Blepharoplasty or eyelid surgery is designed to improve aging of the upper and/or lower lids. Excess skin and fat of the upper eyelid will be removed to improve heaviness of the upper lid. This will improve the show of eyeliner and eye shadow. This cosmetic surgery is designed to open the eyes and rejuvenate the central third of the face. Upper and lower lid surgery may be performed together or separately and often in combination with other facial surgery such as a facelift or brow lift procedure.
Why People Choose to Undergo Eyelid Surgery
People undergo eyelid surgery to address imperfections that give the eyes a tired, sad or angry appearance, or make them look prematurely aged. Eyelid surgery can correct the following;
- Loose, excess skin that conceals the natural fold of the upper eyelid
- Loose, excess skin that hangs over the upper lid and eyelashes
- Puffy upper and/or lower lids
- Deep creases underneath the eyes
- Under eye bags or dark circles
With the rejuvenation of the eye area, the entire face takes on a more pleasant, alert and youthful quality. If he feels it would be helpful, Dr. Landon may recommend another procedure in conjunction with eyelid surgery for more dramatic facial rejuvenation results.
The Best Candidates for Eyelid Surgery
Dr. Landon meets one-on-one with eyelid surgery candidates to evaluate them for the procedure (and explain the operation in more detail and answer any questions).
The best eyelid surgery candidates are in good physical and psychological health and have a stable health history. Individuals with preexisting medical conditions that could increase the surgical risks, impair healing or otherwise affect the outcome do not make good candidates for eyelid surgery. For example, someone with an overactive thyroid would not qualify for eyelid surgery, as the condition can cause swelling and other problems around the eyes.
Eyelid surgery candidates should not smoke and not have any type of active eye infection. It’s also important for candidates to have specific and reasonable goals of surgery that they clearly articulate to Dr. Landon. He will inquire about the patient’s ideal cosmetic outcome and work with the patient to set realistic expectations of the outcome.
Upper and lower eyelid surgery takes approximately 2 hours under general or local anesthesia with sedation. The upper eyelids take approximately 40 to 45 minutes and the lower eyelids approximately 1 hour. Recent technical changes in lower eyelid surgery result in suspension of the soft tissue and musculature of the lower eyelid to enhance the longevity of the lift. This substantially improves the transition between the eyelid and cheek improving the aging features of the cheek-lid hollowing. Stitches are absorbable without the need for removal. Tightening of the lower eyelid support is performed at the same time, to prevent sagging of the lower lid free margin. This tightening is responsible for the slight upswept appearance to the lower lid margin, which will return to a normal natural look, in approximately 2 to 3 weeks. Muscles of the brow are often thinned in conjunction with the upper eyelid surgery, to decrease furrowing or frown lines. This often requires additional postoperative BOTOX® or Dysport® administration for complete eradication. Incisions are made in the upper eyelid crease and below the lash line of the lower lids to minimize postoperative incision show.
Eyelid Surgery Recovery
Swelling and bruising are expected after surgery and will last approximately 2 to 6 weeks in most instances. Cold packs are used after surgery to minimize and control swelling, and extra pillows for head elevation is encouraged to shorten the recuperation. Blurring of the vision is expected for 48 to 72 hours after surgery. Television watching and reading should be limited. Showering is acceptable 24 hours after the surgery, and eye make-up wear may be applied after 1 to 2 weeks. Typical return to work is approximately 7 to 10 days, return to exercise is approximately 4 to 6 weeks, and smoking is prohibited in the postoperative period.
Free Consultation Request
Dr. Landon always takes the time to listen and address any concerns about the procedure you're interested in. Schedule your free, personal consultation with Dr. Landon today and experience the difference in care.