Blepharoplasty is the medical term to describe eyelid surgery. Upper blepharoplasty is a procedure that removes hanging skin in the upper eyelid. The procedure calls for a small incisions along the natural lines of your eyelids to minimize scarring. However, the removal of *too much* skin can actually make the face look older by hollowing out the eyeball socket. Trends now in blepharoplasty surgery include conservative skin resection, and the addition of volume (fat) to the upper eyelid sulcus. Sometimes, fat grafting alone to the upper eye sulcus can alone rejuvenate this area. For men in particular, upper lid blepharoplasty MUST be performed from someone who understands the aesthetic ideals of a masculine face. Too often, skin resection in men imparts a feminine look. If you see male celebrities on TV with “botched” plastic surgery, you can bet the house that that they had their upper lids done. This is a big danger zone for men. It must be done very, very conservatively.
Lower blepharoplasty comes in many forms. Many men and women approach me telling me that they have been told they look tired. The eyes do often play a role in expressing our physical state. Bags or puffiness under the eyes are often managed with lower lid blepharoplasty. These bags of fat can be removed with an incision behind the lower lid making the incision totally hidden. This fat is then teased out. As with the upper lid, the lower lid blepharoplasty procedure can hollow out the lower lid, too, making the face look older. Thus, I generally fat graft the lower lid oribital rim to smooth out this region. When saggy skin is the predominant issue, lower lid blepharoplasty can address this problem with a conservative skin excision with or without the addition of fat grafting.
A browlift (forehead lift) may be required to open the eye appearance if the brow is sagging. Please see the brow lift section for more information pertaining to this technique.
Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or brow lift.
Blepharoplasty eyelid surgery may be performed under local or general anesthesia. Upper blepharoplasty can be done quite easily in the office setting. Lower lid blepharoplasty often requires sedation or general anesthesia. Most patients are back to their normal routine within a few days, although complete recovery such as swelling or possible bruising may take longer..
In some cases, blepharoplasty surgery can be obviated with Juvederm or fat grafting alone. That is, ‘tired’ eyes can be corrected simply with the addition of fat, restylane, or juvederm in the hollowed out area below the eye.
A proper evaluation and DIAGNOSIS is the key to good lid surgery.
Eyelid surgery could have risks and complications that may occur due to the complexity of the operation. Risks of such surgery will be discussed during your consultation with Dr. Neavin.