“Your eyes are the windows to your soul.” The eyes are a major focal point in our personal interactions with others. Your eyes can communicate your emotions and your personality. Blepharoplasty (eyelid surgery) is a plastic surgery procedure to correct sagging, drooping or baggy eyelids for either upper, lowers or both lids. Because the eyelids skin is much thinner than any other parts of the face, is often one of the first facial areas to exhibit signs of aging. Upper eyelids that sag or hood can affect peripheral vision, making daily activities such as driving more difficult. For baggy or excess/creepy skin on the lower lids, patient may look tired or sad or older than they are. Blepharoplasty is often the best surgical option to address those concerns. Dr. Sunder will discuss the best individualized surgical approach for each and every patient.
Reasons For Blepharoplasty
- Saggy eyelids
- Excess skin
- Skin creepiness
- Baggy eyelids
- Vision field impairment
- Fat removal
- Fat repositioning
Blepharoplasty can be performed on either the upper or lower eyelid, or on both, for cosmetic purposes. For a lower eyelid that needs fat rather than skin removed, a transconjunctival blepharoplasty is performed. During transconjunctival blepharoplasty, an incision is made inside the lower eyelid, so there are no visible scars, and the fat is removed. This procedure has no effect on vision, but results in a person’s looking younger and more refreshed. For a lower or upper eyelid that needs a lift and a better contour, a transcutaneous blepharoplasty is performed. A small incision is made on the upper eyelid right at the crease or right below the lower eyelid lash line to remove the excess skin which creates the lift allowing for better contouring without changing the shape of the eye. Often times, patients can benefit from multiple approaches at once such as combining transconjunctival and transcutaneous procedures. Additionally, rather than fat being removed from the under eye, it may be repositioned for those that are not candidates for removal risking excessive hollowness and exacerbate the tear trough. By repositioning the fat pads from the lower eyelids, patient will enhance the under eye region with volume placement in the correct area. Dr. Sunder guides her patients for what is best suited for their needs. This procedure is often done with other plastic surgeries such as Brow Lift and Mini Lift.
Candidates For Blepharoplasty
The best candidates for blepharoplasty are those who are in good overall health, do not smoke, do not have any serious eye conditions, and have healthy facial tissue and muscle. It is important for a patient to have realistic expectations before undergoing cosmetic blepharoplasty. This cosmetic procedure offers patients nearly instant gratification and continues to be one of the most popular surgery given its great outcome, safety and minimal downtime.
The Blepharoplasty Procedure
Blepharoplasty is typically performed as an in-office procedure requiring local anesthesia only. General anesthesia may be used for anxious patients or for whom a transconjunctival approach is recommended. Eyelid Lift takes less than an hour for either upper or lower. At the time of the pre-op, patients are given pre and post instructions along with a list of medication and or supplements to avoid for a speedy recovery to minimize swelling a bruising.
Recovery After Blepharoplasty
After blepharoplasty, patients will have to follow our strict post-care instructions for optimum healing. Patients will be advised to apply lubricating drops/ointment and cold compresses to aid in healing and minimize side effects. Most patients return to work within a few days to a week, but should avoid exercise and strenuous activities for at least 2 weeks. Stitches are usually removed after 3 or 4 days. Most swelling and other side effects typically subside within 2 weeks. Contact lenses and eye makeup may not be worn for 2 weeks after surgery. Patients are typically advised to wear dark sunglasses outside or in bright light for 2 weeks to protect their eyes from sun and wind as well as SPF on their incision lines to prevent hyperpigmentation.
The masculine eye is different from the feminine eye in many ways. Typically, a man’s upper eyelid crease is situated lower than a woman’s eyelid crease. In addition, the male and female brows are at different levels. Care must be taken to not over-correct a man’s eyelid or leave him with a “rounded” eye, which can feminize the eyes. Many surgeons are not astute to these differences. Dr.Sunder prides herself on appreciating these subtle differences and using male blepharoplasty techniques to preserve your identity and retain the masculine appearance of your face.
Risks Of Blepharoplasty
While swelling and bruising around the surgical site will be inevitable, it will subside on its own, the eyelids will improve in appearance for up to a year but patient will enjoy their results nearly right away. Uncommon side effects include infection, reaction to anesthesia and or anesthetic agents, and double or blurred vision. Eyes may be irritated and dry due to a temporary change in tear distribution. The scars from blepharoplasty are well-concealed, and usually fade with time until they are virtually undetectable. Although the eyelids are still subject to aging, blepharoplasty produces long-lasting results.