Blepharoplasty (Eyelid Surgery)

Eyes are an important part of one’s appearance, conveying emotions and feelings. However, the appearance of the eyes can be negatively impacted by both age and heredity.

Cosmetic eyelid surgery, also known as blepharoplasty, is an option for individuals who are bothered by excess skin of the upper or lower eyelids. This can include bags, puffiness and drooping skin, characteristics which can make a person appear upset or tired. Eyelid surgery corrects the excess skin, tissue and fat that results in bags, puffiness and wrinkles of the upper and lower eyelids. The result is a more youthful, energetic and rested appearance to the eye area.

The ideal candidates for eyelid surgery include adult men and women with healthy facial tissue and muscles. Patients should be free of any life-threatening illnesses or medical conditions that can impair healing and they should realistic goals and expectations.

During a consultation, patients should be sure to advise the doctor of all current and past health conditions including any previous surgery, eye disease (such as glaucoma), dry eye, detached retina, thyroid disorders, cardiovascular disease, high blood pressure, diabetes, and circulatory disorders. Patients should also be sure to disclose any current use of medications, vitamins, herbal supplements, nutritional supplements, alcohol, tobacco, and drugs. The surgeon will discuss the available options for eyelid surgery and how your eyelids and the surrounding area can be improved. You and the surgeon will also discuss your goals and the potential risks. Be sure to address any questions or concerns that you may have at this time.

The surgeons at the Lasky Clinic will take into account your anatomy, the appearance of your eyelids, and any conditions which may be causing sagging or bagginess in order to recommend a course of treatment. You can help to minimize some of the risks of surgery by carefully following the surgeon’s advice and instructions before and after surgery.

The upper and lower eyelids, as well as the surrounding areas, can be dramatically improved with eyelid surgery by repositioning the muscle, redistributing fat, and removing excess skin where necessary. A brow lift, performed on its own or in combination with eyelid surgery, may be a better option for patients with a low positioned brow or hooding at the outer corner of the eyes. The brow lift, which can also smooth lines or furrows in the forehead, is typically performed as a minimally invasive procedures using an endoscope. Eyelid surgery may also be combined with a midface lift to correct sagging in the cheek region as well as pronounced nasolabial folds.

To treat droopiness of the upper eyelids, the incision is typically made within the natural crease of the upper eyelids. Fat deposits are then repositioned, muscles and tissue are tightened, and excess skin is removed, resulting in a smoother upper eyelid contour.

When treating the lower eyelids, a transconjunctival incision is often used which is hidden inside of the lower eyelid. Fat is then redistributed or removed and sagging muscles are tightened. The incision may also be made just below the lower lash line if there is excess skin of the lower lid that needs to be removed.

The incisions from eyelid surgery are typically well concealed within the natural creases and folds of the eye area. Swelling and bruising are common after surgery but as these side effects fade the results will gradually appear, revealing a smoother, firmer, more defined eyelid area. Patient will appear more youthful, alert and rejuvenated.


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