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Facial aging affects each facial feature in a different way. For the eyelids, the ligaments and muscles may become lax, the fat pads may herniate, and the skin may become loose or develop textural changes over the years. Eyelid surgery, formally known as blepharoplasty, can correct these signs of aging and help you look younger. Board-certified plastic surgeon Dr. Renato Calabria can perform upper and lower blepharoplasty to rejuvenate your appearance.

Upper Blepharoplasty

before-and-after-eyelid-surgeryUpper blepharoplasty addresses upper eyelid aging, and the surgical approach is “less is more.” An over-aggressive approach to upper eyelid surgery can render an operated-on appearance that does not help patients look more naturally youthful. To ensure that results look optimally natural, Dr. Calabria performs an endoscopic eyelid lift to correct loose, sagging skin. He does not violate the muscle and removes only a minimal amount of skin and almost no fat.

Lower Blepharoplasty

To address lower eyelid aging, Dr. Calabria addresses the structural components directly. He first elevates a skin flap to preserve the muscles for function and support. Dr. Calabria then re-drapes the bulging, herniated fat pads without removing them so as to avoid a gaunt, hollow look. In some cases, Dr. Calabria may use a thin layer of an acellular tissue matrix for improved tissue support and reinforcement. He also addresses ligament and tissue laxity by surgically stabilizing and reinforcing them with skin muscle flaps and sutures.

With each of these procedures, both functional and cosmetic signs of eyelid aging can be corrected. Dr. Calabria can perform the appropriate surgical techniques to restore a more youthful appearance and function to the eyelids, thereby preserving a more aesthetically pleasing and rejuvenated face overall.

To learn more about eyelid surgery or other procedures that can rejuvenate your appearance, schedule your personal consultation with Dr. Renato Calabria. Dr. Calabria has offices in Beverly Hills (call 310.777.0069), Rancho Mirage (call 760.836.0077), and Rome (call 39.349.4662323) that you can call to schedule your appointment. For your convenience, Dr. Calabria can also be reached via his online contact form so that you can request a consultation today.

The neck is the first noticeble area of facial aging. Current theories attribute the aging to concomitant laxity of the skin and decrease tone of the (Platysma) muscles underneath. The most prominent sign of the aging neck is the formation of the so called “platysma bands”. These bands show up as visible cords in the neck. Current treatment strategies aim to surgically tighten the skin and the muscles with a so called “neck lift”. This could be invasive and it requires anesthesia and downtime.

There is now brand new evidence that the plastysma bands or cords which are a mayor part of the aging neck are not caused by decrease in tone of the neck muscles but due to muscular activity of the aging neck.

A new study proved beyond reasonable doubt this theory. The French study looked at 25 patients with hemi-paralysis ( one side) of the face and neck and they follow the patients for ten years. The paralyzed site showed no evidence of platysma bands and aging neck, vs the normal site where they were present.

Since the cause of the aging neck and the bands is the activity of the muscles and not the laxity of the skin and the decreased tone of the muscles, the traditional surgical approach (neck lift) does not seem to be the solution of the problem.

A less invasive chemical denervation of the platysma muscles with simple injections of Botox in the cords make much more sense since acts on the cause of the problem which is muscle activity.

It is my believe that this simple non invasive procedure will become the gold standard for neck rejuvenation and surgical rejuvenation will play a secondary role. If you have any questions or would like to learn more please contact me at my Beverly Hills Plastic Surgery office at (310) 777-0069