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Do I Need a Brow Lift or Blepharoplasty?

Many plastic surgery procedures and treatments have been devised to rejuvenate the upper face. The forehead and eye area are prone to developing wrinkles and sagging skin that can contribute to an aging, tired, and sad appearance. If it is time for you to take the plunge for facial rejuvenation, you may be wondering whether you would benefit from a brow lift or blepharoplasty. For a quick summary, if you feel you look “tired,” you are more likely a candidate for upper blepharoplasty. If you are asked if you are “angry,” you may be more of a candidate for a brow lift. The following indicators will help you understand which procedure you need (or whether you may need both) to achieve the most desirable aesthetic outcome.

eyelid patient by dr. pearlman

Brow Lift Surgery

Brow lift surgery is a procedure that rejuvenates the upper face by addressing forehead wrinkles and sagging brows. Using either an endoscopic approach or a modification of the traditional coronal lift technique, Dr. Pearlman elevates the forehead and the brows to rejuvenate their appearance. Dr. Pearlman recognizes the general differences in male and female eyebrows and is careful to raise them appropriately when performing brow lift surgery. As a result of this surgery, the forehead will lie smoother and the brows will appear more lifted and natural. Brow lift surgery often eliminates upper face wrinkles and can correct upper eyelid hooding that was caused by sagging brows.

Candidates for Brow Lift Surgery

If the overhang or hooding of your upper eyelids extends beyond the corner of your eyes, then you are certainly more of a candidate for a brow lift. Another indicator is the shape of your eyebrows; if they are flat or the tail is even lower than the central part of the brow, a brow lift will help restore a youthful arch. A candidate for a brow lift will have experienced a distinct drop in the forehead over time and flattening of the arch that has led to sagging brows. If sagging brows have also led to upper eyelid hooding, a brow lift will be able to reverse it. If you look back at an old photograph of yourself and see that the position of your eyebrows has changed over time, you may be a good candidate for this procedure. You may also be a candidate if you have severe wrinkles on your forehead and brow area.


Blepharoplasty (eyelid surgery) is a procedure that rejuvenates the upper face by addressing excess skin and fat in the upper and lower eyelids. The procedure is often separated into upper or lower blepharoplasty, though many patients undergo both at the same time. The surgeon surgically removes excess skin and fat and adjusts the muscle tissue to restore a more youthful appearance to the eyes. Blepharoplasty can restore full sightlines by removing excess upper eyelid skin in severe cases and can reduce fine lines and puffiness in the upper and lower eyelids.

Candidates for Blepharoplasty

A candidate for blepharoplasty will have sagging, excess skin in the upper and/or lower eyelids, usually accompanied by excess fat. Candidates may have prominent upper eyelid hooding that partially blocks their visual field. Bags beneath the eyes, typically caused by pockets of fat, may also be a symptom of aging experienced by blepharoplasty candidates. An old photograph of yourself will reveal whether the position of your eyebrows has changed over time; if it has not but you still have upper eyelid hooding, you may be a good candidate for blepharoplasty.

Candidates for a Combined Brow Lift With Blepharoplasty

Some people identify as candidates for both brow lift surgery and eyelid surgery. When appropriate, it can be beneficial to undergo both procedures. Most often, candidates will get a brow lift with an upper blepharoplasty. For example, a candidate who has pronounced upper eyelid hooding due to a combination of excess upper eyelid skin and sagging brows will benefit most from undergoing both surgeries. Candidates for both procedures may have “tired eyes” as well as an angry appearance due to drooping eyebrows. If you have notably sagging brows, forehead wrinkles, sagging upper and/or lower eyelids, and puffiness or bulging around your eyes, a combined brow lift with blepharoplasty can give you a more youthful and rested appearance.

Non-surgical Brow Lift

There are a number of ways to non-surgically raise the eyebrow. BOTOX® Cosmetic can relax the muscles that pull the corner of the brow down. This loss of resting tone can lead to a nice elevation of the brow. Since it is an indirect effect, we cannot tell in advance who will get the best results from this treatment. Some patients look like they have had surgical brow lifts, and others only subtle changes. We can also use Ultherapy® to raise the brows in some patients.

To find out if you are a good candidate for brow lift, blepharoplasty, or both, please come in for a personal evaluation. Our phone number is 212-223- 8300.

Popular Facial Surgeries for Men

In an industry that has historically attracted women, for the most part, men have recently been getting plastic surgery in ever-increasing numbers. Statistically, surveys from the AAFPRS, ASPS, and ASAPS all show that numerous members of the male population are pursuing minimally invasive or surgical treatments to enhance their appearances. These numbers have been climbing as men become more and more concerned about their appearances and how they are affected by aging. The following facial surgeries are becoming increasingly popular among males, as men learn how they can uniquely benefit from facial plastic surgery.

Male Facial Plastic Surgery patient by Dr. Pearlman

Actual patient of Dr. Pearlman’s


Nearly 26,205 male rhinoplasties in 2016 made it one of the top five male plastic surgeries of the year, according to national statistics provided by the American Society for Aesthetic Plastic Surgery. It used to be that men shied away from nose surgery out of fear of having a feminized or overdone nose. Now, with modern techniques and Dr. Pearlman’s expertise as a facial plastic surgeon, men who are self-conscious about their overly large or unbalanced nose can achieve a more natural, yet still masculine, attractive-looking nose. Dr. Pearlman uses male rhinoplasty to improve the appearance of the nose with an often subtle approach, which can have profound effects. Instead of being “stuck” with a big nose, a man can get rhinoplasty to subtly refine the nasal tissues and restore balance among the facial features.


Perhaps surprisingly, blepharoplasty (eyelid surgery) was even more popular than rhinoplasty among men in 2016, with 28,025 procedures performed according to national ASAPS statistics. Men tend to develop bags under the eyes, which can be corrected through lower eyelid surgery to remove excess fat. The incisions for lower blepharoplasty are hidden inside the eyelid, so there is no visible scarring. For those desiring upper eyelid rejuvenation to correct signs of aging, the technique differs slightly for male blepharoplasty versus female blepharoplasty. Dr. Pearlman avoids feminizing the eyes by moving the upper eyelid incision lower toward the edge and leaving a little extra skin in the upper lids. Eyelid surgery can help men recapture an attractively youthful and masculine appearance.

Facelift Surgery

In a society where a young, strong, and masculine appearance is highly valued, men who have signs of aging and sagging in the face are progressively more likely to choose facelift surgery. A male facelift uses incisions that preserve the natural contour of the hairline. Dr. Pearlman focuses on lifting the skin without creating a pulled appearance. Often, he will place more emphasis on the lower face as part of the procedure, addressing any sagging skin and muscles with a sub-mentoplasty, which are most often the biggest concern for men. A facelift allows men to maintain a natural yet youthful facial appearance as they age.

Brow Lift Surgery

Because of unique facial structure characteristics, men tend to be especially vulnerable to forehead wrinkles and sagging brows as they age. This makes brow lift surgery a desirable procedure to correct a drooping brow and wrinkled forehead. Dr. Pearlman uses small, hidden incisions to raise the brows and soften the forehead. Depending on the patient’s hairline, these incisions may be placed behind the hairline or even hidden in the upper eyelid area. Brow lift surgery smooths away forehead wrinkles and lifts sagging brows to create a more approachable and attractive male face.

Neck Lift vs. Neck Liposuction

Pearlman Facelift Patient Before and AfterAs the years pass by, the neck ages along with the rest of the body; sagging skin, muscle laxity, and excess fat may lead to the so-called “turkey neck” that can be seen in older individuals. Neck lift surgery and neck liposuction are two procedures that can address common complaints associated with aging. These treatments rejuvenate the appearance in different ways.

Neck Liposuction

Liposuction is a surgical procedure that removes unwanted fat from the body. It can be performed anywhere on the body, including the neck. On the neck, excess fat can create noticeable bands and may collect beneath the chin, simulating a second or “double chin.” With neck liposuction, the excess fat is removed to improve the contour and definition of the neck. Through a few tiny incisions, a tube is inserted, and the excess fat is permanently suctioned out of the neck area to rejuvenate its appearance. Because this procedure only addresses fat, neck liposuction is for patients whose primary concern is stubborn neck fat and not tissue laxity, wrinkles, or other serious signs of aging.

Neck Lift

A neck lift is a surgical procedure that corrects tissue laxity in the neck. Like many expert plastic surgeons, Dr. Pearlman incorporates neck lift surgery with his facelift surgery techniques because the procedures are synergetic. Correcting sagging skin and muscle laxity in the lower face and neck can dramatically refresh the appearance.

The effects of aging on the neck can be corrected with one of two approaches. The first is the mini-facelift, which tightens the SMAS (underlying facial musculature) and improves the early jowls and excess skin that sag in the lower face and neck. This procedure is for younger patients who have minimal sagging and early aging indicators. The second technique is the deep plane facelift, which lifts and repositions the underlying layers of the face and neck, as well as the skin, to improve tissue laxity and the effects of aging. This procedure is for patients who have more serious signs of aging and provides natural-looking results that last longer. Both approaches involve surgical incisions, tightening the facial structures, and removing excess skin. Neck liposuction is often incorporated as well.

Your Treatment Plan

As an experienced and dual board-certified plastic surgeon, Dr. Pearlman can evaluate your needs and wishes to determine the best surgical approach for you. If you are mostly concerned about excess fat and bands along your neck, you may be able to achieve your desired results with neck liposuction. If you have a turkey neck with tissue laxity and other symptoms of aging, neck lift surgery is the recommended solution. The extent of your surgery will depend on your needs. Whichever procedure is selected for your treatment plan, it will rejuvenate your neck and help you reclaim a youthful, slender, and defined neckline.

Schedule your personal consultation with Dr. Steven J. Pearlman to learn how one of these procedures could improve the appearance of your neck. To book your appointment, please call 212-223-8300 or complete our online contact form today.

How a Well-Balanced Chin Can Enhance Facial Beauty

Dr. Pearlman Chin Implant PatientIn defining facial beauty, facial structure is just as crucial as the color of your eyes or the fullness of your lips. It can play a more prominent role than you realize. Facial features that are perfectly angled, well-defined, and equally balanced enhance facial attractiveness. If your chin is poorly defined, it may be limiting your overall facial attractiveness. Chin implants can be used to create a more elegant chin, better-defined profile, and stronger facial contours.

The Chin’s Role in Facial Beauty

A beautiful chin is well-balanced with the rest of the facial features. The chin should fit together with the nose, cheeks, forehead, and rest of the face. From the front and side view, the chin should appear neither overly prominent nor receding but be perfectly in between. A receding chin causes the lower face to look small and weak, and this affects not only your perceived beauty but also other characteristics. Historically, having a weak or receding chin has also been perceived as having a weak or unlikable personality.

The Nose and Chin

Many people who are unhappy with their noses may not realize that the nose could be accentuated by a receding chin. A sizable percentage of individuals who desire rhinoplasty could be helped by getting a chin implant as well. Placing a chin implant can restore facial balance so that the chin and nose fit together. Chin augmentation and rhinoplasty are frequently performed together to accomplish this.

Male vs. Female Chins

Male and female faces are structured in slightly different ways, and this affects our perception of their attractiveness. On a male face, a strong chin and jawline are considered desirable. The character Gaston in Disney’s “Beauty and the Beast” is a classic caricature of a man with a strong chin that others find handsome. However, the same prominent chin on a female face would be seen as overbearing and unattractive. A woman’s chin should be smaller but should not recede, as an overly small chin is also disproportionate. It should be defined and balanced in proportion to the nose.

Chin Implants

A chin implant can augment the chin to improve facial structure. There are several chin implant designs that can improve your profile and/or fill out a narrow chin. Dr. Pearlman will use various sizes and designs as well as computer imaging to select the ideal chin implant for you. To insert the implant, a tiny incision is placed under the chin, leaving a barely visible scar. The synthetic implant is then placed directly over the chin bone. Because this implant restores a natural facial balance, it is rarely detectable by your peers. Most chin implants are a permanent addition to the facial structure and will enhance your facial attractiveness for many years.

Chin augmentation with an implant can enhance facial balance and beauty. Some individuals may achieve their desired aesthetic appearance solely with a chin implant. Others may benefit from combining chin augmentation with rhinoplasty, cheek augmentation, or other procedures that enhance facial structure. To learn more about chin augmentation and other procedures that can enhance facial beauty, schedule your personal consultation with our facial plastic surgeon, Dr. Steven J. Pearlman. Call 212-223-8300 or complete our online contact form to book your appointment today.

How to Know if You’re Ready for a Facelift

Facelift Dr. Pearlman Before and After photosIf your face is showing significant signs of aging, you could benefit from facelift surgery. But are you ready to undergo this procedure? Here are some ways to know whether you’re ready to change your life with facial rejuvenation surgery.

Physical Signs That You’re Ready for a Facelift

A facelift corrects sagging tissues in the lower face and neck. If you have jowls, significant lower face wrinkles, and poor jawline definition, you could be ready for a facelift. A good test is to set your hands along the sides of your jaw and pull gently toward your ears. If the results seem desirable, you could be a good candidate for this surgery. Other physical signs that you’re ready for a facelift include sagging neck tissues and muscle banding on the neck.

In addition, you should be in good physical and mental health. A facelift is a major surgery, and if you have notable health issues, you are not ready for major surgery. Once your health is under control and your doctor has given approval, you could be ready for facelift surgery.

Emotional Signs That You’re Ready for a Facelift

You may also be ready for a facelift if you have certain emotional indicators. Candidates with noticeable signs of aging should desire a change because they are bothered by their wrinkles and sagging skin. If you look in the mirror and feel discouraged because your appearance does not reflect the youthful and confident person you feel you are, then you may be ready for a facelift. If you are ever dissatisfied that your aged appearance makes you look tired, angry, or sad when you do not feel so, it could be a good time to undergo this procedure. Most importantly, you should be self-motivated. If you are receiving outside pressure to get a facelift, it may be better to hold off until you want it for yourself. On the other hand, if you know you want the procedure, you should feel free to pursue your desires.

The Right Time for a Facelift

Timing is one of the most critical aspects of preparing for a facelift. Most facelift patients are between the ages of 40 and 60. Patients who get a facelift before age 50 may see the best results because they tend to have more youthful skin elasticity. Additionally, because the tissues of your face will be more sensitive to the sun during recovery, it may be best to get a facelift in the fall or winter. Winter is also opportune because sun exposure is more minimal and hats and scarves are more appropriate accessories. These factors will help protect your skin and reduce scarring.

Lastly, you will not be ready for a facelift until you can schedule your time and life around the recovery. Patients must be prepared to take at least 10 to 14 days off of work for their surgery and recovery. Dr. Pearlman also recommends scheduling your facelift at least two to three months or more before an important function, such as your daughter’s wedding. This surgery can change your life, so it is best to make sure that you are ready for it and that you will be able to enjoy the results.

Other factors such as finances can also determine whether you are ready for a facelift. If you feel that now may be a good time to consider this procedure, schedule your consultation with Dr. Steven J. Pearlman. Dr. Pearlman is dual board certified in facial plastic surgery and can help you determine whether you are a good facelift candidate and whether you are prepared for this surgery. To book your appointment with Dr. Pearlman, call 212-223-8300 or contact us online today.

Deviated Septum Surgery

Deviated Septum DiagramIf you regularly have trouble breathing through your nose, it could be more than allergies. You could have a deviated septum, which is the most common cause of chronic nasal obstruction. Functional nasal surgery, formally called “septoplasty,” can straighten out a deviated septum to create more open nasal airways so that you can breathe more easily.

What Is a Deviated Septum?

The nasal septum is a wall of bone and cartilage between the two sides of the nose. This piece of anatomy runs all the way from the floor of the nose to the bridge and down to the nasal tip. In a “perfect” nose, the septum is straight, but for many individuals, the septum is deviated or crooked. This deviation may be caused by an injury or may be present from birth, and many people are unaware that they have a deviated septum or what may have caused it. Many people have a mildly deviated septum and no problems with nasal breathing. However, a deviated septum can be severe enough to cause perpetual nasal blockage on one side that prevents your ability to inhale freely.   

How to Fix a Deviated Septum

A deviated septum that causes no problems may not need to be corrected, although the septum can be straightened during a routine rhinoplasty procedure. However, a deviated septum that does interfere with nasal breathing should be corrected with septoplasty. First, the condition must be diagnosed through careful examination of the inside of the nose. Once a deviated septum has been diagnosed, a surgical plan will be put into place.

Patients can undergo septoplasty on its own or with rhinoplasty. If they choose to undergo septoplasty without rhinoplasty, there will be a functional improvement but no aesthetic changes to the nose. Patients who undergo a septorhinoplasty (septoplasty with rhinoplasty) will have both functional and aesthetic improvements to the nose. Insurance companies may cover all or a portion of deviated septum surgery, but they are not likely to cover the cost of rhinoplasty.

Correction With Septoplasty Surgery

Septoplasty usually uses a closed surgical approach. The crooked cartilage of the septum and bone are moved, removed, reshaped, or scored to straighten the septum. If patients undergo a septorhinoplasty, the surgical approach may be open or closed and will include straightening the septum as well as adjusting the appearance of the nose. In this case, patients will be able to enjoy improved nasal breathing in addition to all the cosmetic benefits of rhinoplasty, such as a more refined nasal tip, a straighter bridge, reduced nasal size, correction of bumps or depressions, and other aesthetic concerns.

Even if a deviated septum has not affected nasal breathing in the past, Dr. Pearlman will always correct it for his rhinoplasty patients by also performing a septoplasty. Adjusting the nasal tissues can cause a deviated septum to become symptomatic and create a blockage, which is why the issue should be corrected once diagnosed to avoid any possibility of a new problem. Most patients who undergo septoplasty experience long-lasting improvements to their nasal breathing.

Deviated septum surgery can straighten the nasal septum to open the nasal airways and improve inhalation. If desired, the procedure can be combined with rhinoplasty for both functional and aesthetic benefits. To learn more about this procedure, request your personal consultation with Dr. Steven Pearlman. Dr. Pearlman is our advanced rhinoplasty surgeon with dual board certification in facial plastic surgery, and he would be pleased to perform your nose surgery to help you achieve your desired results. To request your appointment, call (212) 223-8300 or contact us online today.

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