Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat–usually
along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and
puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere
with your vision. However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes,
or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your
ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures
such as a facelift or browlift.
The Best Candidates for Eyelid Surgery
Blepharoplasty can enhance your appearance and your self-confidence, but it won't necessarily change your looks to
match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully
about your expectations and discuss them with your surgeon.
The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and
realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide
to have eyelid surgery at a younger age.
All Surgery Carries Some Uncertainty and Risk
When eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor.
Nevertheless, there is always a possibility of complications, including infection or a reaction to the anesthesia.
You can reduce your risks by closely following your surgeon's instructions both before and after surgery.
Planning Your Surgery
The initial consultation with your surgeon is very important. The surgeon will need your complete medical history,
so check your own records ahead of time and be ready to provide this information. Be sure to inform your surgeon if
you have any allergies; if you're taking any vitamins, medications (prescription or over-the-counter), or other drugs;
and if you smoke.
You and your surgeon should carefully discuss your goals and expectations for this surgery. You'll need to discuss
whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether
any additional procedures are appropriate.
Blepharoplasty usually takes one to three hours, depending on the extent of the surgery. If you're having all four
eyelids done, the surgeon will probably work on the upper lids first, then the lower ones.
In a typical procedure, the surgeon makes incisions following the natural lines of your eyelids; in the creases of
your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow's feet or laugh
lines at the outer corners of your eyes. Working through these incisions, the surgeon separates the skin from underlying
fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with
very fine sutures.
After Your Surgery
After surgery, the surgeon will probably lubricate your eyes with ointment and may apply a bandage. Your eyelids may
feel tight and sore as the anesthesia wears off, but you can control any discomfort with the pain medication prescribed
by your surgeon. If you feel any severe pain, call your surgeon immediately.
You should be able to read or watch television after two or three days. However, you won't be able to wear contact
lenses for about two weeks, and even then they may feel uncomfortable for a while.
Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery.
Eventually, though, they'll fade to a thin, nearly invisible white line.
For an eyelid lift in Encino California contact board certified plastic surgeon Dr. Saul Berger
Content courtesy of PlasticSurgery.org
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As people age, the eyelid skin stretches, muscles weaken, and fat accumulates around the eyes,
causing "bags" above and below.
The surgeon closes the incisions with fine sutures, which will leave nearly invisible scars.
Before surgery, the surgeon marks the incision sites, following the natural lines and creases
of the upper and lower eyelids.
Underlying fat, along with excess skin and muscle, can be removed during the operation.
In a transconjunctival blepharoplasty, a tiny incision is made inside the lower eyelid and fat
is removed with fine forceps. No skin is removed, and the incision is closed with dissolving sutures.
After surgery, the upper eyelids no longer droop and the skin under the eyes is smooth and firm.