Eyelid Surgery is a procedure used to aging changes that occur in the eyelids: correct loose skin, pouching, and sagging around the eyes as well as for removing fatty deposits which cause puffy bags below the eyes. Heredity and sun damage can accelerate these changes. This is done by removing the fat and excess skin and muscle from the upper and lower eyelids. This procedure can also be used to add a crease to the upper eyelid.
Eyelid surgery can be done alone, or in conjunction with other procedures; lower eyelid blepharoplasty, facelift, browlift, laser or chemical resurfacing to smooth skin wrinkles, nose or ear surgery.
Eyelid surgery is usually done on an outpatient basis , in a surgeon's office, an outpatient surgery center, or a hospital. It is usually performed under local anesthesia. Some surgeons prefer to use general anesthesia. The procedure usually takes one to two hours, depending on the extent of the surgery.
In its most complicated form, blepharoplasty involves an incision in each upper lid at the crease, through which bulging fat and excess skin or muscle are trimmed. In the lower lids, patients with puffiness from protruding fat as well as excess skin and muscle require a similar incision just below the lower lid lashes. Patients with puffiness in the lower lids but without much extra lower lid skin can often undergo fat removal through the inside of the lower lid, thereby avoiding the external scar and giving a quicker recovery.
Another common aging change in the lower lids not appreciated by many patients is a loss of elasticity in the lid margin itself, so that, when the lid is pulled down by a finger, it does not "snap" back into position youthfully, but "floats" back toward the eye. If this is the case, the strength of the lower lid can be tightened at the time that blepharoplasty is performed, which supports the lid better and also helps avoid a droopy lower lid after surgery.
A personal consultation is the first step for blepharoplasty. I will ask you a series of questions regarding the desired changes related to the appearance of your eyelids. I will evaluate and examine your eyelids. During the consultation you will need to disclose your medical history, including medical conditions, drug allergies, medical treatments from the past, previous surgeries, and current medications.