What Is Eyelid Rejuvenation Surgery?
Droopy upper eyelids can cause headaches, vision problems, and an “angry” appearance. Amazingly, a simple examination by your optometrist can determine if a rejuvenation procedure is covered under your insurance plan. A simple procedure in which we numb your upper eyelid and remove the skin and perhaps a slight amount of protruding fat can be performed in under an hour. The technical term for this procedure is called a blepharoplasty. This opens your eyes and allows one to to regain a refreshed look.
On the other hand, people often concurrently have issues with the area around their lower eyelid. This comes in the form of bags under the eyes and perhaps changes in pigmentation. With regard to the bags, this is an issue not with your skin, but with the loosening of the underlying tissue holding the fat under your eye in place. Correcting this requires removal and/or repositioning of the extruding fat and can be performed without an external incision.
What Can A Blepharoplasty Do?
A blepharoplasty is ideal for correction of the following:
- Loose, sagging and/or folded upper eyelids that may interfere with vision
- Puffy fat deposits in the eyelids
- Undereye bags
- Sagging lower eyelids that may show the whites of the eyes below the irises
- Excess skin in the lower eyelids
- Fine wrinkles in the lower eyelids
A blepharoplasty cannot raise the eyebrows, or treat deep wrinkles, dark circles under the eyes, or crow’s feet.
Who Is A Good Candidate For A Blepharoplasty?
The best candidate for a blepharoplasty is in good overall health, does not smoke, does not have serious eye conditions, and has healthy facial tissue and muscle.
A person with eye disease, diabetes, thyroid disorder, cardiovascular disease or high blood pressure may not be a good candidate for a blepharoplasty. If you have very dry eyes to begin with you likely are not a candidate for surgery. Specifically for lower eyelid blepharoplasty we will always send you for preoperative clearance from an ophthalmologist to ensure there is no disease on the inside of your eye or poor tear production that would preclude the procedure.
It is important for a patient to have realistic expectations before undergoing a blepharoplasty. Although it can enhance appearance and improve self-confidence, it does not radically alter the look of the face.
How Is A Blepharoplasty Performed?
Blepharoplasty is typically performed as an outpatient procedure requiring local anesthesia and sedation. General anesthesia may be used for anxious patients. Patients may choose to have this procedure on their upper or lower eyelids, or both. A blepharoplasty can take anywhere from 45 minutes to 2 hours, depending on whether or not both the upper and lower eyelids are treated.
If the upper eyelid is being treated, an incision is typically made along the natural crease of the eyelid. Once the incision is made, fat deposits are repositioned or removed, tissue and muscles are tightened, and excess skin is removed. For the lower eyelid, an incision is usually made just below the lash line so that excess skin can be removed.
After the procedure, the incisions are closed with sutures and surgical tape.
What Is Recovery From A Blepharoplasty Like?
After blepharoplasty, patients may be advised to apply lubricating drops/ointment and cold compresses to aid in healing and minimize side effects. Most patients return to work within a few days to a week, but should avoid exercise and strenuous activities for at least 2 weeks. Stitches are usually removed 3 and 5 days after the procedure. Most of the swelling and other side effects typically subside within 2 weeks. Contact lenses and eye makeup may not be worn for 2 weeks after surgery. Patients are typically advised to wear dark sunglasses outside or in bright light for 2 weeks to protect their eyes from sun and wind.
What Are The Results Of A Blepharoplasty?
Although there may be swelling and bruising around the surgical site, they will subside on their own, and the eyelids will improve in appearance for up to a year. The scars from a blepharoplasty are well-concealed, and usually fade with time until they are virtually undetectable. Although the eyelids are still subject to aging, blepharoplasty produces long-lasting results.
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