Over time the brows can descend worsening the upper eyelid appearance. Often times, eyelid surgery is not required, as the brow is the reason for the tired appearance. This results from gravity, loss of subcutaneous tissue, loss of volume in the temples and movement of the muscles of the forehead. There are multiple approaches you can take to address the gradual aging process of the brows. Younger patients often do not require surgery. Botox and volume restoration may work nicely to delay the aging process. For others, a lift can be performed at the time of a blepharoplasty with an Endotine or brow pexy procedure. This is a procedure to elevate the lateral brow higher on the bone to reduce the amount of lateral skin on the eyelids. Often times an incision is required in the hairline to further elevate the brow. A consultation is required to decide which procedure is the best fit for you.
THE AGING FACE
Upper Eyelids: The skin on the upper eyelids is thin and loses elasticity as we age. This leads to excess skin and a tired appearance.
Lower Eyelids: The skin on the lower eyelids also stretches with time. The tensile strength of the eyelid decreases which results in a mild to moderate eyelid droop. Orbital fat protrudes which leads to a “puffy bag” on the lower eyelids. The volume around the eye also decreases leading to “hollowness” around the lower eyelids.
Eyebrows: With time, the soft fatty tissue beneath the eyebrows lessens. The fat in the temples also dissipates leading to a mild brow droop.
Midface: Loses volume and descends. Making the face look aged and tired. This creates lines around the mouth. A full midface creates a more youthful appearance.
Lips: Get thinner and lose volume as we age.
Nasolabial: The nasolabial lines is the line from the corner of your nose to the outer corner of the mouth. As we age, it becomes prominent because the midface droops and we lose volume.
Jawline: The jawline becomes less defined as we age.
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MEET DR. MACQUAID
Dr. MacQuaid is a Board Certified Ophthalmologist and Oculoplastic Surgeon. An Oculoplastic Surgeon is someone who specializes exclusively in reconstructive, revision and cosmetic surgery of the eyes and surrounding tissue. She completed her fellowship at the prestigious Wilmer Eye Institute at Johns Hopkins Hospital.
Dr. MacQuaid's services range from cosmetic surgery of the eyelids and eyebrows to the midface. Dr. MacQuaid is a renowned expert in reconstructive surgery of the eyelids, eyebrows, tear duct surgery, thyroid eye disease, and tumors. She has advanced training in non-surgical facial rejuvenation such as Botox®, Restylane®, Juvéderm®, Radiesse® and Laser Resurfacing. She offers the latest technology available to patients.
Dr. MacQuaid is currently a member of the American Academy of Ophthalmology and is a Fellow of the American College of Surgeons. Aside from Ophthalmology, Dr. MacQuaid is a former Division One college athlete. In her free time, she enjoys playing tennis and spending time with her husband Jerry and their two children.
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Always seek the advice of your physician or other qualified health care provider.