The eyes are the first area of the face to show the signs of aging. Eyelid skin thins out and becomes more wrinkled, making us look tired. The brows descend and skin piles up on top of the eyes. Some patients have excess fat that bulges from behind the lids as they age. Other patients develop a deep groove or “tear trough” underneath the lower lid that only emphasizes the aging process.
Eyelid surgery, or blepharoplasty, is an operation that involves removing excess skin of the eyelids. In some patients, excess fat is removed or redistributed to eliminate “bags.” Patients recover from blepharoplasty looking more youthful, rested, and alert.
Procedures typically performed in conjunction with a eyelid surgery include a facelift and brow lift. Botox and dermal fillers like Restylane are also sometimes used in conjunction with or instead of eyelid surgery.
If you are unhappy with the appearance of your eyelid area—whether it be loose eyelid skin, droopiness or puffiness around the eyes, or bags or dark circles under your eyes—you may be a candidate for eyelid surgery.
Eyelid surgery is typically performed under general anesthesia or sedation on an outpatient basis. Incision lines for eyelid surgery are well concealed within the natural creases of the eyelid region so that visible scarring is minimized.
Sagging of the upper eyelid is corrected by cutting away excess skin and removing fat deposits. Puffiness and sagging of the lower eyelid is corrected with an incision along the lower lash or actually inside the eyelid. Minimal excess skin is removed, the underlying muscle is tightened, and fat is removed or redistributed.
Patients experience varying degrees of swelling and bruising during the first 48 hours following surgery. Ice or cold packs are very helpful. Swelling should resolve over the next couple of weeks and bruising typically disappears within seven to ten days. Sutures are usually removed within a week of surgery.
As with any type of surgical procedure, there are some risks involved with eyelid surgery. Potential complications may include dry eyes, blurry vision, numbness, infection, bleeding, malposition of the eyelids, and rarely damage to eyelid muscles.
If you are bothered by the sagging or puffiness of your eyelid area, eyelid surgery, or blepharoplasty, may be the solution. Dr. Sewell will speak with you, discuss your desired results, and help you determine if you are a candidate.