Blepharoplasty or aesthetic eyelid surgery is performed on adults of all ages. Some people have blepharoplasty (eyelid surgery) to correct problems that are a result of aging, while others have inherited traits that cause them to seek treatment as early as their 20s or 30s.
Blepharoplasty is one of the most frequent surgeries performed by plastic surgeons. It is also one of the first surgical procedures people get. "Tired and aged" eyes are one of the earliest stigmatas of aging.
Am I a good candidate for eyelid surgery?
Aesthetic eyelid surgery can usually correct these problems, though other treatments may also need to be considered. For example, if the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of crow's feet may require chemical peeling or laser resurfacing procedures. Circles beneath the eyes caused by dark pigmentation may be treated with a bleaching solution or chemical peel. Your plastic surgeon can provide further information if you have an interest in any of these additional procedures.
Your Personal Eye Lift Consultation
How will my plastic surgeon evaluate me for aesthetic eye lift surgery?
You should come to the eye lift consultation prepared to discuss you medial history including previous surgeries, past and present medical conditions and current medications. It is important for you to provide complete information. High blood pressure, thyroid problems or diabetes are among the medical conditions that may increase the risks associated with eye lift surgery.
Your plastic surgeon will want to know if you have allergies, especially if they affect your eyes. He or she may ask whether you have ever tried and were unable to wear contact lenses, you should bring them with you in case your surgeon wants to test your vision.
It will be necessary for your surgeon to know if you were ever told by an ophthalmologist that you have a condition called "dry eye" or if you have any other problems with your eyes.
One of several surgical techniques may be suggested to improve the appearance of your eyelids. The particular technique that your plastic surgeon recommends will depend on may factors such as the amount of excess fat and skin in the eyelid areas, the position of your eyebrows, and the condition of muscles around your eyelids
How Aesthetic Eyelid Surgery is Performed
How is my plastic surgeon able to improve the appearance of my upper eyelids?
What is done to improve the appearance of my lower eyelids?
In some cases, you and your surgeon may decide that the best approach for removing excess fat is through an incision placed inside the lower eyelid. This technique requires no external incision, but it cannot be used to remove excess skin. A laser may sometimes be used in conjunction with this method to tighten the lower eyelid skin.
I understand that every surgical procedure has risks, but how will I learn more so that I can make an informed decision?
The subject of risks and potential complications of surgery is best discussed on a personal basis between you and your surgeon, or with a staff member in your surgeon's office.
Some of the potential complications that may be discussed with you include hematoma (an accumulation of blood under the skin that may require removal), infection and reactions to anesthesia. Following the surgery, there can be a feeling of dryness or irritation in the eye that requires treatment. There is a possibility of a temporary decrease in sensation of the eyelid skin or impaired eyelid function that sometimes may need to be corrected by additional surgery.
You can help minimize certain risks by following the advice and instructions of your plastic surgeon, both before and after your eyelid surgery.
Results of Your Eyelid Surgery
How long will the results last?
Removal of fat from your eyelids, which is usually the cause of puffiness and bags, is permanent, and these conditions generally will not recur. The skin continues to age, however, and skin laxity along the fine wrinkling of the eyelid area may, at some point, return. Sometimes loss of tone in the forehead causes additional sagging of the eyebrows which mimics a recurrence of drooping upper eyelids. if this happens, correction may require a forehead lift or a secondary eyelid procedure.
Even though the aging process continues, patients are usually happy with their appearance for many years following double eyelid surgery. Some patients find that they want to make additional improvements at a later time.
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.
*Some Materials Courtesy 2007 ASPS