Facial Plastic Surgery in Vero Beach


WHY CHOOSE A FACIAL PLASTIC SURGEON FOR YOUR PROCEDURE?

Many patients ask about the difference between a plastic surgeon and a facial plastic surgeon.

First and foremost, a facial plastic surgeon is specialist in the face. When compared to general plastic surgeons that spend portions of their training and time in practice dedicated to the hand, breast, abdomen and other body parts, facial plastic surgeons spend 100% of their career perfecting techniques on the face.

The face is a unique and extremely intricate area that takes front stage in terms of one’s cosmetic appearance. Facial plastic surgeons recognize that achieving consistent and naturally beautiful results requires 100% dedication to this region.

WHO SHOULD CONSIDER A FACIAL REJUVENATION PROCEDURE?

Quite simply, everyone! The world of cosmetic surgery has shifted dramatically in the past decade. Now it is no longer only celebrities or the very wealthy that are taking advantage of the potential opportunity to look their best and feel rejuvenated. Now refined techniques and revolutionary new products allow naturally impressive results without the "overdone" appearance. In addition, the non-surgical options have opened up possibilities for younger patients who desire to maximize and preserve their youthful look for the future.

FACIAL REJUVENATION PROCEDURES

Blepharoplasty (Eyelid Lift)

Blepharoplasty or eyelid lift is the most common cosmetic operation that Dr. Lieberman performs. When you meet someone for the first time, you make eye contact as the eyes are a focal point for the face and invite the most attention. Unfortunately, they are one of the first areas of the face to exhibit aging. Excess skin, due to a natural decrease in laxity, can cause a droopy, bulging upper eyelid and a wrinkled, “crepe paper” appearance to the lower eye area. Genetic predisposition, sun exposure, smoking and obesity can contribute to this premature aging process as well. The end result is that you appear more tired and older than you are. You never get a second chance to make a first impression!

Who is a candidate for blepharoplasty?

The ideal candidate is someone who is in good overall health, a non-smoker and without serious eye conditions. During the consultation appointment, Dr. Lieberman will discuss how much excess skin, fat and muscle can be removed or tightened and what realistically can be expected. The goal of blepharoplasty is to look rejuvenated and rested without anyone knowing what was done. A person will simply appear refreshed and naturally enhanced. The procedure will not alter an entire appearance or change the structure of the face. It also will not appreciably benefit the fine, crepe-like wrinkles on the upper or lower lids. It is impossible to tighten the skin that much without risking the ability to close the lids correctly. Often times Botox injections can reduce the appearance of the lines extending from the outside corner of the eyelid radially into the temple (commonly referred to as crow’s feet). Another issue that cannot be addressed by blepharoplasty alone is excess upper eyelid skin that is partially due to descended eyebrows. Droopy eyebrows (brow ptosis) made need to be addressed with a brow lift either alone or in conjunction with blepharoplasty.

Blepharoplasty (eyelid lift) procedure

Blepharoplasty can be performed on the upper lids or the lower lids or on both sets of lids. The procedure is done in Dr. Lieberman’s office under local anesthesia with sedation. There is minimal downtime and the results are quickly evident.

For the upper eyelids, Dr. Lieberman makes an incision that is hidden in the natural crease and extends slightly beyond the outside corner to the beginning of an existing “crow’s foot”. Through this incision, excess skin is removed and any fat herniating into the lids will be addressed. In women, Dr. Lieberman might remove a small strip of muscle to give a defined crease that facilitates makeup application. Because the incision follows the natural contour of the upper eyelid, the scar is generally inconspicuous.

Upper Lid Incision Lower Lid Incision

The lower eyelids are approached through an incision made just below (about 2 mm) the lash line. Dr. Lieberman will excise excess skin and remove bulging fat to improve the lower eyelid contour. The amount of skin that is excised is determined at the time of the surgery by having the patient move his/her eyes to ensure proper lid closure.

Once the preoperative sedation takes effect, the procedure takes approximately 45 minutes per lid. When the surgery is complete, Dr. Lieberman will apply steri-strips (very thin surgical tape) along the incisions to support the wound and these will be in place for a week. For the 24-hour period after the procedure, it is important to apply ice to the eyes to help reduce any swelling or bruising. A bag of frozen peas or corn resting on a thin towel works nicely! Postoperative discomfort is generally minimal. Dr. Lieberman will take out some of the sutures on post-operative day 3 and the remaining ones on post-operative day 5. Once all of the sutures have been removed, it is important to apply sunscreen daily so that the scars will heal as delicately as possible.

Depending on the type of employment, most patients can return to work within 2 to 3 days, but should avoid strenuous activity for 2 weeks. No contact lens and no eye makeup for the first week. To help with any bruising or swelling, all patients will be started on Arnica and Bromelain 2 days before the procedure and will continue on them for 5 days following the surgery. Until the sutures are removed, use of lubricating eye drops as needed will help to minimize any dry, scratchy feeling.

Before Blepharoplasty Pre-operative Planning
One eyelid done, one to go! 6 Weeks After
Before Blepharoplasty 6 Weeks After Surgery
Before Blepharoplasty 10 Weeks After Surgery