More than any other facial feature your eyes reveal the most about how you feel. When your eyes are bright and alert, you appear energized, well-rested, and in control. However, if you have lower-eyelid puffiness, dark circles or drooping upper lids, other may assume that you are fatigued, angry or unhappy. If you believe that your eyes are making you look tired, as or older than you really feel, cosmetic eyelid surgery (also called blepharoplasty) may be right choice for you. Eyelid surgery can remove excess fat and drooping skin of the upper eyelids, minimize bags under the eyes and tighten the lower eyelid skin. The result is a more alert and rested appearance.
Is cosmetic eyelid surgery right for me?
Eyelid surgery is performed on men and women of all ages who want to improve their self-image. Most people have eyelid surgery to minimize the effect of aging. However, many people in their 20's or 30's may also benefit from the procedure.
You may be a good candidate for eyelid surgery if you have any of the following conditions:
Eyelid surgery needs to be approached with extra caution if you have any of the following medical conditions:
What should I expect from the consultation?
A personal consultation is the first step for every patient considering a facelift. During this meeting, your surgeon will assess your physical and emotional health and discuss your specific cosmetic goals for surgery.
You should arrive at the consultation prepared to provide complete information about:
As part of the consultation, your surgeon will assess the amount of excess fat and skin in your eyelid areas, the position of your eyebrows, and the condition of the muscles around your eyelids.
Your plastic surgeon may suggest other cosmetic treatments to meet your appearance goals. For example:
How is cosmetic eyelid surgery performed?
The specific method used for your eyelid surgery will be determined by your features and your surgeons preferences.
Typically, the incision begins within the natural crease of the eye's inside corner and extends slightly beyond the outside corner into the crows feet or laugh lines. Through this incision, excess skin and fatty tissue are removed. The incision lines follows the natural contour of the upper eyelid, and is camouflaged when healed.
Usually the incision is concealed just below the lower lashes. Through this incision, excess skin, muscle and fat are removed. Your surgeon may also make special adjustments. For example, the fat beneath the eye can be redistributed to eliminate puffiness or bulges. In some patients, the underlying muscle will be tightened.
Your surgeon may decide that the best approach for removing fat from the lower eyelid is with a transconjunctival blepharoplasty. In this procedure, an incision is placed inside the lower eyelid. This technique requires no external incision, but it cannot be used to remove excess skin. Laser resurfacing or chemical peel is something used in conjunction with this procedure to minimize fine wrinkles near the eyes.
What can I do to prepare for my surgery?
When the date for your surgical procedure has been set, your plastic surgeon will provide you with specific instructions for the days immediately before and after your surgery. A number of points may be covered, including:
How will I be cared for on the day of my surgery?
Cosmetic eyelid surgery may be performed in a hospital, an outpatient surgery center or an office-based surgical suite.
Frequently, local anesthesia and intravenous sedation are used for patients undergoing eyelid surgery. However, for some patients general may be best choice. With either type, you'll remain very comfortable throughout the procedure. Your plastic surgeon will monitor your physical status throughout the operation and during your recovery.
How will I look and feel right after surgery?
When surgery is complete, you'll be taken to a recovery area. You may experience any of the following:
Blurred vision - this temporary condition is caused by the ointment that may have been applied to lubricate and protect the eyes
Tightness around the eyes - this sensation will diminish once the swelling goes down
Discomfort - some discomfort is common after any type of operation. It can be controlled with pain medication prescribed by your physician
Bruising and swelling - the amount and duration of swelling and bruising varies greatly among individuals.
Although everyone heals at a different rate, you can expect that your recovery will follow this general time line:
The first day
Within the first week
After several weeks
What should I know about my results?
If you're like most people who have the procedure, you'll be very pleased with your refreshed and alert appearance. You may find that you feel more confident in business and social situations. Friends and colleagues may tell you that you appear happier or more rested, without realizing that you had eyelid surgery.
Most traces of surgery will disappear after several weeks. However, the skin around your eyes must be treated with extra care for several months. When you go out during the day, you should wear sun block on your eyelids and darkly tinted sunglasses to protect your eyes from wind and sun irritation.
How long will I continue to see my plastic surgeon?
After the initial period, you will return to your plastic surgeon's office for a postoperative follow-up visit so that your healing and progress can be evaluated. In the following months, your surgeon may ask you to return for periodic checkups. It's important to keep these appointments so that your surgeon can assess your long-term results and address any questions or concern you may have.