Eyelid Surgery

Eyelid Surgery

Also known as blepharoplasty, eyelid surgery
improves the appearance of the upper eyelids, lower eyelids, or both,
and gives a rejuvenated appearance to the surrounding area of your eyes,
making you look more rested and alert.

Table of Contents

Why Eyelid Surgery?

Enhancing your appearance with eyelid surgery

Cosmetic eyelid surgery, called blepharoplasty, is a surgical
procedure to improve the appearance of the upper eyelids, lower eyelids,
or both, and give a rejuvenated appearance to the surrounding area of
your eyes, making you look more rested and alert.

Specifically, eyelid surgery can treat:

  • Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
  • Excess fatty deposits that appear as puffiness in the upper eyelids
  • Bags under the eyes
  • Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)
  • Excess skin and fine wrinkles of the lower eyelid

Is it right for me?

Eyelid surgery is usually performed on adult men and women who have
healthy facial tissue and muscles and have realistic goals for
improvement of the upper and/or lower eyelids and surrounding area.

You should do it for yourself, not to fulfill someone else?,Ǩ,Ѣs
desires or to try to fit any sort of ideal image. Good candidates are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals with a positive outlook and specific goals in mind for blepharoplasty
  • Individuals without serious eye conditions

You must tell your doctor if you have any of these medical conditions:

  • Eye disease such as glaucoma, dry eye or a detached retina
  • Thyroid disorders such as Graves?,Ǩ,Ѣ disease and under or overactive thyroid
  • Cardiovascular disease, high blood pressure or other circulatory disorders or diabetes

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Procedural Steps:

What happens during eyelid surgery?

Eyelid Surgery Walkthrough

Step 1 Anesthesia

Medications are administered for your comfort during the surgical
procedure. The choices include intravenous sedation or general
anesthesia. Your doctor will recommend the best choice for you.

Step 2 The incision

The incision lines for eyelid surgery are designed for scars to be
well concealed within the natural structures of the eyelid region.

Droopy conditions of the upper eyelid can be corrected through an
incision within the natural crease of the upper eyelid allowing
repositioning of fat deposits, tightening of muscles and tissue, and/or
removal of excess skin.

Eyelid Surgery, Incision

Eyelid Surgery, Outline

Eyelid Surgery, Final

Conditions of the lower eyelid
may be corrected with an incision just below the lower lash line.
Through this incision, excess skin in the lower eyelids is removed.

A transconjunctival incision, one hidden inside the lower eyelid, is
an alternate technique to correct lower eyelid conditions and
redistribute or remove excess fat.

Transconjunctival, Outline Transconjunctival, Incision

Step 3 Closing the incisions

Eyelid incisions typically are closed with:

  • Removable or absorbable sutures
  • Skin adhesives
  • Surgical tape

Your surgeon may use a laser chemical peel to erase dark discoloration of the lower eyelids.

Step 4 See the results

The results of eyelid surgery will appear gradually as swelling and
bruising subside to reveal a smooth, better-defined eyelid and
surrounding region, and an alert and rejuvenated appearance.

The results of eyelid surgery

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Important facts about the safety and risks of eyelid Surgery

The decision to have eyelid surgery is extremely personal and
you?,Ǩ,Ѣll have to decide if the benefits will achieve your goals and if
the risks and potential complications are acceptable.

Your plastic surgeon and/or staff will explain in detail the risks
associated with surgery. You will be asked to sign consent forms to
ensure that you fully understand the procedure you will undergo and any
risks or potential complications.

Possible risks of eyelid surgery include:

  • Unfavorable scarring
  • Temporarily blurred or impaired vision
  • Dry eyes
  • Difficulty closing your eyes
  • Lid lag, a pulling down of the lower eyelid may occur and is often temporary
  • Ectropion, rolling of the eyelid outwards
  • Bleeding (hematoma)
  • Poor wound healing
  • Infection
  • Fluid accumulation
  • Blood clots
  • Numbness and other changes in skin sensation
  • Anesthesia risks
  • Eyelid disorders that involve abnormal position of the upper
    eyelids (eyelid ptosis), loose eyelid skin, or abnormal laxness of the
    lower eyelid (ectropion) can coexist with sagging forehead and eyebrow
    structures; brow lift surgery will not correct these disorders;
    additional surgery may be required
  • Pain, which may persist
  • Skin discoloration and swelling
  • Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Possibility of revisional surgery
  • Loss of eyesight

Be sure to ask questions: It?,Ǩ,Ѣs very
important to ask your plastic surgeon questions about your eyelid
procedure. It?,Ǩ,Ѣs natural to feel some anxiety, whether it?,Ǩ,Ѣs
excitement for your anticipated new look or a bit of preoperative
stress. Don?,Ǩ,Ѣt be shy about discussing these feelings with your
plastic surgeon.

A special note about the use of fibrin sealants (tissue glue)

Fibrin sealants (made from heat-treated human blood components to
inactivate virus transmission) are used to hold tissue layers together
at surgery and to diminish post-operative bruising following surgery.

This product has been carefully produced from screened donor blood
plasma for hepatitis, syphilis, and human immunodeficiency virus (HIV).
These products have been used safely for many years as sealants in
cardiovascular and general surgery. This product is thought to be of
help in diminishing surgical bleeding and by adhering layers of tissue

When you go home

If you experience shortness of breath, chest pains, or unusual heart
beats, seek medical attention immediately. Should any of these
complications occur, you may require hospitalization and additional

The practice of medicine and surgery is not an exact science.
Although good results are expected, there is no guarantee. In some
situations, it may not be possible to achieve optimal results with a
single surgical procedure. Another surgery may be necessary.

Be careful

Following your physician?,Ǩ,Ѣs instructions is key to the success of
your surgery. It is important that the surgical incisions are not
subjected to excessive force, abrasion or motion during the time of
healing. Your doctor will give you specific instructions on how to care
for yourself.

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My recovery

After your procedure is completed, lubricating ointment and cold
compresses may be applied, and in some cases your eyes may be loosely
covered with gauze.

You will be given specific instructions that may include:
how to care for your eyes, medications to apply or take orally to aid
healing and reduce the potential for infection, specific concerns to
look for at the surgical site or in your overall health, and when to
follow-up with your plastic surgeon.

Initial healing may include some swelling, bruising, irritation or
dry eyes and discomfort that can be controlled with medication, cold
compresses and ointment. Irritation at the incision sites also is

A special note: You must practice diligent sun protection and use darkly tinted sunglasses until the healing process is fully complete.

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The results will be long-lasting

Your final results will appear within several weeks, but it may take up to a year for incision lines to fully refine.

While eyelid surgery can be expected to correct certain conditions
permanently, you will continue to age naturally. Life-long sun
protection will help to maintain your results.

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How much will eyelid surgery cost?

Cost is always a consideration in elective surgery. Prices for eyelid
surgery can vary widely. A surgeon?,Ǩ,Ѣs cost for blepharoplasty may
vary based on his or her experience, the type of procedure used, as well
as geographic office location.

Many plastic surgeons offer patient financing plans, so be sure to ask.

Cost may include:

  • Surgeon?,Ǩ,Ѣs fee
  • Hospital or surgical facility costs
  • Anesthesia fees
  • Prescriptions for medication, and
  • Medical tests

Your satisfaction involves more than a fee

When choosing a plastic surgeon for eyelid surgery, remember that the
surgeon?,Ǩ,Ѣs experience and your comfort with him or her are just as
important as the final cost of the surgery.

Most health insurance does not cover cosmetic surgery or its
complications. When eyelid surgery is performed to eliminate the
redundant skin covering the eyelashes, it may be covered by insurance.
Carefully review your policy.

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Words to know

  • Blepharoplasty: Eyelid surgery to improve the appearance of upper eyelids, lower eyelids or both.
  • Ectropion: When the lower eyelid is rolled outward after eyelid surgery; often a temporary condition.
  • General anesthesia: Drugs and/or gases used during an operation to relieve pain and alter consciousness.
  • Hematoma: Blood pooling beneath the skin.
  • Intravenous sedation: Sedatives administered by injection into a vein to help you relax.
  • Local anesthesia: A drug injected directly to the site of an incision during an operation to relieve pain.
  • Transconjunctival incision: Incision hidden inside the lower eyelid.
  • Skin resurfacing: Treatment to improve the texture, clarity and overall appearance of your skin.
  • Sutures: Stitches used by surgeons to hold skin and tissue together.

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