What is Blepharoplasty
Blepharoplasty or eyelid rejuvenation surgery is an operation designed to correct drooping skin around the eyes as well as bulges that may appear with age or due to heredity. Drooping skin is often most evident in the upper eyelids, where it can hide the normal skin crease above the eyelashes and even impair vision. “Bulging” seen in the upper or lower eyelids is actually due to pockets of fat which have become displaced or “herniated” from their normal position deeper in the eye socket. Together, these factors may combine to give the eyes a tired, aged look, which may be out of proportion to the rest of the face.
Upper eyelid surgery is generally done at the same time as lower eyelid surgery, although either procedure may be done alone, or in combination with other facial cosmetic procedures such as facelift surgery or rhinoplasty.
Following anesthesia, excess skin and fat are removed from the upper eyelid, leaving a single thin incision line which falls into the natural skin fold.
Lower eyelid surgery can often be done from the inside surface of the eyelid, without any incision on the skin. In this way, fat bulges may be removed or repositioned, and healing is generally faster. However, if excess skin exists on the lower eyelid, an external “pinch” excision may be recommended. As in the upper eyelid, the incision line becomes very difficult to discern with time.
Patients often inquire about “crow’s feet” lines or other fine wrinkles or spots around the eyes. These areas can often be improved with a chemical peel or laser resurfacing at the same time as eyelid surgery, or shortly after.
Thin, absorbable sutures placed in the eyelid incisions usually disappear or are removed at one week after eyelid surgery in Los Angeles. Patients generally complain of little or no pain with this procedure, and are usually able to return to their routine within several days to one week.
Some swelling or discoloration is normal with eyelid surgery. This will resolve for the most part within one to two weeks, and can be camouflaged with makeup after several days.