EYELID SURGERY (BLEPHAROPLASTY)
Eyelid Surgery or Blepharoplasty is the removal of excessive, sagging or wrinkled skin, as well as fat and sometimes muscle from the upper and/or lower eyelids. This treats eyelid “hooding” and under-eye “bags” which can cause a tired or aged appearance. Reconstructive eyelid surgery is also performed when excess eyelid skin interferes with vision. The result is a more youthful, rested appearance of the eyes, softening of wrinkle lines, and widening of visual fields for partially blocked vision.
Eyelid Surgery is usually performed in patients aged 50 and above, although it can be done as early as the 20s or 30s for inherited traits.
Blepharoplasty removes upper eyelid skin and fat through an incision hidden within the crease of the eyelid. The lower eyelid fat is removed through an incision inside the eyelid (trans-conjunctival) so that there are no visible scars. If there is a minimal to moderate amount of excess lower lid skin, the wrinkled skin can usually be treated with a chemical peel or laser skin resurfacing. Large amounts of extra lower eyelid skin may require an incision just below the eyelashes to remove the skin for effective treatment.
Surgical Time and Recovery:
Eyelid Surgery is performed on an outpatient basis under local anesthesia and takes about 45 minutes for the upper or lower eyelids, or an hour and 15 minutes for both together. Discomfort is minimal. Stitches are removed in 5-7 days. Most patients are back to light work within a week.
Excess eyelid skin may be a sign of drooping eyebrows, in which case a browlift is the preferred treatment. In addition, many patients with concerns of lower eyelid bags actually have a sunken appearance and would benefit from fat transfer to fill in the lower eyelid area, rather than fat removal.
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