Face


 

 

Eye Lid Lift Patient #1


This is a 57-year old woman from Chicago who was unhappy with the appearance of her eyes, feeling they made her appear tired. She was particularly bothered by the skin folds of the upper eyelids and the puffiness of the lower eyelids. Upon physical examination, she was noted to have excess skin of the upper lids and protrusion of the fat pads along both the upper and lower eyelids. The patient decided to proceed with an upper and lower Eye Lid Lift procedure. For the upper eyelids, Dr. Sweis removed the excess skin, a small strip of muscle, and the excess fat along with the 2 fat pads that rest along the upper aspect of the orbit. For the lower eyelids, the incision was made inside the lower lid (transconjunctival Eye Lid Lift), the excess fat was removed and some of it was repositioned along the tear trough to address some of the hollowness along the tear trough.

Only a minimal amount of fat was removed from the three lower lid fat pads to minimize the potential for hollowness around the eyes which occurs with aging. The excess skin of the lower eyelids was removed through a separate skin incision just underneath the lash line. This approach did not interrupt the lower lid muscle and released the structures that could potentially pull the lid down, thereby minimizing the potential for changing the shape of the eyes. Her post-operative photos were taken 9 months following upper and lower Eye Lid Lift.


 Eye Lid Lift Patient #2


This is a 53-year-old woman who presented to Dr. Sweis complaining of having excess skin along the upper eyelids and puffiness of the lower lids. Upon physical examination she was found to have excess lax skin (dermatochalasis) of both the upper and lower eyelids, relaxation (pseudoherniation) of the medial and central fat pads along the upper eyelid as well as pseudoherniation of the medial, central, and lateral fat pads of the lower eyelids. After discussing her options, the patient decided to proceed with a bilateral upper Eye Lid Lift and a bilateral lower Eye Lid Lift. For the lower eyelids, the incision was made inside the lids (transconjunctival) to address the fat pockets. A minimal amount of fat was removed from the three lower lid fat pads and repositioned along the tear trough.

The excess skin of the lower eyelids was removed through a separate skin incision just underneath the lash line. This approach does not interrupt the lower lid muscle and releases the structures that could potentially pull the eyelid down, thereby minimizing the potential for changing the shape of the eyes. Her photos are six months after surgery.

 

 Eye Lid Lift Patient #3


This is a 58-year-old woman from Chicago who presented to Dr. Sweis complaining of having an aged appearance to her eyes. She was particularly bothered by the excess skin of the upper lids and the wrinkles and puffiness of the lower lids. Upon physical examination, she was noted to have excess skin of the upper lids and protrusion of the fat pads along both the upper and lower eyelids. The excess skin along the upper eyelids (dermatochalasis) was worse on the patient’s left than on the patient’s right. In addition, there was a minimal amount of protrusion (pseudoherniation) of the upper lid medial and central fat pads, which is what leads to the perceived puffiness. The patient also had minimal protrusion (pseudoherniation) of the lower lid medial, central, and lateral fat pads, with the right side being worse than the left.

After discussing her options, the patient elected to proceed with a bilateral upper Eye Lid Lift, bilateral transconjunctival lower Eye Lid Lift (incision was made inside the lower eyelid without an external scar), along with Erbium Yag laser resurfacing around the eyes to tighten the skin and improve the wrinkles. These photos were taken 3 months following her surgery.

 

 Eye Lid Lift Patient #4


This is a 52-year-old woman from Chicago who presented to Dr. Sweis complaining of having an aged appearance to her eyes. She was particularly bothered by the excess skin and fullness along with both the upper and lower lids. Upon physical examination, she was noted to have minimal excess skin of the upper eyelids and protrusion of the fat pads along with the upper and lower lids. It was decided to proceed with an upper and lower Eye Lid Lift procedure. For the upper eyelids, Dr. Sweis removed the excess skin, a small strip of muscle, and the excess fat along with the medial and central fat pads. For the lower lids, the incision was made inside the lower lid to reposition some of the lower lid fat along the tear trough, in an effort to minimize the potential for a hollow appearance along the lower eyelids. Almost no fat was removed from the three lower lid fat pads. The lower eyelid's excess skin was removed through a separate skin incision just underneath the lash line.

This approach does not interrupt the lower lid muscle and releases the capsulopalpebral fascia which helps decrease the potential of pulling the lid down, causing an ectropion. Her postoperative photos are 1 year, 6 months following Eye Lid Lift surgery.

 

 Eye Lid Lift Patient #5


This is a 56-year-old man from Chicago who presented to Dr. Sweis concerned about the appearance of his eyes and the difficulty in seeing well when looking upward. He was particularly bothered by the skin folds of the upper lids and the puffiness of the lower lids. Upon physical examination, he had excess skin of the upper eyelids and protrusion of the fat pads along with the upper and lower lids. He was evaluated by an ophthalmologist and found to have a decrease in his visual field due to the excess skin of the upper eyelids. Dr. Sweis and the patient decided to proceed with upper and lower Eye Lid Lift procedures. For the lower lids, the incision was made inside the lower lid to reposition some of the lower lid fat along the tear trough. A minimal amount of fat was removed from the three lower lid fat pads.

The excess skin of the lower eyelid was removed through a separate skin incision just underneath the lash line. This approach did not interrupt the lower lid muscle and released the structures (capsulopalpebral fascia) that could potentially pull the lid down, thereby minimizing the potential for changing the shape of the eyes. The postoperative photos are 6 months following upper and lower Eye Lid Lift.

 

 Face Lift Patient #1

 


This is a middle-aged woman from the Midwest who presented to Dr. Sweis complaining of looking older than she feels. She was particularly bothered by the jowls and the appearance of looking tired most of the time. She was very concerned about the possibility of looking over-done and requested a very natural result. Upon physical examination, she was found to have thin tissues, jowls, and prominent neckbands. In addition, she had thinning lips which can give an aging appearance to the mouth region. This patient underwent a neck lift including tightening of the neck muscles (platysmaplasty) and a SMAS (superficial musculo aponeurotic system) facelift. This procedure addresses the tissues beneath the skin, raising them to a more youthful position, and allows a natural re-draping of the skin. For this woman, the incisions for the facelift were mainly behind the ears and inside the ears to minimize visibility. She also underwent lip rejuvenation with Juvederm Ultra® XC placed in her upper and lower lips in an effort to add some volume to her lips. Her postoperative photos are 7 months following surgery.

 

 Face Lift Patient #2

 


This is a 57-year-old man who presented complaining of an aging appearance. He was particularly bothered by his jowls and neck. He was concerned about the possibility of appearing over-done and unlike himself. Upon physical examination, he was found to have thick tissues, jowls, prominent neck bands, and a prominent Adam’s apple. He also had a slight amount of excess skin along the upper eyelids. With a male facelift, particular attention needs to be given to the hairline so as to not shift it to any appreciable extent. Also, the incisions around the ears need to be positioned in such a fashion so as to not have hair growing inside the ears (depending on incision placement, the cheek skin may be shifted inside the ears). Furthermore, a male facelift requires particular attention so as to avoid feminizing the face. This is prevented by the degree and direction of the lifting of the cheek soft tissues. Dr. Sweis performed an upper Eye Lid Lift, neck liposuction including tightening of the neck muscles (platysmaplasty), and a SMAS (superficial musculo aponeurotic system) facelift. The SMAS procedure addresses the tissues beneath the skin, raising them to a more youthful position, and allows a natural re-draping of the skin. For this man, the incisions for the facelift were mainly behind the ears and within the skin fold just in front of the ears. This minimized their visibility and prevented shifting of cheek skin with the associated hair follicles inside the ears.


If the incision is placed inside the ear, the hair-bearing cheek skin would be shifted inside the ear and he would have to shave inside the ears. His postoperative photos are one month following surgery.

 

 Nose Reshaping Patient #1


This is a 46-year-old woman from Chicago who was concerned about the appearance of her nose. Upon examination, she was found to have a prominent nose with a bulbous tip and a wide dorsum. Dr. Sweis elected to proceed with open nose surgery. The patient was very concerned about an over-done appearance and wished to have a very natural nose.
During surgery, Dr. Sweis proceeded with trimming of the nasal tip cartilage with special suturing of the cartilage to define the tip, as well as breaking of the nasal bones to reduce the width of the nose. The photos illustrate the patient one year after surgery.

 

 

FaceTite Patient #1 

 


This 60-year-old woman presented to Dr. Sweis to discuss facial and neck rejuvenation.  She was most concerned with her jawline and was interested in tightening of her lower face and neck for a more youthful look. She was considered a good candidate for a facelift with neck liposuction and neck lift.  However, she did not wish to undergo surgery.  She elected to undergo the FaceTite procedure, with the understanding that she could undergo the facelift and neck lift in the future should she wish to have greater improvement than achievable without surgery. 

FaceTite is a non-surgical radiofrequency procedure that works by tightening the lower facial and neck soft tissues.  This patient underwent FaceTite along the lower face and neck, as well as liposuction on the neck.  This procedure was performed in our office under local anesthesia with the patient fully awake.  The results of FaceTite are not immediate. The improvement of the neck contour and jawline begins to be seen after the first week following the procedure, and the results continue to change and improve over the following 6-9 months.  The results will vary from patient to patient, depending on patient age, skin thickness, the extent of sun damage, and genetics.  Some patients may experience a greater extent of improvement from the FaceTite treatment than others.

This 60-year-old patient is shown before the FaceTite and neck liposuction and 7 months after her procedure.

 

 

FaceTite Patient #2 


This 35-year-old woman presented to Dr. Sweis to discuss possible anti-aging procedures. She was most concerned with her jawline and was interested in tightening of her lower face for a more youthful look. She elected to undergo the FaceTite procedure.  

FaceTite is a non-surgical radiofrequency procedure that works by tightening the lower facial and neck soft tissues.  This patient underwent FaceTite along the lower face and neck, as well as liposuction of the neck.  This procedure was performed in our office under local anesthesia with the patient fully awake.  The results of FaceTite are not immediate. The improvement of the neck contour and jawline begins to be seen after the first week following the procedure, and the results continue to change and improve over the following 6-9 months.  The results will vary from patient to patient, depending on patient age, skin thickness, the extent of sun damage, and genetics.  Some patients may experience a greater extent of improvement from the FaceTite treatment than others. 

This 35-year-old patient is shown before the FaceTite and neck liposuction and 6 months after her procedure.

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