Q: Dr. Eppley, I’m 56 yrs. old and have developed 2 vertical lines between my brows. They make me look mad or mean. My face has also started to sag. I have the saggy vertical lines from sides of mouth to chin and the sides of my mouth are starting to turn down. I use to have beautiful lips and they are looking thinner and I have vertical lines from smoking. I have always had a high forehead plus I had 40 stitches in my head from a car wreck years ago and my hair never grew back over the scar. I nose is slightly crooked and is showing more now. My face needs refreshed.
A: Many of your facial concerns are very common and there are a variety of surgical options for substantial improvement. I could give you a more detailed description of what they would be if I could see a few pictures of you. Just by description I am envisioning the needs to be a lower facelift (of some type), possible upper and lower lip advancements/lift with corner of the mouth lifts, possible hairline lowering with glabellar muscle excision for the vertical lines, scale scar revision and possible rhinoplasty. As you can see there are a lot of good options here and the issue is just how to put a surgical plan together that will optimize your face and give the most refreshed facial result.
Dr. Barry Eppley