Gliding Brow Lift with Upper & Lower Blepharoplasty + Fat Transfer

This vibrant 52-year-old woman came to our La Jolla office seeking a second opinion after previous consultations elsewhere in San Diego left her uncertain. She was bothered by sagging upper eyelids, under-eye bags, and a heavy, low-set brow that made her look tired and older than she felt. She also disliked the thin appearance of her upper face and cheeks.

Dr. Salvatore Pacella, one of San Diego’s most experienced and sought-after facial plastic surgeons, performed his signature Gliding Brow Lift through a discreet incision hidden within the hairline — ensuring there were no visible scars. This was paired with a meticulous upper and lower blepharoplasty to remove excess skin and rejuvenate the eyes, as well as structural fat transfer to restore volume to the midface and upper eyelids.

At one year post-op, she now enjoys a youthful, naturally refreshed appearance with bright, open eyes, elevated brows, and a balanced, sculpted midface — without any signs of having had surgery.

Patients often come to Dr. Pacella after researching multiple well-known oculoplastic and facial surgeons in the La Jolla and Carmel Valley area. What sets his work apart is his commitment to invisible incisions, natural outcomes, and a bespoke approach that avoids the over-operated look.