Facelifts remove big sags, not fine lines and small wrinkles. Also, facelifts do not improve skin quality or texture. This procedure has no effect from the lower eyelids down. The forehead lift can be done through an open incision from ear to ear along the scalp line, through several small incisions just inside the hairline, or both. An open incision allows the surgeon to cut away excess skin, a problem that many older patients have.
Forehead lifts are sometimes combined with eyelid surgery.
In certain cases, the surgery can also minimize or erase dark circles under the eyes. After successful surgery, the eyes look bigger and brighter. Blepharoplasty is one of the few cosmetic procedures that insurance sometimes covers, if it can be documented that droopy eyelids are hindering the patient's peripheral vision. The procedure does not correct crow's feet. The upper eyelid lift is performed through an elliptical incision in the crease of the upper eyelid.