Eyelid surgery (known as blepharoplasty) is a procedure that can removes excess skin from heavy upper eyelids and reduce “bags” from the lower eyelids.  Some patients need both upper and lower eyelids done, and some need only upper or lower eyelids addressed. The upper eyelid surgery involves removing primarily excess skin.  The lower eyelid incision is just below the lashes and involves removing mostly fatty pockets that are causing the "bags".  Eyelid scars tend to heal very well and are not noticeable later.  The blepharoplasty surgery can be performed in conjunction with other facial procedures such as a face lift.  We recommend you see your ophthalmologist for a complete eye exam prior to undergoing eyelid surgery.  If you have dry eye, it is wise to start using hydrating drops daily such as Systane.

Reasons for Considering Eyelid Surgery:

  • Bags under the eyes.
  • Excessive skin of the upper eyelids, making them look tired or heavy.
  • A tired appearance or puffiness of lower eyelids
  • Patients tired of always being told they look "so tired."

General Procedure

The surgery takes 2-3 hours.  The upper eyelid excess skin is removed, and the incision closed with fine suture.  The scar is located in the natural eyelid fold. The lower lids have a small incision under the lower lashes and fatty pockets are removed, along with a small amount of excess skin.  This results in removal of the fullness under the lower lids.  In some instances, TRL laser technology may be used to smooth lower eyelid wrinkles, though laser does not remove fatty pockets.

Recovery Process

Post-operative instructions include taking it very easy and keeping cool compresses on the lids, as well as applying antibiotic ointment to the fine sutures.  Stitches are usually removed in a week.   Patients will have a more rested and youthful appearance.  There is minimal pain, but it is very important to rest quietly at home and avoid swelling.  Results are beautiful and look very natural.  Patients can wear make up more easily and love the way they look in photos and on zoom!  It is one of our most popular procedures.

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