Eyes are a prominent facial feature. It is the surrounding skin, rather than the eyes themselves, that conveys emotion. The tissue, muscle, fat, hair and lashes all contribute to the wide array of expressions. Age, sun exposure and hereditary factors all contribute to wrinkles, deep lines and puffiness around the eyes.
The aging process can cause unwanted changes in expression, causing us to look permanently fatigued and older than we really are.
These changes in appearance can cause emotional distress and sometimes even visual impairment. An eyelid lift, or blepharoplasty, is designed to restore a more youthful appearance to your eyes. It may involve the upper lids, the lower lids, or both.
New and Traditional Techniques
Traditional Blepharoplasty: An incision is made in the crease of the upper lid toward the temples. Once healed, it is not noticeable when the eye is open. On the lower lid, the incision is made along the lash line toward the temples, and is hidden by lashes when healed.
The Transconjunctival Approach: This is a newer technique for lid blepharoplasty, involving an incision inside the lower lid. Fat can be removed through this incision, but excess skin cannot be eliminated.
Laser resurfacing of the eyelids is a non-surgical alternative that may delay the need for a surgical blepharoplasty. It results in significant tightening of the skin around the eyes, but will not effect the fat around the eyes and may even accentuate it.
Please ask your doctor if you have any questions about which procedure is right for you.
The Surgery
Local anesthesia is given around the eyes. An intravenous line is started so that sedation may also be given. During the procedure you will be awake but comfortable and relaxed. General anesthesia is rarely used.
This procedure is performed on an outpatient basis at our surgical center. It is important to arrange for care after the surgery. Someone must drive you home and be available to care for you for the first 24 hours.
Complications are unlikely when performed by a surgeon with experience in blepharoplasty. These include: bleeding and swelling, delayed wound healing, infection, drooping of eye upper or lower eyelid, asymmetry, double vision and dry eyes.
Recovery: What to Expect
The area surrounding the eyes will remain swollen in the days following the surgery. It should begin to subside after the first day. Some vision blurring is normal.
The stitches will be removed in 4-5 days. Swelling and bruising will persist for about 10 days, but you can begin wearing makeup to help conceal these concerns. You may expect to resume normal activity within a week to 10 days, and start enjoying your new look within approximately 10-14 days. It may take about 6 months for the scars to lose their redness.
Wrinkling will recur later in life, however it is unlikely that the "bags" will recur because the fat has been removed. Deeper wrinkles around the outer eye extended onto the temple are not greatly affected by the eyelid lift. These areas may be treated with laser resurfacing.
When reviewing information about specific plastic surgery procedures, it is important to understand that the circumstances and experience of every individual are unique. If you are considering plastic surgery, please ask your plastic surgeon for further information about the particular procedure and what you can expect.
Abdominoplasty The removal of excess abdominal fat with tightening of the abdominal wall. Also called tummy tuck.
Arm Lift To contour the upper arms by removing skin and fat
Augmentation Mammaplasty To enlarge the breasts making them more youthful and full using breast implants
Blepharoplasty To remove the excess skin and fat of the upper and lower eyelids
Body Lift To tighten and improve contour of the back, thighs, and abdomen
BOTOX® To soften the lines around the eyes and forehead
Brachioplasty To improve contour and reduce excess skin and fat of upper arms
Breast Augmentation To enlarge the breasts making them more youthful and full using breast implants
Breast Enhancement To enlarge the breasts making them more youthful and full using breast implants
Breast Enlargement To enlarge the breasts making them more youthful and full using breast implants
Breast Implant Revision To improve overall shape and size of breasts following previous cosmetic breast surgery
Breast Implants Saline or silicone devices to enlarge breasts
Breast Lift To uplift breasts following pregnancy, the aging process, or congenital deformity
Breast Reconstruction The surgical procedure to remake breasts for a woman who has lost a breast due to cancer
Breast Reduction To reduce the size of breasts that are too large and heavy
Brow Lift To elevate the forehead and eyebrows following the aging process
Calf Augmentation/Implants To enlarge size of calves
Cellulite The dimpling or cheese appearance of skin following pregnancy or develops with age
Cheek Implants Implants to enlarge cheeks
Chemical Peel Various acid treatments to improve texture and fine wrinkles of the face
Chin Augmentation To enlarge and improve contour of chin
Chin Implant Silicone or other type of material device to enlarge chin
Collagen Natural bodies tissue used in healing
Collagen Injections A filler to elevate folds or wrinkles to soften facial appearance
Dermal Fillers A filler to elevate folds or wrinkles to soften facial appearance
DSL Laser Hair Removal
Ear Pinning/Surgery To correct ears that are too projecting or dumbo like in appearance
Endoscopic Brow Lift Technique to elevate forehead, low brow position and heaviness of upper eyelids
Face Lift To tighten skin of face and neck and reposition soft tissue of cheek and jowls
Facial Implants Implants to enhance contour of cheeks, chin, and mandibular angle
Fat Injections Fat added to areas of body to enhance volume and contour
Flap Surgery Tissue from one area of body added to another area to correct a body defect
Forehead Lift To elevate forehead and eyebrows
Gynecomastia Excess breast tissue of male
Hylaform® A filler to enhance facial lines and depressions
Incision A cut made in skin
IPL™ Photofacial/Fotofacial Light therapy to soften facial wrinkles and pigmentation
Labiaplasty To remove excess labial skin
Laser Hair Removal Laser to remove unwanted hair
Laser Skin Tightening Laser light to burn skin that causes new collagen formation and less wrinkles
Laser Skin Resurfacing CO2 laser therapy to correct facial wrinkles
Lip Augmentation To add fillers or fat to enlarge lips
Lipodissolve™ Technique to remove excess body or facial fat
Lipoplasty Technique to remove excess body or facial fat
Liposculpture Technique to remove excess body or facial fat
Liposuction Technique to remove excess body or facial fat
Male Breast Reduction To remove excess breast tissue and skin on a male
Mammaplasty To enlarge the breasts
Mastectomy To remove breast including breast tissue, nipple, areola, and some breast skin
Mastopexy To uplift the breast and reposition the nipple/areola
Mentoplasty To enlarge the chin and improve the chin’s contour
NeckLift To tighten the skin of the neck
Nipple Reduction To reduce the size of the nipple
Nose Job To improve the shape and contour of the nose. Also called rhinoplasty.
Obagi Skin care system that transforms skin into younger and healthier skin
Otoplasty Surgical technique to pin back ears that are too protruding
Pec Implants Implants to enlarge male breasts
Ptosis Droopiness that overhangs the pupil and may interfere with vision
Radiesse A filler to elevate depressions or wrinkles or add volume to face
Refirme™ (ST)
Restylane® Injections A filler to minimize depressions and wrinkles of face
Rhinoplasty Surgery to improve, shape, size, and contour of nose
Rhytidectomy Surgery to tighten facial and neck skin and make face more youthful. Also called face necklift.
Rosacea Skin condition that causes redness
Saline Implants Implants comprised of a silicone shell and saline content
Sclerotherapy To inject spider veins that result in their disappearance or lightening
Sculptra® A long lasting filler
Silicone Implants Implants comprised of silicone
SkinCeuticals : Skin care products to prevent damage, protect healthy skin, and correct previous damage
Skin Expansion Technique to stretch skin of breasts or body
Suture Material to bring skin or underlying tissue together
Symmastia Condition where two breast meet in middle of chest
Thermage® Laser therapy to improve texture of facial skin
Thigh Lift/Thighplasty Surgery to improve contour and shape of thighs
Thread Face Lift Surgical technique to tighten facial and neck skin using threads
Topical Solution Liquid applied to the skin
Tummy Abdomen
Vein Therapy Techniques to improve appearance of large varicose veins or small spider veins
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