Eyelid surgery, or blepharoplasty, is a surgical procedure that improves the appearance of the eyelids and can rejuvenate the area surrounding the eyes. Eyelid surgery can correct hooded eyelids, loose or sagging skin that may impair vision, excess fatty deposits, bags under the eyes, and drooping lower eyelids.

Skin loses its elasticity over time. With the constant pull of gravity, excess skin can collect on the upper and lower eyelids. This can cause wrinkles and bulges. The appearance of a drooping upper lid can also be a result of the relaxation of the forehead skin and brow. In some cases, a drooping eyelid can be caused by the stretching of the upper eyelid muscles (levator).

The cosmetic surgeon will evaluate the anatomy of the patient to determine the best procedures to improve the appearance of the eyelids. A good candidate for eyelid surgery is healthy, a non-smoker, and has a positive outlook.

The Procedure

Patients will be administered local anesthesia or IV sedation. Your surgeon will determine the best option for you. For the upper lids, an incision is made in the natural crease of the eyelid. The surgeon may remove or re-position fatty deposits, tighten muscles, and remove excess skin. The incision is closed with small stitches.  

For the lower lids, an incision is made just below the lash line. Through this incision, fat can be removed or re-positioned and excess skin can be removed. A different technique involves making an incision inside of the lower eyelid to correct lower eyelid conditions and remove fat. This incision won't be visible. No skin is removed with this technique. 

Recovery

After eyelid surgery, the stitches will remain for up to a week. Swelling is common and will resolve within a couple of weeks. Some patients may also experience temporary bruising. 

Results

The results of eyelid surgery will become apparent after the initial swelling or bruising subsides. Final results reveal a smoother, defined eyelid and a rejuvenated appearance. Incision lines are concealed in the natural contours of the eyes and will continue to fade over time. Although results are permanent, the skin will continue to age naturally. Patients can prolong their results by maintaining a healthy lifestyle and life-long sun protection.