Face Procedures

Dr. Susan Downey | Susan Downey MD

Brow Lifts

Brow lifts, also known as Forehead lifts, can revitalize drooping brows and lined foreheads, helping you to look less angry, sad or tired. Using a minimally invasive (endoscopic) method, the muscles above the eyes are altered to smoothe lines and raise the eyebrows for a more youthful appearance. The procedure is often combined withAdvancements in Aesthetic Medicine other operations such as blepharoplasty and facelifts to improve the look of the eyes and other areas of the face. In a traditional brow lift the surgeon makes a coronal incision behind the hairline, stretching between the ears and across the top of the forehead. In a minimally invasive (endoscopic) brow lift the surgeon makes three to five short incisions; then an endoscope — a slim instrument with a camera on the end — is placed in one incision while the surgeon works through the other incisi

Eyelids, Upper

Eyelid operation, known as Blepharoplasty, can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper eyelids. The procedure is usually performed under local anesthesia. Blepharoplasty can be combined with a brow lift or BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles.

Eyelids, Lower

Lower eyelids become baggy with excess fat and wrinkles and form dark circles with time. If the skin and muscle layers are not loose, only the extra fat is taken out through the inside of the eyelid without causing a scar. If they are loose, removal of the excess of skin and muscle is necessary. Fat removal is done cautiously to leave enough to make a youthful appearing contour of the eyelids. The muscle layer is often tightened to minimize the slack and reduce dark circles.


In time, gravity, sun exposure, and the stresses of daily life take their toll on our faces: deep creases appear beside the mouth, the jawline slackens, and folds and fat deposits appear on the neck. Facelifts counteract these problems by removing fat and tightening skin and muscles, giving one’s face a fresher, youthful look. After surgery, some patients appear 10-15 years younger.

The procedure can be combined with a browlift, eyelid surgery, midface lift or chin augmentation for more dramatic results, or it can be restricted to the neck (necklift) if the patient’s problems center there. Incisions are made in inconspicuous places such as behind the hairline and in natural folds of the face and ears, and scars fade to near invisibility in time. Results of a facelift do not last forever, but in another sense, the effects are permanent; years later, your face will continue to look better than if you had never had the procedure. This is one of the reasons why a facelift is enjoyed longer when done at an earlier age.


Nasal surgery or Rhinoplasty is performed to reshape, reduce or augment a person’s nose. Only a part or the entire nose may require attention. Depending on the purpose, extra tissue is removed or volume added in the form of grafted tissue or an implant. With rhinoplasty, the shape of the nose becomes more refined and the overall balance with the face improved.

Rhinoplasty is usually an outpatient procedure performed under either local or general anesthesia and lasts two to three hours