Nobody looks at your forehead. They look at your eyes.
Cosmetic eyelid surgery, brow lifting and facial rejuvenation — performed by a fellowship-trained oculofacial plastic surgeon who works in this anatomy every single day.
The eyes age first, and they show it hardest.
Skin loosens, fat pads shift, brows descend. It happens gradually, and then one day photographs stop looking like you feel.
Upper blepharoplasty
Removes the excess skin and fat that hood the upper lid. The single most effective facial procedure there is, measured against how little it asks of you in recovery.
Lower blepharoplasty
Addresses under-eye bags and the tired look that no amount of sleep corrects. Rather than simply removing fat, we sculpt and reposition it to fill the hollow beneath — which is what separates a rested result from a hollowed one. Cosmetic.
Brow lift — endoscopic
Lifts the brow through small hidden incisions behind the hairline. Less visible scarring, shorter recovery, and the right choice for most patients.
Brow lift — direct
A direct approach that gives precise control of brow position and height. Better suited to heavier brows and to some men.
Botox & fillers
Frown lines, crow's feet, and volume in the tear trough. Often used alongside surgery rather than instead of it. Aesthetics
Skin resurfacing
Our Sciton platform — BBL, Halo and TRL — treats the texture, sun damage and fine lines that surgery alone will not. Laser treatments
The combination we recommend most
Lower blepharoplasty with fat sculpting and repositioning, combined with laser resurfacing of the lower eyelid skin. Surgery corrects the contour; the laser corrects the skin itself. For a great many patients this pairing is the option that actually delivers what they came in hoping for.
Most patients combine two or three of these. At your consultation we will tell you plainly which ones will make a visible difference for your face, and which ones would not be worth your money.
Cosmetic, mostly. But not always.
Let us be straight about this, because other practices are not. Cosmetic blepharoplasty and brow lifting are cosmetic — upper lids, lower lids, brows. Lower eyelid surgery with fat sculpting and repositioning is cosmetic in essentially every case. You pay for it.
The exception is the upper eyelid. If your upper lids have drooped far enough to obstruct your upper field of vision, repairing them becomes functional surgery, and insurance may cover it when it meets the criteria — which means documented visual field testing, not an opinion. We perform that testing here, and we will tell you honestly whether you meet the threshold or not.
- You lift your brows or tilt your head back to see
- Your upper field of vision feels cut off
- Your eyelids feel heavy by the end of the day
- You are told you look tired when you are not
Worth being evaluated before you assume either answer. Plenty of people pay out of pocket for something that would have qualified, and plenty assume they will qualify when they will not.
The eye, and everything around it.
Ptosis repair
Drooping upper lids that interfere with vision, evaluated with visual field testing.
Ectropion & entropion
Eyelids that turn outward or inward, causing irritation, tearing and corneal damage.
Tearing & tear duct obstruction
Evaluation and surgical repair of blocked tear drainage.
Thyroid eye disease
Bulging, lid retraction and orbital decompression.
Lesions & reconstruction
Eyelid lesion biopsy and excision, including reconstruction after skin cancer removal.
Orbital surgery & trauma
Surgery of the bony socket and the structures within it.
Why an eye surgeon, and not a general cosmetic practice.
Because a millimetre matters here in a way it does not elsewhere on the face.
- Take too much upper lid skin and the eye cannot close properly at night
- Operate on a lower lid without accounting for laxity and you pull the lid away from the eye
- Treat the brow without reading the lid and you can make heaviness worse rather than better
These are not hypothetical — they are the revisions oculofacial plastic surgeons are asked to fix. Our oculofacial plastic surgeon is fellowship-trained in exactly this anatomy, inside a practice where the cornea, glaucoma and retina specialists are down the hall if anything else needs attention.
{notice('Before publishing: add before-and-after photography with signed patient consent — cosmetic surgery converts on images more than on words. If we also want to claim we are the only practice in the county with a full-time oculofacial plastic surgeon, have counsel review that wording separately; the tenure claim above stands on its own.')}