Facial Surgery

Facial surgery here addresses change in a specific layer — skin, the deeper supportive tissue beneath it, or the position of the brow and eyelids. The four procedures on this page each target a different one, which is why they are often planned together rather than chosen in isolation.

Where the change actually sits is what separates them. Sagging and deep folds in the lower face and along the jawline are what a facelift addresses; loose skin and banding confined to the neck point to a neck lift; heaviness or excess skin in the upper and lower lids is eyelid surgery; and a brow that has dropped can make the eyes read as tired even when the lids themselves are fine. Treating the wrong layer is the usual reason a result does not look like what someone came in for.

A consultation is where that is worked out. Dr. Armstrong assesses which layer is driving the change, explains what each option can and cannot reach, and sets out the recovery each involves — including the option of doing nothing yet.