Temporal Tuck

There are a number of patients with a very noticeable heaviness to their upper outer eyelids (hooding), sagging to their eyebrows, and drooping of the corners of their eyes. These patients are excellent candidates for the temporal tuck procedure.

It is a most distressing condition to patients, and I am very sympathetic to the need for this surgery. I can help you with this issue.

Patients, both men and women, present to me at many different ages with the often very consistent features described above. The anatomy of this problem stems from relaxation of the middle and outer forehead, not so much the center section. The heavy and sagging forehead tissue pushes down the eyelids to the point that it can be quite severe and require patients to constantly hold up their eyebrows to see (the “surprised look,” which creates a lot of forehead wrinkles). There is some limitation to what you can see in upward gaze. All of this also relates closely to your hair, hairline, hairstyle, ears, eyelids, and eyebrows. These several structures are so intimately associated with each other that it becomes necessary to analyze and address the many different anatomic features prior to your surgery. I will coordinate the features of your anatomy with your expectations, formulate a plan with you, and guide you through this process. There are very specific techniques for temporal tuck surgery, and I will explain and illustrate all of these techniques to you. Surgery involves a light general anesthetic and is performed where I do surgery, which is in a hospital setting. There is an incision in the hairline over the temple region where I make a space down to the eyebrow, release the ligaments, and pull up the tissues. This surgery may need to be combined with upper eyelid surgery at the same time. The surgery is safe and predictable. All of the stitches are small and are removed in four to seven days. You can return to work in as little as three to five days and to some physical exercise in the second week.