Eyelid Lift Before & After Case 1168

This 61 year old was referred to Dr. Parker by another patient asking him to improve the contour of her neck only, saying she was not bothered by the appearance of her face. She also asked to have the hanging skin from her upper eyelids removed. The patient is 5’3″ tall and weighs 150 pounds. After examining the patient, Dr. Parker explained that the nature of her skin was such that he could more effectively improve the contour of her neck by combining her neck lift with a facelift. By doing this, he would be able to lift the skin as well as the deeper tissues (SMAS in the face, platysma in the neck ) in both an upward and backward direction improving her neck contour more effectively than he could do with a neck lift alone. The direction of pull in an isolated neck lift is posteriorly and not upward as in a face and neck lift. For that reason, it is not as effective in older patients who will often have compromised skin elasticity. The patient said she understood all discussed and had Dr. Parker perform a biplaner SMAS facelift and deep plane neck lift in addition to an upper eyelid blepharoplasty. The patient enjoyed a quick recovery which was not prolonged by the face and neck lift versus an isolated neck lift. She is very happy with her rejuvenated and natural looking upper eyelids, face and neck.