Blepharoplasty specifically addresses dermatochalasis, drooping of the eyelid skin and fatty tissues. Do you have a “tired, droopy look” or feel that your eyelids are “heavy”? Or do you have hereditary hooded eyelid features or an Asian eyelid that you would like to change? Aging may contribute to or worsen the symptoms or appearance of what is called “dermatochalasis” or drooping of the skin and fatty tissues within the eyelid fold. The lid fold drapes down over the edge of the eyelid and the eyelashes, and cause the lashes to push down or turn inward. Blepharoplasty also known as “eyelid lift” or “lid lift” solves the problem of drooping eyelids.
… More than just a “tuck” or a “pinch”
The lid crease is an important feature of the lid and may be moved or accentuated with blepharoplasty. The crease may be high or low, distinct or indistinct, single or multiple. Contouring of the fat pads, positioning of the lid crease, and orientation of the eyelashes, as well as removal of excess tissue are details that are addressed with blepharoplasty. Refining the contours and creases provides a more youthful appearance. Women typically prefer a more “sculpted” appearance, whereas men may wish to retain a more “bulky” and manly look – a natural appearance is encouraged! Expectations and specific desires are reviewed with you prior to surgery so that your goals may be achieved.
Blepharoplasty Before and After Photographs
Blepharoplasty of the Upper Eyelids – before and after.
Before & After Blepharoplasty of the Upper Eyelids and Direct Lateral Brow Lift. If a patient desires more space between the medial crease and brow, the brow lift is extended to accomplish this.
Blepharoplasty of the Upper and Lower Eyelids – Before & After. Notice the marked improvement in the left photograph, however a brow lift would improve the heavy glabellar area.
Before & After Blepharoplasty of the upper Eyelids and Direct Brow Lift, MiXto Laser Resurfacing, Micropigmentation of the Brows and Eyeliner.
Direct Brow Lift and Blepharoplasty of the Upper Eyelids created a natural open appearance with better visibility of the lashes.
Before & After Blepharoplasty of the Upper eyelids, Micropigmentation of Eyeliner.
What you may expect:
During surgery you will have either oral or intravenous sedation. After the local anesthetic is in place, you will not feel pain or unpleasant sensations. You may be aware of slight pressure or some movement during the surgery. You will not be able to actually “see” your surgery as it takes place. After the procedure is complete, you will be open your eyes and will likely sense a greater field of vision. Your eyelids will feel “tight”, but you will be able to open and close. Your safety and comfort are top priority!
It is wise to allow at least a week of healing time before getting back to an active lifestyle. For the first two days, cold compresses while you are awake will help to dissipate the swelling and bruising. Detailed instructions are provided prior to surgery. Antibiotic ointment applied to the incisions helps to dissolve some sutures, prevents infection, and soothes inflammation. It may temporarily blur the vision by getting into the tear film. Most patients have a tight feeling in the eyelids for a few weeks – this is normal – and resolves usually by 8 weeks. Healing time varies from individual to individual, but generally you are “very presentable” by the beginning of the second week and sometimes as early as 3 days. Follow-up is very important – early to remove sutures and later to evaluate after swelling has disappeared and the lid crease incisions have faded.
Blepharoplasty of the lower eyelids:
Lower eyelids may become puffy over time or even early in life. Allergies and eyelid rubbing may contribute to prominent fat pads and deterioration of the delicate structures of the eyelid. There is a demarcation between the lower lid fat pads and cheek fat – the “tear trough”. It is this puffiness and deepening tear trough that produce a “tired” appearance.
There are several different concepts and approaches to cosmetic blepharoplasty of the lower eyelids. Transcutaneous approach is ideal for those with excess skin. Transconjunctival approach – a great technique for young people who have no skin excess. Lateral canthoplasty combined with transcutaneous or transconjunctival incision allowing tightening of laxity of the eyelid margin. Removal or repositioning of the fat pads. I’ll review these approaches and guide you to the optimal technique for your eyelids.
What you may expect: After surgery you will likely have swelling and bruising – this varies by individual. Tenderness may be present, but deep pain is not typical. The fat pad area may feel firm to gentle touch for weeks and even months, but this gradually softens to normal. Followup is important to assess your progress.
Less invasive alternatives to lower lid blepharoplasty are available and include strategic placement of filler in over the zygoma (cheek bone) with CO2 Laser resurfacing of the eyelid to gently tighten the skin over the fat pad puffiness. This combination of treatments minimizes the risk of downward pull on the eyelid (retraction or ectropion).