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.
Excess eyelid skin may be a sign of drooping eyebrows, in which case a Brow Lift 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.
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.
The Brow Lift or Forehead Lift repositions the eyebrows and smoothes the forehead to address one of the very first signs of aging, lengthening of the forehead and drooping of the eyebrows. The result is a more youthful and rested appearance to the forehead and upper eyelids and a softening of lines in the forehead and between the eyes.
The Brow Lift can be approached through several different incisions depending on the individual’s anatomy, hairline, and preferences. By far the most common approach is the Endoscopic Surgery using a tiny camera through very small incisions in the scalp. Other possible incisions are just above the eyebrows, within a horizontal forehead crease, or along the hairline. The coronal brow lift incision from ear to ear is considered outdated and rarely the preferred method anymore due to hair loss, sensory loss, and greater recovery time.