It is also the first signs of aging. Eyelid Surgery (Blepharoplasty) is designed to help rejuvenate and brighten tired or heavy-appearing eyes by removing drooping upper lids. It also helps improve appearance by removing puffiness under the eyes by removing fat from select portions around the eye.

Blepharoplasty can be both a functional and cosmetic surgical procedure intended to reshape the upper eyelid or lower eyelid by the removal or repositioning of excess tissue as well as by reinforcement of surrounding muscles and tendons.

When an advanced amount of upper eyelid skin is present, the skin may protrude over the eyelashes and causing a loss of peripheral vision. The outer and upper parts of the visual field are most commonly affected and the condition may cause difficulty with activities such as driving or reading. In this circumstance, upper eyelid blepharoplasty is performed to improve peripheral vision. Patients with a less severe amount of excess skin may have a similar procedure performed for cosmetic reasons. Lower eyelid blepharoplasty is almost always done for cosmetic reasons, to improve puffy lower eyelid "bags" and reduce the wrinkling of skin.

Blepharoplasty is performed through external incisions made along the natural skin lines of the eyelids, such as the creases of the upper lids and below the lashes of the lower lids, or from the inside surface of the lower eyelid. Initial swelling and bruising take one to two weeks to resolve but at least several months are needed until the final result becomes stable. Depending upon the scope of the procedure, the operation takes one to three hours to complete.

A high arched eyebrow is a beauty feature from old times. Brow lift (forehead lift) is a plastic surgery procedure that will raise your eyebrows to a higher and more aesthetic position. With age, the skin on the corner of eyes start to sag and a forehead lift done by a deft plastic surgeon can correct that.

The second advantage of a forehead lift is the removal of the obstinate forehead wrinkle lines and scowl lines between eyebrows which come with age. The procedure is common among Plastic Surgery patients and is popularly clubbed with eyelid surgery, which improves baggy eyelids.

Patients commonly request rejuvenation surgery on the forehead because the area is large enough to comprise the major focal and expression point of the upper face, the eyes notwithstanding. Given time and gravity, the muscles that hold the forehead smooth become loose and weak, allowing deep wrinkles to appear. Correction of a wrinkled forehead usually leads to a more youthful look. Patients requesting the procedure commonly range in age from 40 to 60.

A forehead lift is often used in combination with eyelid surgery to reduce sagging skin found on the upper eyelids.
Multiple surgical approaches can be utilized. A direct brow lift is performed by removing an ellipse of skin and muscle just above the eyebrows. The incision is hidden within the brow hair. This technique does not address wrinkles or lines within the forehead and surgical scars may be prominent. It is typically reserved for older patients or for men with thick eyebrow hair and male pattern baldness.

A mid-forehead lift is intended for patients older than 65 who have heavy sagging eyebrows and the deepest forehead wrinkles. To bring about a more youthful look, the surgeon makes incisions within the deep forehead wrinkles and removes the excess skin, fat and muscle. Incisions are made within the deep wrinkles so that the resulting scars are hidden and not very noticeable after healing.

A coronal forehead lift is performed by making an ear to ear incision across the forehead and elevating the entire forehead and brow.

The most current technique, called an endoscopic forehead lift, involves the use of a surgical telescope to elevate the brows and smooth forehead wrinkles through small incisions made behind the hairline.