A blepharoplasty (eyelid surgery) is a surgical procedure that can rejuvenate the appearance of both the upper and lower eyelids. As we age, the eyelids lose their firmness and fullness and the muscles of the eye become lax. As a result, in the upper lids, excess skin causes our eyelids to appear wrinkled and can limit our vision. In the lower lids, excess skin and the drooping of fat and muscle causes changes in the shape of the eyes and in the development of malar bags. A blepharoplasty can address these hallmark signs of aging and restore a youthful appearance. At Florida Plastic Surgery Group, this procedure can be performed on the upper and/or lower eyelids and is often combined with other procedures, such as a brow lift, face lift, and mid-face lift.
There are a number of different ways to perform a blepharoplasty and the decision whether to remove skin; skin and muscle; or skin, muscle, and fat depends on your particular surgeon. After carefully evaluating the aging process and what makes eyelids look young, our approach is centered around volume preservation. Most surgeons and traditional techniques incorporate a significant amount of fat and muscle removal, which results in a hollowed, cadaveric appearance to the lids.
Upper Eyelid Surgery
The upper eyelid blepharoplasty begins with a careful preoperative evaluation aimed at creating a customized approach for each patient. One of our experienced plastic surgeons will help you decide which procedure or combination of procedures will best suit your needs. Our doctors always involve our patients when creating a surgical plan, and together you will decide the following factors:
- Where the new crease will be set
- Whether you have a ptosis (droopy lid) that needs elevation
- If and where fat needs to be removed (there are 2 compartments of fat in the upper eyelids)
- If the tear gland needs to be elevated
- If a brow lift needs to be performed
Lower Eyelid Surgery
Lower eyelid surgery and rejuvenation also has many variables. Our doctors carefully evaluate many variables to maximize the aesthetic results. The following factors need to be taken into account:
- Does skin need to be removed?
- Does the fat need to be repositioned to correct the bags and blend the lower lid and cheek margin?
- Does the lower eyelid need to be elevated with suspension procedure?
- Would you also benefit from a mid-face or cheek lift?
The incision for lower eyelid surgery is on the inside of the eye or just under the lash line if skin needs to be removed. Both heal quite well and become imperceptible with time.
Preparing for Your Eyelid Surgery / Blepharoplasty
Who is a candidate for eyelid surgery / blepharoplasty?
Men and women of all ages with impaired vision, excess skin, malar bags, or tired appearing eyes are candidates for eyelid surgery. Most of our patients are in their 40s-60s, but both young and older patients may benefit from a blepharoplasty.
Patients who have had LASIK surgery should wait at least 6 months before undergoing eyelid rejuvenation surgery. Patients with Graves, other thyroid disorders, or myasthenia gravis should alert their physician, as precautions may need to be taken.
How do I prepare for my eyelid surgery / blepharoplasty?
Patients should tell their physician if they have dry eyes, especially if you use wetting drops. Non-steroidal medications like aspirin and ibuprofen should be discontinued at least 1 week prior to surgery to prevent excessive bleeding.
Recovering After Your Eyelid Surgery / Blepharoplasty
Ask our cosmetic surgery team more about nutrition and incision care to ensure a fast recovery. We ask patients to sleep with a few pillows to help any bruising and edema to drain with gravity. Application of ice packs can limit the swelling in the first 24 hours.
Your eyes will likely have bruising and swelling after your procedure, but these conditions improve in the first few weeks. Patients typically return to work within 10-14 days.
Risks associated with eyelid surgery are asymmetry, prolonged eyelid swelling, abnormal scarring resulting in eyelid descent, difficulty closing your eyes, and/or ocular irritation. In extremely rare circumstances, bleeding within the eye may cause an increase in pressure. If you have worsening eye pain and/or changes in vision, consult your doctor immediately, as surgery to relieve the pressure in your eye may be required to prevent permanent damage.
Blepharoplasty if a very popular surgical procedure to fight the signs of aging and give your eyes a new, vibrant look. If you would like to learn more about what an eyelift can do for you, please contact Florida Plastic Surgery Group today to schedule your initial appointment. We also offer a variety of affordable financing options and will explain what the surgery entails at the time of your consultation.