Endoscopic browlifts are performed through small incisions behind the hairline through which a camera and dissecting instruments are placed. The results appear natural, and there is minimal scarring. If there is wrinkling of the forehead, an open technique will give better results. In this situation, an incision is made either at or behind the hairline to allow the surgeon to pull up the forehead and brows. This surgery allows better lift and wrinkle treatment in exchange for a larger scar.
Treatment needs to be individualized to each patient.
Blepharoplasty treats the excess skin and fat directly around the eye. For the upper lid and incision is made within the crease of the eye to remove excess skin and fat. The lower lid may be approached two ways. One way is to make an incision hidden in the conjunctiva of the eye to remove fat. The other incision is below the lashline, and allows removal of both fat and skin.