Blepharoplasty is an outpatient surgery to improve the appearance of the upper and/or lower eyelids. Excess skin, muscle, and fat can be removed from around the eyes to rejuvenate the midface. Blepharoplasty surgery usually takes less than one hour and is performed in an outpatient surgery center under intravenous sedation.
It is normal to be a little sore and swollen after blepharoplasty. Most patients will get a some bruising and a black eye afterwards. Using ice to the affected areas and resting with the head of the bed elevated will help to ensure a quick recovery. There are two main risks with blepharoplasty surgery. These are the risks for any type of surgery. These are: bleeding and infection. By obtaining a medical clearance from your primary doctor and stopping any blood thinning medications prior to surgery, the risk of bleeding will be very small. The infection risk is minimized by applying an antibiotic ointment to the lids after surgery. It is very rare for patients to develop an infection after blepharoplasty surgery.
When the excess skin of the upper eyelids begins to weigh down onto the eyelashes and obstruct peripheral vision, many commercial insurance plans (including medicare) will cover the costs of the surgery. Computerized peripheral vision testing can be done in the office to determine the amount of obstruction from the excess skin. Clinical photographs are also taken to document the condition.
Lower eyelid blepharoplasty to remove eyelid bags and improve the appearance of dark circles is usually considered a cosmetic procedure. The incisions for both upper and lower eyelid surgery are hidden in the natural creases of the eyelids, allowing for a natural look after surgery. Stitches are usually removed one week after surgery once the tissues have healed.
An oculoplastic surgeon is an eyelid expert who combines the microsurgery of ophthalmology with the cosmetic principles of plastic surgery to achieve the best result for the patients. Oculoplastic surgeons are board certified by the American Board of Ophthalmology. The training to become an oculoplastic surgeon includes four years of premedical education in college, four years of medical school, a one year internship in Medicine or Surgery, a three year ophthalmology residency in general eye surgery, and a two year fellowship in oculoplastic surgery. Oculoplastic surgeons are trained in plastic and reconstructive surgery of the eyelids, tear ducts, and orbit, in addition to cosmetic surgery of the eyelids and brows. They also perform aesthetic rejuvenation of the face with Botox, Xeomin, Kybella, and fillers like Juvederm, Restylane, Radiesse, and Voluma.
SightMD, previously North Shore Eye Care offers oculoplastic surgery services throughout their offices on Long Island – Garden City, Smithtown, Riverhead, Holbrook, Deer Park, Southampton, Southold, Hempstead, Huntington, and Little Neck (Queens).