Blepharoplasty / Eyelid Surgery

Eyelid surgery has many benefits, the most obvious being an improvement in the overall appearance of the eyes. Eyelid surgery can be performed to remove excess skin that obscures the natural fold in the upper eyelids. It can also correct puffiness in the upper eyelids that cause the eyes to appear tired. For the lower eyelids, blepharoplasty can remove excess skin and correct fine wrinkles and lines.

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One of the first areas of the face to exhibit signs of aging is the area around the eyes; however, under-eye bags and sagging upper eyelids that come with age can be corrected through cosmetic eyelid surgery, also known as blepharoplasty.

This relatively minor cosmetic surgery procedure can refresh the appearance of the face and leave it looking years younger.

A cosmetic eyelid surgery, technically called blepharoplasty, dramatically improves the appearance of tired, droopy eyes. This is accomplished by removing excess skin and pockets of fat from the upper and lower eyelids. Many patients combine blepharoplasty with auxiliary treatments such as a brow lift to eliminate drooping eyebrows, and injectables such as Botox® or Dysport® to treat crow’s feet.

If you are considering eyelid surgery, your first step should be to contact a surgeon to schedule an initial consultation in Doylestown or King of Prussia. During the consultation, RinkleFree Plastic Surgery and Dermatology will work with you to establish realistic expectations about the results of your blepharoplasty procedure and discuss the cost of your eyelid surgery. The surgery will be explained in great detail so as not to leave any questions or concerns you have unaddressed. Depending on your needs and your surgeon’s observations, additional facial procedures such as a brow lift or chin implants may be recommended as well as potential dermal fillers (such as injections of Botox® or Dysport®) for facial rejuvenation.

Am I A Candidate for Blepharoplasty?

Your surgeon will arrange to view your comprehensive medical history to decide if you are in satisfactory condition for eyelid surgery. The surgeon must be made aware of any existing medical conditions such as:

  • High blood pressure
  • Heart disease
  • Bleeding disorders

These conditions can increase the risks associated with blepharoplasty. Previous eyelid surgeries and refractive surgeries, such as the LASIK eye surgery procedure, are also crucial to know about, as they can affect the risk of complications. Your surgeon may also ask for medical clearance from your general physician and, depending on your health, request laboratory testing.
Not everyone is an ideal candidate for eyelid surgery; the right candidate will understand that eyelid surgery is performed exclusively to:

  • Remove under-eye bags
  • Correct puffy upper eyelids
  • Restore vision that is obscured by excess skin and fat in the eyelids

The presence of certain ophthalmic and medical conditions can exclude one from having the blepharoplasty procedure performed.

Upper and Lower Eyelid Surgery

Eyelid lift surgery is a relatively simple procedure that can take years off the appearance of the face.

  • Upper eyelid surgery may benefit patients whose upper lids have sagged low enough to reduce their field of vision.
  • Lower eyelid lift surgery can be a very beneficial procedure for patients who wish to correct saggy or puffy lower eyelids.

Eyelid surgery procedures involve the removal of excess tissue and fat to produce a more refreshed, youthful facial aesthetic. Some patients may undergo upper and lower eyelid surgery under local anesthesia, though general anesthesia may be used if requested.

Lower Eyelid Surgery
While upper eyelid surgery primarily involves the removal of sagging skin, lower eyelid surgery also involves the removal of fat deposits, which are more prevalent under the eye. Removing these deposits in conjunction with the sagging skin leaves a smooth, firm, younger-looking surface above the cheek. In addition, lower eyelid surgery allows the surgeon to transfer fat or dermal fillers to hollowed areas under the eye, leading to plump, healthy-looking skin where the face may have previously looked sunken in.

To perform lower eyelid surgery, the surgeon first makes an incision below the lower eyelashes; the incision is made carefully in a discreet place hidden from plain view. Excess fat, skin and muscle are removed as the surgeon sees fit. Sometimes, the fat is redistributed in order to minimize puffiness and uneven swelling. If muscle laxity is an existing problem, this will also be corrected during surgery. The incision made to perform eyelid lift surgery heals quickly among the eyelid’s surrounding natural creases.

Transconjunctival Blepharoplasty
For patients who have less pronounced under-eye bags, transconjunctival lower eyelid surgery may be an effective procedure. In these cases, simply removing pockets of fat without removing any skin is all that’s required. Since this can be accomplished through several tiny incisions inside the lower eyelid, no visible scarring from the blepharoplasty procedure shows.

Upper Eyelid Surgery
Upper eyelid lift surgery allows the surgeon to remove excess skin and fatty tissue that create the appearance of droopy, inflated eyelids. While the fat deposits, loose skin,and drooping of the eyelids typically occur because of age, this procedure can reverse the effects of time to restore a youthful, refreshed appearance.

During upper eyelid surgery, incision lines are made in the natural creases of the upper lids so any resulting scarring is hidden. The surgeon trims away any excess skin that is obstructing vision or contributing to a droopy or tired appearance; in some cases, the muscles are repositioned as well. The remaining skin is lifted and reattached for a more youthful look, and the incisions are then closed with fine sutures. The goal of upper eyelid surgery is to leave the patient looking refreshed, and most experienced surgeons are able to avoid the unnatural “wide awake” look that comes from overcorrection.

If you are interested in blepharoplasty or eyelid surgery, please call and make an appointment with RinkleFree Plastic Surgery and Dermatology in Newtown, Doylestown or King of Prussia. We will work with your schedule, your wants and your needs to give you the best result possible.

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