Blogs - Belpharoplasty | Dr. Flora Levin

Blepharoplasty Questions Worth Asking

Eye Lift Westport, CTAs interest in eyelid rejuvenation has increased, it has become easier for patients seeking cosmetic improvement to obtain the procedure they believe will turn back the clock. As beneficial as blepharoplasty can be, the procedure itself is only one aspect of achieving desirable results. We wholeheartedly believe that an informed patient is the best patient. The more you know about blepharoplasty and who will be conducting your procedure, the better your chances are of loving the outcome of your surgery.

Here, we discuss four questions worth asking your plastic surgeon.

  1. Do I need an upper blepharoplasty only or a combination of upper and lower? There are a few ways that one might approach their journey to a rejuvenated face. One is to correct only the most concerning problems. For some people, the upper eyelids show the signs of aging first. Sagging, heavy skin can be corrected with the upper blepharoplasty procedure. However, there is merit to also having your surgeon evaluate the tissue on the lower lids and discuss how the results of upper eyelid rejuvenation may harmonize with the lower eyelids. Dr. Levin is a conservative oculoplastic surgeon who performs blepharoplasty only as needed to achieve the improvements a patient requests.
  2. Does an upper blepharoplasty need to be combined with a forehead lift? The eyelids and the eyebrows play off of one another. With age, it is natural for the eyebrows to descend and droop. As a result, the skin on the upper eyelids looks heavier, sometimes redundant. Almost all patients who seek upper blepharoplasty have some degree of brow drop. However, this does not mean that every upper blepharoplasty should coincide with a brow lift or forehead lift. In many cases, outstanding results can be achieved with a combination of eyelid surgery and injectable treatment to minimize the downward pull on the brow.
  3. Does ethnicity play into the surgical approach to eyelid rejuvenation? This is an important question to ask a surgeon because it can alert you to their overall experience performing blepharoplasty. Overall, blepharoplasty is a fully customized procedure in which an appropriate technique must be applied in order to improve eyelid contouring without disrupting the natural characteristics of the eye.

Learn more about upper blepharoplasty. Call our Westport, CT office at 203-557-6077 to schedule a consultation with board-certified oculoplastic surgeon Dr. Flora Levin.

Why Blepharoplasty is Not the Answer to Ptosis

Ptosis Surgery Wesport, CTThe eyes are more than the windows to the soul, they are a central feature of the human face. We look at a person’s eyes to observe sincerity, trustworthiness, enthusiasm, and so much more. The prevalence of eyelid rejuvenating procedures is evidence that most people are very aware of what their eyes say about them. Usually, blepharoplasty is sought when the upper or lower eyelids become heavy with sagging, loose skin, bulging fat pads and loss of the youthful eyelid appearance.

However, it is critical to recognize the presence of ptosis, in addition to the aging eyelid skin. Ptosis is the true descent of the upper eyelid, with loss of the normal eyelid contour and the eye appearing smaller. Most patients are aware of the droopy eyelid but see it primarily as the excess eyelid skin.

What Causes Ptosis

It is commonly assumed that the eyelids are a compilation of tissue and tiny blood vessels and nerves. The upper eyelids also have two muscles that enable the eyelids to rise: the levator muscle and the Muller’s muscle.  There are various reasons why ptosis develops. Most commonly, it is the result of the muscle stretching.  Other causes include congenital where the muscle does not develop normally from birth, trauma, or a neurological condition that weakens the muscle. Various surgical techniques exist to correct ptosis. The underlying cause and degree of eyelid droop determine which surgery is best for the individual patient.

Ptosis Repair vs. Blepharoplasty

Blepharoplasty is the surgical technique that removes excess skin from the upper (or lower) eyelids. It is performed to correct the sagging that results from the loss of collagen and elastin in the skin.

It is very important to recognize when ptosis is present. Failure to do so may result in an unsatisfactory result in a patient who undergoes only blepharoplasty but needed ptosis surgery, or both.  Often ptosis surgery is done together with blepharoplasty but this is determined based on each individual patient’s needs.

Drooping eyelids can alter your image and may also affect your field of vision. Learn more about the techniques used to correct ptosis. Call our Westport, CT office at 203-557-6464.

BROW Lift Westport, CT

Getting Results Means Starting with the Right Question

BROW Lift Westport, CT“You won’t get what you want unless you ask for it.” Have you heard this popular inspirational phrase? It’s true; in all areas of life, to get something we’d like, we have to learn to ask for it. There’s more to it than that, though. It isn’t just asking the question “could I, please have . . .“ There is also the matter of knowing what it is that you want in the first place. We’d like to explain.

What many people do when they want to get rejuvenate the eyes is they call their doctor for Botox or dermal fillers. We’re not saying this is wrong, but it may not be right, either. Asking for injectables from the get-go may just negate the bigger question: why have the eyes changed in appearance?

This is an important question because, if you do not know what’s causing the eyelids to look heavy and droopy, you can’t know the steps to resolve the issue. In our oculofacial plastic surgery office in Westport, our specialty is eyelid rejuvenation and reconstruction. We spend time in the observation of the tissue around the eyes, as well as on the forehead, to determine the cause of facial aging. This way, we can offer solutions that will obtain the desired outcome.

One common method of restoring a youthful appearance to the eyes is to remove excess skin during blepharoplasty, or eyelid surgery. Another process and one which may be better suited to some patients is to look at the brow. Here, we want to discuss the differences between a surgical brow lift and a Botox brow lift.


This injectable treatment for drooping brows is very popular due to its minimally-invasive nature. Treatment requires only about 30 minutes, and about a week’s worth of patience as treated muscles gradually relax their downward pull on the brows. Botox injections are mildly uncomfortable, if at all. Results are also mild, and you want them to be. With careful application, Botox lifts the brow by only a few millimeters and holds the line in place for a few months at a time.

Brow Lift Surgery

We’ll just put it right out there: a brow lift is a more permanent solution to a drooping brow and sagging upper eyelids than Botox. This is because the brow lift re-drapes the superficial tissue of the forehead to a slightly higher position. Because this process is manually performed by an experienced surgeon, it is possible to obtain a greater degree of lift, and results that can last years.

Let’s talk about how you can feel more confident in your skin. Call 203-557-6464.


Undereye Bags: Let’s Unpack this Problem

EYELID REJUVENATION Westport, CT As aesthetic medicine has evolved, we have become increasingly aware of the nuanced problems that men and women face as they age. If we look at statistics and market research, we realize that, of all the changes that affect a person’s facial aesthetic, it is the eyes that stand out the most. This makes perfect sense because we tend to look one another in the eyes when we communicate and because our appearance does a lot of our communicating for us. Knowing this, we place a lot of value on what our appearance might be saying.

Undereye puffiness may give others the impression that you’re fatigued or older than you feel, but in reality, this cosmetic issue is related to the very structure of the mid-face. One of the most common reasons for the development of undereye bags is the loss of mid-face volume. When fatty tissue diminishes across the upper cheeks, the fat pads beneath the skin of the lower eyes appear more prominent. A second factor in the formation of undereye bags is the natural weakening of the orbital septum, the membrane that normally prevents fat pads from bulging. Whether alone or in combination, these two factors in undereye bag aging can be mitigated with proper care.

Two Pathways to Outstanding Results

There are two common methods of treating undereye bags: injection of dermal fillers and lower eyelid blepharoplasty. Each has its advantages and disadvantages and each has been successful in achieving patients’ desired outcomes.

Dermal Fillers

A large percentage of cosmetic patients prefer to first take a non-surgical approach to the correction of undereye bags and other signs of aging. Dermal fillers have made it possible to significantly reduce the appearance of undereye bags with no down time and none of the risks of surgery. Products such as those in the Juvéderm or Restylane families are formulated with organic substances that the body naturally metabolizes over time. When introduced to the tissue where the upper cheek meets the undereye skin, a filler smooths the transition between the two areas, which rejuvenates the eye.

Lower Eyelid Blepharoplasty

The value of eye rejuvenating surgery may be realized after one or two non-surgical treatments as it is more long-lasting with more definitive results. Surgery can address the bags but trimming and re-positioning the excess fat that is bulging toward the surface as well as the crepey eyelid skin to tighten it. The transconjunctival approach (inside of the eyelid) to access the lower eyelid fat is the safest way to avoid undesirable results or complications. Surgery can be combined with laser skin resurfacing to further tighten the lower eyelid skin and improve the appearance of fine lines and wrinkles.

Board certified oculofacial plastic surgeon Dr. Flora Levin specializes exclusively in cosmetic eyelid surgery and non-surgical facial rejuvenation. To discuss potential treatment options for undereye puffiness, call our Westport, CT office at 203-557-6464.

What are your eyes saying about you?

If your eyes are saying you’re tired, sad or even that you’re older than you are, that can be cause for frequent frustration. Droopy, saggy skin and puffiness, along with dark circles, could all be sending the wrong message about your age, mood, and health. There are steps you can take, however, to correct the story by correcting your appearance.

What can you do at home?

  • Quality sleep

At least seven hours for adults

  • Proper hydration

Drink plenty of water, especially when it’s hot or if you exercise or work outdoors. Plus, use moisturizing eye cream daily.

  • Allergy management

If your eye puffiness and bags show up the same time as allergy season, talk to your doctor about medications that can help. Avoid pollen, plus dust or whatever substances are your triggers.

  • Quick fixes

Damp, cold compresses can help temporarily relieve puffiness and bags

  • Bad habits

Eliminating environmental and lifestyle factors, such as sun, alcohol, and smoking, can help reduce dark circles, puffiness, saggy skin and other signs of aging.

When is it time to consult with your trusted doctor?

Unhappy with drooping skin and wrinkles around the eyes, many patients come to us for Botox, fillers and laser and chemical treatments, which can all offer improvements. And there’s a surgical solution.

Learn about blepharoplasty

Eyelid surgery can provide a more youthful appearance to upper and lower eyelids. The procedure can be performed to:

  • Remove excess skin around the eyes (for some, this impairs vision)
  • Remove eye bags
  • Reduce wrinkles
  • Reduce the appearance of dark circles

Blepharoplasty can be performed on the upper or lower eyelids, or both, depending on your specific goals and needs. Within about two weeks, most patients return to their normal activities looking refreshed and more youthful.

Your eyes can tell a new story about you

What is the best way to decide if blepharoplasty, or an eyelid lift, is the right procedure for you? Start by scheduling a consultation appointment. Call 203-557-6464 today. Dr. Levin can answer your questions about surgical and non-surgical options for improving the appearance of the skin around your eyes.