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Eyelid Surgery (Blepharoplasty)

Anesthesia: General Face
Length of surgery: 45 minutes for upper blepharoplasty or 1 to 2 hours for lower blepharoplasty In/Outpatient: Inpatient

Eyelid Surgery (Blepharoplasty)


This Eyelid Surgery (blepharoplasty) procedure can produce a dramatic rejuvenating effect by correcting drooping upper eyelids and puffy bags below your eyes – features that make you look older, more tired than you feel, and may even interfere with your vision. Conservative removal of fat and excess skin (and muscle) from the upper and lower eyelids avoids the ‘skeletonised’ look that makes the eyes appear more deep-set and aged, rather than younger. However, eyelid surgery (blepharoplasty) won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.

Upper Eyelid Surgery (Blepharoplasty)

While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. In the upper eyelid, the incision is placed within the natural eyelid crease, rendering it nearly invisible once healed. A crescent of excess skin and underlying muscle is removed as well as any bulging fat. Some individuals have heavy or droopy upper eyelids because of descent of the lateral brow. This can be corrected fully or partially with a brow lift.

Lower Eyelid Surgery (Blepharoplasty) and Canthopexy Suspension

As we age, most people lose some tissue elasticity around the eyes, and the resulting sagging creates a tired, aged appearance. Lower Eyelid Surgery (blepharoplasty) can help to tighten the area under the eye, removing fat and excess tissue, creating a more youthful look. Having lower blepharoplasty will not eliminate wrinkles from under the eye, although it can make the skin smoother in appearance.

One of two approaches are used, depending upon the deformity. If moderate skin resection is required, a subciliary incision is placed just below the eyelid lashes. If the patient requires only fat removal, then a transconjunctival blepharoplasty may be performed instead, with the incision made in the inner portion of the lower lid. The surgeon will separate the skin from underlying fatty tissue and muscle, removing the excess fat. In more recent lower blepharoplasty surgeries, the fat may be repositioned rather than removed, creating an improved contour of the lower lid complex. Can also repair or reinforce the soft tissues that normally hold the lower eyelid ‘bags’ back.

If there is no adequate lower eyelid tone or support, may need to perform a canthopexy, which consists of an anchoring or supporting suture that tightens the tendon on the outside corner of the eye.

Anesthesia:
General

In/Outpatient:
Inpatient

Length of surgery:
45 minutes for upper blepharoplasty. 1 to 2 hours for lower blepharoplasty

Recovery:
Reading in 2 or 3 days. Back to work in 7 to 10 days. Contact lenses, wait one week or more. Glasses may be worn immediately. Strenuous activities, alcohol, wait about 2 to 3 weeks. Bruising and swelling gone by 7 to 14 days. Final result seen in 2 to 4 weeks.

Duration of Results:
10 years