What is Blepharoplasty (Eyelid Surgery)?

Blepharoplasty is a surgical procedure that reduces bagginess from lower eyelids and also helps to improve hooding of the upper eyelids. Blepharoplasty often calls for the removal of excess skin, muscle, and underlying fatty tissue and sometimes surgeons are able to reposition tissues can rather than remove them. While it is a cosmetic procedure, blepharoplasty is also an effective method for improving sight so patients whose sagging upper eyelids obstruct their vision benefit from this procedure.

Surgeons can perform Blepharoplasty in conjunction with other facial surgery procedures including laser resurfacing or brow lifts.

Who is a good candidate for Blepharoplasty?

As skin ages, it gradually loses its elasticity. A lack of elasticity, combined with the pull from gravity, causes excessive skin to collect in the upper and lower eyelids which causes wrinkles and bulges. On the upper eyelids, an extra fold of skin forms that can hang over the eyelashes and obstruct vision. These bulges on the upper and lower eyelids results from the fat that cushions the eyeball from the eye socket. The thin membrane that holds the fat in place weakens with age, allowing the fat to protrude into the lids.

The best candidates for blepharoplasty are individuals generally 30 years old or older who are in good health and who have no other eye conditions. Tell your doctor if you have any of the following conditions:

  • Eye disease, such as glaucoma, dry eye, or a detached retina

  • Thyroid disorders, such as Graves’ disease and under or overactive thyroid

  • Cardiovascular disease, high blood pressure, or other circulatory disorders

  • Diabetes

It is important for you to be realistic about the expectations you have for blepharoplasty. Eyelid surgery can enhance your appearance and help build your confidence but you should not expect the surgery to drastically change your look. Many people have eyes that are not aligned or that appear to be different sizes. Asymmetrical features occur during the early stages of development and blepharoplasty will not alter your facial structure. It is important to know your face well before you decide to have surgery. Think about your expectations and discuss them with your surgeon.


The Blepharoplasty Procedure

Surgeons perform Blepharoplasty in an outpatient setting and requires local anesthesia and sedation. The procedure can take anywhere from 30 to 60 minutes but the surgery length depends on whether you are having both the upper and lower eyelids done.

If your upper eyelids are being operated on, the incision lines are made along the natural crease lines of your eyelids. Once your surgeon makes the incisions, they remove fat deposits and excess skin. They may also remove a strip of the orbicularis oculi muscle that surrounds the eyelids and this will help them to deepen the lid crease if necessary.

If you have surgery for the lower eyelids, surgeons will make an incision either below the lower lash line or on the inside of the lower eyelid. Depending on the method, excess skin in the lower eyelid is removed or fat is redistributed or removed.

After the procedure, your surgeon will close your incisions with either removable sutures, skin adhesives, or surgical tape.

Blepharoplasty Surgery Before & After Photos

See before and after Blepharoplasty photos of people who trusted our doctors at SightMD for their treatment. Contact us to learn more about how Blepharoplasty can help you regain your confidence!

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Recovery After Blepharoplasty

After a blepharoplasty, your surgeon will give you specific instructions to follow which will include the medications you should apply or take orally. They will also schedule a date and time when you should see your surgeon for a follow-up examination. Your healthcare provider will also let you know of any symptoms or signs you should watch for that would mean you should follow up sooner.

You may experience some swelling, bruising, irritation, or dry eyes but if these symptoms do occur, they are generally very mild and most of the swelling subsides within two weeks. You will not be able to wear contact lenses or eye makeup for two weeks after surgery.

Your stitches will usually be removed by the third or fourth day after surgery and it may be recommended that you wear dark sunglasses for the next two weeks to protect your eyes from sun and wind. You can return to work in a few days to a week but will need to avoid exercise and strenuous activities for at least two weeks.

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