Facelift at 40: Which procedure could produce this result?

Dr. Dean Kane Q & A Q. Facelift at 40: Which procedure could produce this result? I am a 41 year old man who would like to look refreshed, but not different. I find that my eyelids make me look somewhat angry/tired. But I am anxious to avoid cookie cutter blepharoplasty, which in my opinion has a tendency to deprive men of a strong masculine feature. I also think that my mid face is beginning to sack quite a bit. A. Please don’t be anxious over a “cookie cutter” procedure. This should not occur. A well trained and fully experienced Board Certified Plastic Surgeon, ENT Facial Surgeon or Ophthalmologist who performs blepharoplasty would require to examine you and recommend the best options for your care. ​ ​Generally, the masculine appearance in the peri-orbital region is accentuated by:
  1. ​A lower more horizontal brow,
  2. ​Clean upper eyelid with a crisp eyelid crease,
  3. ​Clean lower eyelid with abundant but not full cheek mound.
​ ​Thank you for sharing your photos. While no guarantees would or could be offered from a “photo-shopped” image, I do believe they are instructional. ​ ​Consider:
  1. ​A “masculinized” mild lift of the brows with Botox
  2. ​A conservative upper eyelid lift to remove skin and fat redundancy and reduce hooding
  3. ​Deep cheek filler or a mid-face lift if you are a good candidate.
​I hope this has been helpful! All the best!
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