The area around the eyes is frequently one of the first places for signs of aging and fatigue to become apparent. As a result, many men and women often feel they look much older and more tired than they actually are, which can be particularly troubling in the workplace and/or social settings. At our practice, plastic surgeons Stafford R. Broumand, MD and Daniel Y. Maman, MD offer eyelid surgery for individuals interested in reducing wrinkles, puffiness, and other concerns that may be contributing to an aged look. Medically referred to as blepharoplasty, the procedure can also eliminate the drooping of excess eyelid skin, helping some patients improve their field of vision. By employing leading eyelid surgery techniques, our doctors can help take years off your appearance with exceptionally natural-looking results.
What Can Blepharoplasty Do for Me?
Customized to target the upper eyelid, lower eyelid, or both, blepharoplasty can offer patients a number of aesthetic benefits for a refreshed, more youthful appearance. More specifically, eyelid surgery can often help:
- Smooth sagging or wrinkled skin in the upper and/or lower eyelids
- Reduce puffiness or bagginess in the eye region
- Eliminate pockets of fat in the upper and/or lower eyelids
- Remove excess eyelid skin
- Improve dark circles under the lower eyelids
In addition to cosmetic enhancement, blepharoplasty can also be medically beneficial—the procedure can often be performed to excise drooping, excess skin that may be partially or significantly blocking one’s field of vision.
* results may vary
Candidates for Eyelid Surgery
Eyelid surgery can be a great option for many men and women seeking to diminish various signs of aging in the upper and/or lower eyelids. Ideal candidates for blepharoplasty are those who have:
- Crepey skin in the upper and/or lower lids
- Drooping/hooding of the upper eyelids
- Dark circles below the lower eyelids
- Displaced and/or excess fat in the eyelids
- Puffiness or bagginess throughout the eye region
Along with these aesthetic concerns, individuals whose vision is partially or significantly obstructed by sagging upper eyelid skin are often considered good candidates for blepharoplasty. Depending on the amount of excess skin removed, eyelid surgery can greatly enhance the field of vision for these patients.
Considerations for Eyelid Surgery
There are quite a few factors to take into consideration when deciding whether or not to undergo blepharoplasty. The following sections can help you make a more informed decision about your prospective cosmetic care.
Everyone Can Benefit from Eyelid Surgery
To be more specific, everyone can benefit from eyelid surgery—it just depends on timing. Our plastic surgeons have come across very few people who would not benefit from eyelid surgery at some point in their lives, whether it is when they are younger or when they are older. Over time, skin in the eye region becomes lax and loose, fat around the eyes tends to fluctuate, and the quality of skin and the supporting structures underneath begin to change. For some people this occurs in their 40s and for others it manifests in their 60s, but the premise is that everyone can benefit from eyelid rejuvenation surgery at some point in time.
The key to reaping these benefits, however, is that eyelid surgery has to be strategically performed with respect to subtle change; the character of someone’s face should never be altered by the procedure. What this means is eyelid surgery should never be overdone by removing too much volume and taking away structural elements that provide a youthful look. Believe it or not, that youthful look is produced by volume, and while volume in the wrong places can result in a tired appearance, volume in the right places can rejuvenate the entire eye region.
Ultimately, no matter what stage in life they become apparent, the effects of aging around the eyes are inevitable for every individual. For this reason, and with the proper approach, everyone can benefit from eyelid rejuvenation surgery—it just depends on timing.
Complementary Treatments for Improved Enhancement
When performed by a skilled and experienced plastic surgeon, blepharoplasty can have a dramatically positive impact on one’s entire facial appearance, often making them look more refreshed while turning back the hands of time by a number of years. In certain instances, however, complementary treatments performed in and/or around the eye region may be needed to fully rejuvenate the area.
Based on their unique needs and goals, many patients benefit from receiving a brow lift and/or cosmetic injectables in combination with blepharoplasty. For those who have substantial eyelid drooping, a brow lift can often help further elevate the upper lids to improve vision while also smoothing lines and wrinkles across the forehead. Similarly, individuals bothered by smile lines and crow’s feet around the eyes may want to consider dermal fillers like Restylane® and BELOTERO BALANCE® to reduce these signs of aging. Any and all of these options can be easily performed in conjunction with eyelid surgery for the majority of patients, helping to create a more comprehensive enhancement.
Non-Surgical Alternatives to Blepharoplasty
As with most cosmetic surgery procedures, no non-surgical alternatives currently available are truly able to produce the quality and longevity of results that can be achieved with blepharoplasty. That being said, our surgeons do offer a number of non-surgical treatments—both minimally invasive and noninvasive—that can address signs of aging around the eyes to help postpone the eventual need for eyelid surgery. These non-surgical rejuvenation options include:
- Injectable fillers – Used to fill lines and wrinkles around the eyes
- Airbrushing – Used to “brush away” fine irregularities of the lower eyelid through the employment of a specialized injectable technique
- Peels and facials – Used to diminish fine wrinkles as well as discolorations caused by sun damage
- Laser resurfacing – Used to improve tone and texture of the skin surrounding the eyes
- While these non-surgical options can often help rejuvenate the appearance of the eyes with excellent results, their effects are not typically permanent, and follow-up treatments may be necessary to maintain optimal outcomes for an extended period of time.
The Blepharoplasty Procedure
Although they are relatively similar, upper and lower eyelid surgery are actually considered two distinct procedures. During upper eyelid surgery, tiny incisions are inconspicuously made in the natural folds of the eyelid, and redundant skin and/or fat tissues are excised until the desired result is achieved. During lower eyelid surgery, incisions are often made on the inside of the eyelid rather than along the eyelash line on the outside of the lid. In addition to concealing any potential scarring, making the incision from the inside prevents having to cut through multiple layers of the lower eyelid. This is important because there is only a little support structure holding the lower eyelid up, so any pull or downward force applied can distort the lid and affect its positioning. If necessary and/or desired, fat can be redispersed throughout the treatment area to aid in the reduction of bulging and/or puffiness, and sagging skin can be tightened to achieve an ideal aesthetic. For most patients, the entire blepharoplasty procedure takes approximately one to two hours to complete, but this may vary based on whether surgery was conducted on the upper lid, lower lid, or both.
Eyelid Surgery Recovery
Following blepharoplasty, some initial swelling and/or bruising in the eyelid region can typically be expected, though these symptoms should gradually dissipate with time. Any potential discomfort can generally be controlled with medication, and the majority of patients are able to return to non-strenuous work and/or daily activities within approximately five to seven days. In order to help ensure proper healing, our doctors will apply a lubricating medicinal cream immediately after surgery, and they recommend avoiding any rigorous physical activity for at least several weeks.
Become More Informed About Blepharoplasty
Dr. Broumand and Dr. Maman believe that patients who are fully informed about their procedural options make better decisions and are typically more pleased with their overall treatment experience. For this reason, they strive to maximize communication throughout the consultation process, encouraging prospective individuals to ask questions and vocalize any concerns they may have. The consultation is a time for details both big and small to be discussed thoroughly until you have a complete understanding of what to expect before, during, and after surgery. Our team understands there is a considerable amount of information to take in when making such a major decision, and it is important to us that you decide whether or not blepharoplasty is right for you at your own pace. Whether you ultimately choose to proceed with treatment or not, we are happy to lend a helping hand along your aesthetic journey.