Achieving a refreshed yet natural appearance relies on clear communication and a refined surgical philosophy. Dr. Gladstone prioritizes fully understanding your aesthetic goals while applying his signature principle: results that are subtle, yet beautiful.
Understanding Your Concerns Because the thin, delicate skin surrounding the eyes is often the first area to exhibit signs of aging, common concerns include:
- Fine lines and wrinkling on the lower eyelids
- Fatty tissue protrusion creating under-eye bags
- Brow ptosis (sagging) that crowds the upper eyelids and complicates makeup application
- Excessive upper eyelid skin

During your initial consultation, clearly articulating what bothers you—such as looking perpetually fatigued—allows Dr. Gladstone to tailor his approach specifically to your needs.
The Comprehensive Evaluation Dr. Gladstone conducts a detailed examination that combines your personal goals with precise anatomical measurements designed to optimize aesthetics and prevent postoperative complications. Key factors evaluated include:
- Skin elasticity and excessive tissue
- Fat distribution and structural descent
- Brow positioning relative to the upper eyelid

To ensure complete understanding and agreement, Dr. Gladstone will physically demonstrate potential outcomes by gently adjusting the brow or lid skin, showing you how much of the upper eyelid will be visible post-procedure. Reviewing before-and-after photographs of previous patients further refines this shared vision, allowing you to highlight outcomes you prefer.
Surgical Philosophy & Expertise This collaborative process prevents an unnatural, over-operated appearance. Often, a more conservative adjustment yields superior, harmonious results. With decades of specialized experience and a prestigious fellowship in Ophthalmic Facial Plastic Surgery, Dr. Gladstone combines advanced surgical expertise with artistic restraint to deliver elegant, natural-looking outcomes. He was one of the first people in Michigan to perform endoscopic forehead and brow elevation procedures. He has pioneered changes to both upper and lower eyelid cosmetic surgery. He has also lectured about these topics in many locations in the United States and around the world.
Precision eyelid and forehead plastic surgery
Subtle but beautiful results
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