requires concurrent canthopexy.

james@mhclinic.co.uk www.mhclinic.co.uk