The eyes say so much; let us help yours send the right message.
Eyes
Brighter Eyes, Younger Look
A hallmark of youth is luminous eyes, but with age that vibrancy can dim. The natural fat around the eyelids starts to bulge, the surrounding skin becomes looser, and the eyebrows descend to create shadows that make a person look weary, aged, or upset. At The Spiegel Center, we receive countless patient requests for eye rejuvenation, and we have many ways to help.
Eyes Overview
Surgical Corrections
Blepharoplasty / Eyelift
One of our most popular procedures, a blepharoplasty, or ‘eyelift,’ removes the excess fat and skin of the upper or lower eyelids. The eyelift is a patient favorite because it eliminates that tired, aged look. Patients can expect to look brighter, younger, and more energetic afterward. Results are very natural looking, and downtime is minimal.
A blepharoplasty can be performed on both the upper or lower eyelids. Our surgeons gently shape the skin, muscles, and fat around the eyelids to contour a youthful appearance. In general, an upper blepharoplasty involves creating an incision concealed within the natural eyelid crease to remove excess skin and bulging fat.
A lower blepharoplasty can be performed via a skin incision concealed beneath the eyelashes, or through the inner surface of the eyelid called the conjunctiva so that there is no visible scar. Our physicians are well-versed in the various approaches to this surgery and will select the best modality for you.
Asian Blepharoplasty / Double Eyelid Surgery
An undefined upper eyelid crease is a common reason patients of Asian descent seek facial plastic surgery. The procedure that addresses this complaint is a type of blepharoplasty often referred to as double eyelid surgery. Our doctors can make the eyes seem larger by reducing the fat and enhancing or creating an eyelid crease that looks completely natural.
Brow Lift
A ptotic, low-set brow can make you appear old, tired, or angry regardless of your age, energy, or emotional state. A brow lift elevates the eyebrows to make the upper face and eyes appear open and brighter. It rejuvenates the eyes and softens forehead wrinkles. There are a variety of brow lift methods, and the ideal technique is selected based on patient needs.
A brow lift may be performed endoscopically, with small, camouflaged incisions. If the hairline position needs to be adjusted, a coronal or trichophytic approach may be chosen. Brow lifts are relatively quick procedures that can yield dramatic results.
Dr. Onir Spiegel
Dr. Onir Spiegel, head of all non-surgical facial rejuvenation treatments, has decades of expertise and is known by her peers as a doctor’s doctor. Dr. Onir Spiegel combines expert knowledge of facial anatomy with a sharp eye for aesthetics, rejuvenating the eyes of countless patients over the years.
Eyes FAQs
What's the Difference Between a Blepharoplasty and a Brow Lift for Tired-Looking Eyes?
Blepharoplasty removes excess skin and fat directly from the eyelids, while a brow lift raises a low eyebrow position that can also make the eyes look heavy. If eyelid hooding improves when the brow is lifted, a brow lift alone may be the better first step.
Can Non-Surgical and Surgical Eye Treatments Be Combined in One Plan?
Yes. Many patients pair a surgical blepharoplasty with a non-surgical tear-trough filler or AccuTite to address both excess skin and hollow or discolored areas that surgery alone does not fully correct.
How Do I Know If I Need Surgery or Just Injectables for My Eyes?
The decision generally comes down to whether the concern is excess skin and fat, which usually needs surgery, or volume loss and fine lines, which can often be addressed with filler, BOTOX, or AccuTite. A consultation with an eye-focused surgeon helps clarify which category applies.
Why Do the Eyes Show Aging Before Other Areas of the Face?
The skin around the eyes is thinner and has fewer oil glands than the rest of the face, and repeated movement from blinking and expressions accelerates fine lines, hollowing, and skin laxity in this area compared to elsewhere.
Is There a Recommended Order for Eye-Area Procedures if I Want More Than One?
Many patients start with the least invasive option, such as non-surgical tear-trough or brow treatments, and progress to blepharoplasty or a surgical brow lift only if those results are insufficient to meet their goals. However, the order depends on individual anatomy.
Can Eye Treatments Be Combined With a Facelift?
Yes. Eyelid surgery and brow lifting are commonly performed alongside a facelift for patients seeking comprehensive facial rejuvenation, since the eyes and brow are not typically addressed by a facelift on their own.
How Long Do Results From Eye-Area Injectables Typically Last Compared to Surgery?
Injectable treatments like BOTOX or tear trough filler generally last a few months to about a year, while surgical procedures like blepharoplasty or a brow lift provide results that last many years or longer.
What Are the General Risks of Eye-Area Procedures?
Risks vary by treatment but can include infection, bleeding, temporary dry or watery eyes, and asymmetry between the two sides. Surgical procedures like blepharoplasty or a brow lift carry additional risks such as temporary vision changes or, rarely, difficulty fully closing the eyes, which your surgeon will review based on the specific procedure being considered.
