Blepharoplasty
Deep Plane Facelift at 61: Upper, Mid & Lower Lift with Blepharoplasty — Before and After
For this 61-year-old patient, Beverly Hills plastic surgeon Suzanne A. Trott, M.D., F.A.C.S. combined an upper, mid and lower facelift with transconjunctival lower blepharoplasty, microfat grafting, and fractional CO2 laser resurfacing of the skin. Each procedure has a specific responsibility. The facelift addresses tissue position and facial contours. Microfat grafting, a form of facial fat transfer, uses the patient’s own fat to replenish selected areas of volume loss. Together, they address both the descent and the depletion associated with aging. The fractional CO2 laser resurfacing addresses the skin itself, improving its texture and quality — changes no lifting procedure can achieve on its own. The lower eyelid surgery adds another important detail: the incision is inside the eyelid, allowing under-eye fat to be addressed without placing that incision on the external eyelid skin. With these facelift before-and-after photographs side by side, look beyond the outline of the face. Examine the lower eyelids, the cheeks and the relationship between fullness and definition. That is the thinking behind Dr. Trott’s approach to this case. The planning extends beyond how much to lift. It considers where fullness belongs and how the individual corrections will work together. The procedures are separate. The face is not.
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Male Upper & Lower Blepharoplasty in His 60s
This patient in his 60s is shown after upper and lower blepharoplasty. The upper eyelids no longer hood the lid margin, and the upper eyelid crease is visible again. The lower eyelids show less puffiness beneath the lash line because the fat pockets have been conservatively reduced and repositioned. The eye shape itself has not been altered; the lateral canthal angle and the overall masculine contour of the orbit remain intact. What has changed is the tired, heavy quality that excess skin and under-eye fullness were creating. The eyes now appear more open and alert, and the transition from the lower eyelid to the cheek is smoother. The incisions are hidden in the natural upper eyelid crease and just below the lower lash line, where they become difficult to detect once healed. The result is that he looks like himself on a well-rested day, not like someone who has had surgery.
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Deep Plane Facelift, Neck Lift & Eyelid Rejuvenation for a Patient in Her 70s
This patient in her 70s is shown after a deep plane facelift and neck lift combined with upper and lower blepharoplasty and lower-eyelid fat transposition. The jawline is more defined, with the mandibular border visible from the chin to the angle of the jaw, and the neck contour is smoother with less fullness beneath the chin. The upper eyelids have a cleaner crease with the excess hooding removed, and the lower eyelids show less hollowing because the fat has been repositioned into the tear trough rather than removed. The midface retains its volume, but the cheek tissue sits higher, softening the fold between the nose and mouth. Because the facelift was performed in the deep plane, the deeper tissues were lifted and the skin was redraped without tension. Expression is preserved across the brows, eyes, and mouth. The result is a more rested, structured version of the same face, with each feature in better proportion to the others.
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Case 106047
Worried About Keeping His Masculine Look: Natural Male Deep Plane Facelift, Neck Lift, Upper Blepharoplasty & CO₂ Laser Before and After at 73
With men, I pay close attention to what gives their face its character. You can improve the jawline, neck, and eyelids, but you have to understand how those changes will affect the whole face. His concern was specific, and it’s one I hear often from men: he didn’t want to lose the masculine appearance he’d carried his whole life. That concern shaped the plan. For this 73-year-old patient, I performed a deep plane lower facelift and neck lift, upper blepharoplasty, and fractionated CO₂ laser resurfacing of the face and neck. The lift addressed the sagging along his jawline and neck. The upper eyelid surgery removed excess skin that was making his eyes look heavy. The CO₂ laser addressed skin texture and fine lines. Look at his eyes and the shape of his face. He still has the features and expression you recognize. There’s more definition along his jaw, his neck looks tighter, and his eyes look more rested. That’s what I like about this result. You see the improvement, but you still see him.
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