"My eyes make me look so tired." Eyelid blepharoplasty can fix that.

Some times patients notice it themselves. Sometimes it's because someone asks, "Why do always look so tired? Are you getting enough sleep?"

People judge our emotions and health by how we look to them. Hanging, loose upper eyelid skin or lower eyelid bags cause others to assume we are not our best.

Eyelid tuck, eye lift, or its medical name "blepharoplasty" is the procedure that is done to correct those characteristics. Under light anesthesia, or occasionally local, extra skin is removed, fat pockets are smoothed, crinkly skin is tightened with laser, etc. These procedures may be done only to the upper or the lower lids, or both. They may be combined with other procedures a patient desires like browlift, facelift, necklift, lip enhancement, facial fat grafting, etc.

Our goal is to give you a natural improvement in your appearance. We avoid techniques that distort, pull tightly, or unfavorably alter the shape of your eye area. We want everyone to notice how great you look, not notice that you look odd or different. Our photo gallery can be found at http://www.expertplasticsurgeon.com/photogallery/eyelid-surgery-blepharoplasty-4802

Our cosmetic surgery is most often done in our nationally accredited out-patient surgical facility (in-office), complimented by a physician anesthesiologist (MD). Detail about our facility and a photo tour are available on our web site http://www.expertplasticsurgeon.com/html/about.html

Sutton Graham, MD, FACS is board certified in plastic surgery, and has almost 20 years experience performing cosmetic eyelid surgery (and other aesthetic / cosmetic surgery of the face, breast & body). Our office is located in Greenville, South Carolina. We serve a wide area of Georgia, North & South Carolina, including Hartwell, Athens, Clayton, Seneca, Keowee, Anderson, Greenwood, Clemson, Abbeville, Jocassee, Sunset Lake Communities (Cliffs, Reserve, etc.), Easley, Greenville, Greer, Simpsonville, Mauldin, Taylors, Cleveland, Spartanburg, Highlands, Cashiers, Franklin, Brevard, Flat Rock, Tryon, Landrum, Hendersonville, Asheville, Lake Lure, Chimney Rock

Facelift in South Carolina: Natural, beautiful results

There are plenty of jokes about poorly done, overly tight, unnatural appearing facelift patients. The reality is that well done facelifts are so natural that most people never know you had it done, they only see how great you look. Our photo gallery can be viewed at http://www.expertplasticsurgeon.com/photogallery/facelift-necklift-4805/case-6-07394-16775

Dr. Sutton Graham has an excellent reputation for achieving beautiful, natural-looking results with face lift cosmetic surgery. A variety of techniques are classified under the simple title “face lift”, and the procedure can be adapted to suit each individual patient’s desires and problem areas. Standard procedures combine correction of looseness and sagging involving your cheeks, jowls, jawline, chin and neck. If the forehead and brow area is a problem, then minimal-incision browlift can be done. If eyelid area loose skin, hooding, bags, etc. are a problem, then eyelid blepharoplasty is the solution. Short-scar (limited-incision) facelift is appropriate for those with looseness limited to the cheeks and jawline areas - without much neck looseness. This latter procedure is known by a variety of names; mini-lift, lite-lift, lifestyle-lift, MACS lift, S-lift. These alternatives are considered for all patients. Additional information is on our website http://www.expertplasticsurgeon.com/html/facelift.html

Sometimes we simply hear our patients say, “I’m just looking so old and tired,” or “I look so much older than I feel.” A facelift at our Greenville practice can address these concerns, helping to restore youthful-looking beauty for both our male and female patients.

Dr. Graham is board certified in plastic surgery, respected in the community, has almost 20 years experience, cares for thousands of cosmetic patients, is a member of several regional and national professional societies, including the American College of Surgeons. We serve Greenville, Spartanburg, Anderson, Columbia, Greenwood, Seneca, Clemson, Easley, Greer, Simpsonville, Mauldin, Taylors, Sunset, Lake communities of Hartwell, Keowee, Jocassee, Reserve, Cliffs, Landrum & Tryon, Hendersonville, Brevard, Asheville, Waynesville, Franklin, Highlands, Cashiers, Clayton, Hartsville, etc.

Droopy eyelid skin; Removal is most common facial cosmetic surgery

Blepharoplasty is the medical term for a procedure often called eyelid tuck or eyelift. According to 2008 national statistics from the ASPS, eyelid cosmetic surgery was the most common facial surgery (followed by facelift, browlift). http://www.plasticsurgery.org/Media/Press_Kits/Procedural_Statistics.html

Similarly, in our practice in upstate South Carolina, eyelid is most common. It is performed as a single procedure or in combination with facelift or browlift, or other procedures. For more information call 864-676-1707 or see the e-mail link on our website: http://www.expertplasticsurgeon.com/html/other-face.html

Removal of hanging, loose, excess upper lid skin is the most common feature that patients request to freshen their appearance, make them look less tired or old. If there are upper fat pockets these can be removed. If there are lower eyelid bags these can be removed, tightened or hidden by a variety of techniques. If the skin texture is crinkled, then erbium:YAG laser resurfacing (peel) can be done to improve surface texture.

Each one of our patients is treated to post-operative lymphatic massage, carefully done by our experienced Skin Care Specialists (estheticians) to reduce post-op swelling, bruising or discomfort. They can also assist you with professional skin care products to enhance your surgical results, improve skin tone, pigmentation and texture. Make-up advice is available if you wish. We have Latisse eyelash enhancement prescription medication. http://www.expertplasticsurgeon.com/html/skin.html

Cosmetic eyelid surgery and non-surgical eyelid enhancements at Dr. Sutton Graham's specialized practice. Greenville, Spartanburg, Anderson, Columbia, Asheville

Eyelid cosmetic blepharoplasty in Greenville, South Carolina

Eyelid tuck (blepharoplasty) is the most common facial cosmetic surgery both nationally and in our practice in Greenville, Upstate South Carolina.

People notice our eyes as the most expressive part of our face. The skin is thinner there and years of expressions & possibly sun damage cause wrinkles, deeper lines, thinning of the lower rim, protruding fat bags, draping loose skin. Gravity pushing the forehead and eyebrows down adds to the tired or sad impression that the eyes can give.

Surgery can be the answer for some of those problems. Blepharoplasty can removes skin folds, tighten skin, remove protruding fat pads, and add support to loose lids. Browlift can reduce forehead lines, raise overly low eyebrows, and decrease fullness of the upper, outer eye socket area. Laser peel can greatly improve skin texture, crinkling, wrinkling, crepiness. Some skin tightening is possible too. Lighter laser treatments are available that have shorter recovery times and don't need anesthesia.

Comprehensive treatment means more than surgery, and we have staff and experience with many other methods. Obagi Professional Skin Care is very helpful, particularly for pigmentation and surface texture concerns. Botox and Dysport are important to reduce excessive muscle motion in the squint & frown areas. Restylane and Juvaderm injectable fillers solve under-eye hollows and thin lower rims. We offer Latisse, the only FDA approved product to grow thicker, longer, darker lashes. We also offer lash and brow tinting or more permanent tattoo eyeliner or brow tint. Patients enjoy visits with out Skin Care Specialists and Nurse Practitioner. They enhance your results and enjoyment.

If you're interested in eyelid or other facial rejuvenation contact us by e-mail at info@expertplasticsurgeon.com or call 864-676-1707.

Eyelid & Facelift Surgery: Attention turns to facial procedures

With summer almost over and fall approaching we notice a trend among our patients' interests. Many now want facial cosmetic procedures, often thinking ahead to looking their best for holidays, social and family gatherings.

Patients who have visited our office in the past and people who review our website have seen our strong emphasis on facial cosmetic surgery. Dr. Graham is well known for beautiful, natural looking facelifts, necklifts, short-scar cheeklifts, eyelid tuck (blepharoplasty), browlifts, laser wrinkle treatments, Botox & the new Dysport, lip enhancement, fillers such as Restylane, Perlane and Juvaderm, and finally natural fat grafts.

In addition to Dr. Graham, we have talented and experienced staff including 2 Skin Care Specialists (licensed estheticians) and our nurse practitioner (advanced-practice nurse). They enhance the results of both pre-op and post-op surgical patients and of women and men who want non-surgical enhancements. After surgery, our patients are provided sessions to reduce swelling and any bruising, improve circulation and increase comfort. If ultrasound or laser technology will speed healing, they can provide those as well.

Often we see a new patient who is wondering about facial cosmetic surgery, but isn't ready yet. We'll provide detailed information to help them with their decision. We have tools that they can use to help without surgery. For example, early eyelid skin wrinkles can improve with some combination of Obagi skin care products, microlaser peel, or Botox & Dysport neurotoxins. As another example, signs of age around the mouth can be improved with laser skin tightening (non-ablative), Juvaderm & Perlane fillers, and possibly selective Botox / Dysport. We also offer permanent make-up (medical tattooing) including lip liner, lip color, and eye liner which enhance those areas further. If you have facial pigmentation problems caused by sun exposure, hormones, etc. we have several treatments that can give you uniform smoother appearing skin.
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The majority of our patients come from the million or so residents of Upstate South Carolina (Greenville, Spartanburg GSP, Anderson, Greer, Greenwood, Abbeville, Laurens, Clinton, Union, Gaffney, Inman, Taylors, Easley, Pickens, Clemson, Seneca). Georgia communities including Hartwell, Clayton, and Toccoa are included. North Carolina patients frequently consult us (Asheville, Henderson, Brevard, Highlands, Cashiers, Franklin, Waynesville). We do accommodate patients traveling from out-of- state through GSP airport, local hotels or B&B's, or those staying with family locally.

Botox, Browlift, Blepharoplasty: How Do I Choose?

How do I tell which procedure or combination will give me an improved appearance around my eyes? Well, during an in-person consultation, we would demonstrate on your face and help you decide, but here are some hints:

1. Frown lines and squint lines or crow's feet respond to Botox treatments. A browlift may give longer lasting improvement in frown lines, but more motion will usually remain. Only the Botox will reliably improve the squint lines.

2. Excessive active lines crossing the forehead do not go away with typical browlift. Instead the entire forehead unit moves up a little (gravity has pulled it down). Botox can diminish the lines, or make them go away if they're mild.

3. Be careful about using Botox for too much forehead treatment. You may have either no natural forehead expressions (people wonder about you) or you may have drooping brows (we use our forehead muscles to lift our brows).

4. If your eyebrows are slightly too low, a little Botox beneath the inner and outer corners can give a little lift, without surgery.

5. If your eyebrows and thick skin just under the brows closes-in around your eyes, that responds best to surgical browlift. In addition, that procedure may improve your upper eyelid appearance.

6. Hooding of the eyelid skin over the lid or lashes improves with blepharoplasty (eyelid lift, tuck)

7. Puffy, thick upper eyelid folds respond to blepharoplasty.

8. Finally, a laser peel can greatly improve the texture of the eyelid skin. Sometimes that would be enough, without skin removal.

Obviously, some or all of these techniques may work together to enhance your appearance.

Sagging versus Wrinkles

I recently heard a great analogy comparing facial skin to fabric. If the surface isn't smooth you need to iron it (surface treatments such as Obagi skin care or laser peels). If the fabric hangs too much you need to take away the slack (necklift, facelift, browlift, etc.).

I'm sure many readers can relate!

Pick Your Recovery Time

One way to choose among the various options for facial rejuvenation procedures is tell your surgeon how long you have to recover. This will let him or her tailor your procedures to your desired "down-time." If you have no down-time: choose from Botox, Restylane of other fillers, Intense Pulsed Light photofacials, or non-ablative skin tightening. If you have one weekend: you may select the above and /or MicroLaser Peels or Periorbital resurfcing. When you have 1 week available: enhance you appearance with a endoscopic browlift or submental liposuction (under the chin). A 2 week recovery gives you plenty of options: you could have either eyelid blepharoplasty, short-scar facelift, or a combination of the above procedures. A three week recovery is best for: facelift, necklift, and combinations of procedures on several parts of the face. At our office we'll discuss these issues and the features you would like to improve, and make individual personal recommendations. Call if you're interested.