As we age, the eyebrows can descend below their more youthful position. In some cases, the lowered eyebrows can impair your vision, or make it difficult to open the eyes.
A chemical brow lift, produced by Botox or Dysport, can correct some forms of droopy brows. Dr. Rowland will relax the muscles that cause the brow droop allowing your brows to elevate. However, not all cases of brow droop can be corrected with Botox or Dysport.
Surgical brow lifts can be used to elevate the brow, reduce excess upper eyelid skin, and decrease the appearance of forehead wrinkles. There are several techniques for surgical brow lifts.
The traditional brow lift, the coronal brow lift, makes an incision in the scalp behind the hairline and removes the part of skin with hair to lift the entire forehead and eyebrows. The disadvantages include the creation of a higher forehead and a visible scar.
The newer type of brow lift, the endoscopic brow lift, makes small incisions at the hairline, and inserting a camera (the endoscope) into the incisions allows Dr. Rowland to elevate the forehead and eyebrow in a minimally invasive way.
Direct brow lifts involve the removal of skin right above the eyebrows, with the incision hidden in the eyebrows. This type of brow lift is particularly useful in men with thick eyebrows, but do not want the expense of the endoscopic brow lift.
Blepharoplasty is a surgical procedure to improve vision and appearance affected by ptosis (droopy eyelids). If your upper eyelids droop, it can block much of your vision.
How can I discover whether or not I need Blepharoplasty?
Blepharoplasty is indicated as a medical versus aesthetic procedure by determining whether the droopiness of the eyelids impacts your vision or not. To do this, measurements, photos, and visual fields will be done to demonstrate that eyelid surgery would improve your vision. Most patients are very happy after blepharoplasty with their improved vision and appearance.
Depending on the cause of your droopy eyelids, surgery can be done to decrease the skin and fat around the upper or lower eyelids, or adjust the muscle that helps keep your eyelids open. Dr. Rowland will walk you through the pre and post-operative surgical instructions and prepare you for what to expect.
Dr. Rowland performs functional eyelid surgery to improve vision that is obscured due to the following conditions:
- Allergies or thyroid disorders
- Weakened eyelid muscle
- Eyelid rotation or eyelash abnormalities
- Excessive eyelid skin
- Drooping eyelids
- Eyelid lesions
Dr. Rowland can discuss the surgical and laser options that will provide you with your best possible outcome with remarkable techniques that leave little visible scarring. Insurance may cover all or a portion of your functional eyelid surgery.
Eyelid & Facial Skin Lesions
Skin tags can occur in childhood but become more common as one ages. Additionally, they are subject to hormonal changes and pregnant women experience new skin tags. Skin tags are typically an aesthetic concern and do not cause any further problems. However, they may have a relationship to diabetes and obesity so you should have your blood sugar and weight checked by your primary care physician if you notice a sudden onset of many skin tags.
Fortunately, skin tags are simple to remove. Usually, these are removed by a doctor using cryosurgery or cautery. Cryosurgery involves applying liquid nitrogen to the surface. This freezes the skin tag. Cautery uses high heat to burn off the skin tag. In both cases, the skin tag falls off on its own. In some cases, excision is required with the use of a scalpel or special scissors. Control of bleeding and infection is extremely important. Therefore, only a physician should remove skin tags; do not try to do this on your own at home.
Any suspicious bump skin-tag on or near your eyelid should be examined by a physician. There are a number of warning signs that indicate that the bump may be skin cancer.
These include the “ABCDEs:”
B: Borders are irregular
C: Color variation (more than one color)
D: Diameter (size is greater than a pencil eraser)
E: Evolution (anything new – growth, bleeding, itching)
These bumps can be excised by your physician and sent to a laboratory for examination. Remember, not all bumps are cancer. It may be a benign growth, infection or a sign of an underlying condition. Usually, removal of the bump can be performed right in the office using a local anesthetic. Other cases require the equipment and safety of an operating room. After the bump is removed, you will likely be asked to apply an antibiotic ointment to prevent infection.