![Key icon]( "Key icon")
Key Points
- "There are some wonderful tricks to control the eyelid crease. You can define and restore the little ligaments that define where the upper lid creases, and you can raise it or lower it. Men tend to have a lower crease, women tend to have a little higher crease, so it's feminizing if the crease is higher. Most importantly you have to see how the patient was before. Ultimately, if you don't move things too far, the patient won't look strange; but the surgeon needs to have that clear vision before surgery of where it should be, to know where enough is enough, but not too much," explains Dr. Neurohr.
Crease control
"There are some wonderful tricks to control the eyelid crease. You can define and restore the little ligaments that define where the upper lid creases, and you can raise it or lower it. Men tend to have a lower crease, women tend to have a little higher crease, so it's feminizing if the crease is higher. Most importantly you have to see how the patient was before. Ultimately, if you don't move things too far, the patient won't look strange; but the surgeon needs to have that clear vision before surgery of where it should be, to know where enough is enough, but not too much," explains Dr. Neurohr.
Little details, big results
Retaining a natural look in the color shift from the cheek to the ear is a delicate part of Dr. Neurohr's facelift procedure and one that underscores his attention to nuance. Rather than making a straight incision at the junction of the tragus and earlobe, he goes into the earlobe for an intratragal incision. "If you come out of the intratragal notch at a right angle and then down around the lobe, leaving a millimeter of the attachment of the earlobe to the skin, it will break up that line and maintain the color difference between the earlobe and the tragus. It blends because of that little right angle. It's just an added little detail," he says, "but like Hockney's photographs, all of the details add up to something of quality." 
