Oculoplastic Surgery & Facial Rejuvenation
Expert Oculoplastic Surgery, Blepharoplasty & Cosmetic Treatments in New Hampshire
Your eyes and the area around them play an important role in both vision and facial appearance. Changes from aging, genetics, sun exposure, and loss of facial volume can lead to drooping eyelids, excess eyelid skin, under-eye bags, wrinkles, and changes in the position of the eyebrows.
At NH Eye Associates, our eyelid surgery and facial rejuvenation services combine specialized medical expertise with an individualized approach to facial aesthetics. We offer surgical and nonsurgical options designed to improve eyelid function, reduce signs of aging, and create refreshed, natural-looking results.
Our cosmetic and oculoplastic services include blepharoplasty, brow lift surgery, BOTOX® Cosmetic, and JUVÉDERM® injectable fillers.
Explore your treatment options below or schedule a consultation with our team.
Our Eyelid & Facial Rejuvenation Services
Blepharoplasty
Blepharoplasty, also known as eyelid surgery or an eyelid lift, removes or repositions excess skin and fat from the upper or lower eyelids.
Brow Lift
A brow lift is a surgical procedure designed to elevate a low or descended brow and improve changes caused by aging of the forehead and upper face.
Botox® Cosmetic
BOTOX® Cosmetic is a nonsurgical injectable treatment used to temporarily soften facial lines caused by repeated muscle movement.
Treatment is typically performed in the office with little downtime. The goal is not necessarily to eliminate facial expression, but to create a smoother and refreshed appearance while maintaining natural facial movement.
Juvéderm® Injectable Fillers
As we age, facial volume changes can contribute to folds, lines, and changes in facial contour. JUVÉDERM® is a family of hyaluronic acid dermal fillers that can be used to address facial volume loss, soften certain folds and lines, and improve facial contours.
Surgical vs. Nonsurgical Facial Rejuvenation
There is no single treatment that is best for every patient.
Surgical treatments, such as blepharoplasty and brow lift surgery, are generally used to address structural changes including excess skin, protruding eyelid fat, and brow descent.
Nonsurgical treatments, including BOTOX® Cosmetic and JUVÉDERM®, can address concerns such as dynamic wrinkles and selected areas of facial volume loss without surgery.
For some patients, combining treatments can address multiple components of facial aging while maintaining balanced, natural-looking results.
Which Treatment Is Right for Me?
The appropriate treatment depends on what is causing the change you see in the mirror.
For example:
Heavy or hooded upper eyelids
→ Upper blepharoplasty may be considered.
Under-eye bags or protruding lower eyelid fat
→ Lower blepharoplasty may be considered.
Low or descended eyebrows
→ A brow lift may be considered.
Crow's feet, frown lines or forehead lines caused by facial movement
→ BOTOX® Cosmetic may be considered.
Facial volume loss or selected deeper folds and contours
→ JUVÉDERM® or another injectable treatment may be considered.
Because several age-related changes can occur at the same time, an in-person evaluation is the best way to determine which treatment or combination of treatments may help achieve your goals.
Natural-Looking Facial Rejuvenation
Facial rejuvenation does not have to mean looking dramatically different.
Our approach focuses on identifying the anatomical changes responsible for your concerns and developing a treatment plan designed to create a refreshed, balanced, and natural-looking appearance.
Treatment recommendations are individualized based on your eyelid and facial anatomy, overall health, goals, and whether your concerns are cosmetic, functional, or both.
Frequently Asked Questions About Oculoplastic Surgery & Facial Rejuvenation
What is facial rejuvenation?
Facial rejuvenation refers to surgical and nonsurgical treatments designed to address age-related changes in the face and around the eyes. Treatments may include blepharoplasty, brow lift surgery, BOTOX® Cosmetic, dermal fillers such as JUVÉDERM®, or a combination of procedures.
What is the best treatment for aging around the eyes?
The best treatment depends on the cause. Excess eyelid skin or prominent fat may be treated with blepharoplasty, while a descended eyebrow may benefit from a brow lift. Crow's feet and other dynamic wrinkles may respond to BOTOX® Cosmetic. An evaluation can help determine which treatment is appropriate.
What is the difference between blepharoplasty and a brow lift?
Blepharoplasty primarily addresses excess skin and fat of the eyelids. A brow lift addresses descent of the eyebrows and tissues of the upper face. Some patients have both eyelid and brow changes and may benefit from treating both areas.
Can blepharoplasty improve vision?
In some patients, significant excess upper eyelid skin can obstruct the superior or peripheral visual field. When this occurs, upper eyelid surgery may improve the field of vision in addition to changing eyelid appearance.
What is the difference between BOTOX® and JUVÉDERM®?
BOTOX® works by temporarily reducing activity in selected muscles and is commonly used for wrinkles caused by facial movement. JUVÉDERM® products are hyaluronic acid dermal fillers used to add volume and improve selected facial contours, folds, or lines.
Can I combine BOTOX® with blepharoplasty?
In appropriate patients, injectable treatments may be used as part of a broader facial rejuvenation plan that also includes eyelid surgery. The timing and combination of treatments should be individualized.
Do I need blepharoplasty or a brow lift?
That depends on whether upper eyelid heaviness is primarily caused by excess eyelid tissue, descent of the eyebrow, or both. A comprehensive eyelid and facial evaluation can help distinguish between these conditions.
How long do the results of facial rejuvenation last?
It depends on the treatment. Surgical procedures such as blepharoplasty and brow lift generally provide longer-lasting structural changes, although the natural aging process continues. Injectable treatments such as BOTOX® and JUVÉDERM® are temporary and typically require repeat treatment to maintain their effects.
Is eyelid surgery considered cosmetic?
It can be cosmetic or functional. Blepharoplasty performed primarily to improve appearance is generally considered cosmetic. In some patients, upper eyelid surgery may be considered medically necessary when excess tissue significantly interferes with vision and specific insurance requirements are met.
How do I know which cosmetic treatment is right for me?
A consultation allows your provider to evaluate your eyelids, eyebrows, facial anatomy, skin, muscle activity, and areas of volume loss. Based on your concerns and goals, an individualized surgical, nonsurgical, or combined treatment plan can be discussed.
Schedule an Eyelid & Facial Rejuvenation Consultation
Whether you are concerned about drooping eyelids, under-eye bags, a low brow, facial wrinkles, or age-related volume loss, our team can help you understand your options.
Schedule a consultation with NH Eye Associates to learn whether blepharoplasty, brow lift surgery, BOTOX® Cosmetic, JUVÉDERM®, or a personalized combination of treatments may be right for you.