Facial Procedures: In deciding the appropriate facial procedure, Dr. Jacobson's goal is twofold. First is to restore and provide proper balance to the facial harmony. And second is to always achieve a natural look. It is imperative to remember that the overall appearance is the sum of each individual part.
Brow - The eye brow is one of the first signs of facial aging. As the brow descends, the upper eyelids appear heavy and tired. The deep lines or furrows that appear above the nose are called frown lines.
Correction of the brow can be achieved with carefully placed BOTOX® Injections or injected fillers, as well as permanent correction through surgery. The surgical procedures to correct aging no longer involves huge ear to ear incisions, in fact, the incisions usually are no bigger than 1 inch and do not require that any hair is shaved. New techniques can elevate the falling brow through an upper eye lid incision. (Transorbital Brow Lift). This can also be accomplished in selected patients with suture suspension.
Eyelids - Current thinking states that less is more, thus when correcting lid problems it is always imperative not to cause a hollow or surprised look. Instead of removing skin and fat we now use what is available to us to create a more gentle transition between lower lid and the aging cheek. Incisions are often placed inside the lid (thus they are not visible) and healing time may be a long weekend. Often instead of surgery, the orbit is augmented with fat or injectable filler to reduce the appearance of tired eyes or bags.
New technologies now allow us more aggressive techniques. Problems such as rounding of the lid, increased white show, inability to close the lid, and excessively deep set eyes are all correctable.
