Blepharoplasty (Eyelid Surgery)
What is Blepharoplasty?
Blepharoplasty is a procedure for correcting sagging or drooping eyelids. It is most commonly for people who desire a more youthful and rested appearance of the eyes. This procedure may also widen one’s visual fields if excessive upper lid skin has partially blocked his or her vision. Eyelid operations do not remove or erase wrinkle lines. They will, however, soften wrinkle lines.
Why Should I Consider Eyelid Surgery?
People have eyelid surgery for a number of reasons. Often, the upper or lower eyelids (or both) are treated to refresh the face and make a person appear friendlier and more energetic. However, the eyelids may also need to be tightened or lifted to improve ocular health, functionality, or vision.
You might consider eyelid surgery to correct certain signs of aging or improve the functionality of your eyes in a way that achieves lasting results. In refreshing your face, you may find that you feel more approachable and generally more satisfied with your appearance.
Functional vs Cosmetic Blepharoplasty
The eyelids are more than skin, they are also made of muscle and cartilage. Changes in the various types of tissue can alter the appearance as well as the functional aspects of the eyelids. Cosmetic blepharoplasty is the term that describes lifting and tightening procedures intended for aesthetic improvement that makes the eyes appear more open and energized. Functional blepharoplasty describes techniques intended to improve the mechanical aspect of the eyelids. For example, upper eyelid blepharoplasty may be performed to remove tissue that is drooping into one’s field of vision.
Eyelid Surgery Candidates
The best candidates are men and women with optimal health, they do not smoke, and do not have any eye diseases. People with eye disease such as glaucoma or retinal detachment, diabetes, high blood pressure, or cardiovascular disease are not good candidates for eyelid surgery.
Patients should have realistic expectations before undergoing eyelid surgery. The procedure can enhance appearance and self-confidence, but will not completely alter the face.
Upper Blepharoplasty vs Lower Blepharoplasty
Upper blepharoplasty seeks to remove excess tissue from the upper eyelid, whereas lower blepharoplasty focuses on the lower lids. Each area may be improved by repositioning fatty tissue across the eyelid before trimming away extra skin. Incisions for upper and lower blepharoplasty are made in discreet areas where resulting scars will be well hidden.
Eyelid surgery is done on an outpatient basis under sedation and local or general anesthesia. The process is relatively noninvasive and patients typically see a full recovery after a few weeks. During a blepharoplasty operation, incisions are made where the natural crease should be in the upper lids and below the lash line in the lower lids. This helps mask scarring that may result from the procedure. After the incisions have been made, excess fat and skin are removed. The procedure can take anywhere from 45 minutes to 2 hours. The length of the procedure depends on if both the upper and lower eyelids are operated on.
Can Eyelid Surgery Be Combined With Other Procedures?
Eyelid surgery may be combined with a few different facial procedures, both surgical and non-surgical. Some patients choose to incorporate their eyelid surgery into a full or mid facelift. In some instances, it is advantageous to combine eyelid surgery with a brow lift. Non-surgical treatments that may enhance the results of eyelid surgery include dermal fillers, Botox, and laser skin resurfacing. During your consultation with Dr. Lipton, we will listen to your desired outcome and discuss your needs and preferences to formulate the most appropriate treatment plan.
Recovery after Eyelid Surgery
After eyelid surgery, we may advise patients to apply lubricating drops, ointment, and a cold compress to help with healing and minimize side effects. Most patients will return to work within a few days to a week. Patients should avoid exercise and strenuous activities for at least 2 weeks. Dr. Lipton will remove stitches after 3 or 4 days. Most swelling and other side effects typically subside within 2 weeks. Patients should not wear contact lenses or eye makeup until 2 weeks after surgery. Patients will typically wear dark sunglasses outside or in bright light for 2 weeks to protect their eyes from sun and wind.
How soon after eyelid surgery will I see the full results?
Some of the effects of eyelid surgery can be seen right away. However, patients can expect for swelling and bruising to somewhat disguise full results for at least a few weeks. Every person heals at their own speed. Sometimes, it can take 3 to 6 months to fully appreciate the results of upper or lower blepharoplasty. However, general improvement is typically noticeable by 4 weeks post-op.
How long do the results last from eyelid surgery?
When a person has eyelid surgery, their eyes will always look younger than they would without surgery. However, natural aging causes tissue to become loose over time. In most cases, the onset of aging is noticed 5 to 7 years after blepharoplasty. This does not mean a person will be ready for repeat surgery at that time. Good skin care and non-surgical treatments can do a lot to preserve youthful looking eyes.
What Our Patients Say
“His surgery center and staff are all amazing! Highly recommended!” – Jen W.
Scarring After Blepharoplasty
Where there are incisions, there will be scars. Blepharoplasty is a conservative procedure in which incisions are made in hidden places. For example, lower blepharoplasty may be performed through incisions along the lash line or just inside of the lower eyelid. Upper blepharoplasty incisions are usually made in the natural crease, where scars are hidden except when the eyes are closed.
Will Eyelid Surgery Affect My Vision?
After eyelid surgery, post-operative swelling may temporarily affect vision, making objects appear blurry. As swelling subsides, vision should return to normal. Primarily, the vision changes associated with blepharoplasty relate to the improvements achieved by removing excess tissue from the upper eyelids. When eyelid surgery repairs ptosis, or a muscle-related droop, vision also improves because the eyelid can open more fully.
Risks of Blepharoplasty
There may be slight swelling and bruising around the surgical site, but this will reduce over time. Eyes may be irritated or dry due to temporary change in tear distribution. Other side effects are very uncommon. These include infection, reaction to anesthesia, and blurred vision. Uneven healing and and permanent scarring are very rare. Scars from blepharoplasty are usually well-concealed and fade with time.
Schedule a Consultation
If you want to have a more rejuvenated look to your eyes and face, contact us today at 972.420.0023 to schedule a consultation. Our practice serves Lewisville and surrounding areas in Texas.