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Eyelid Surgery (Blepharoplasty)

Overview

For one of the most dramatic procedures for rejuvenating the area around the eyes and reducing age appearance, blepharoplasty is it. If you have been told you “look tired” when you are not, or feel that your eyelids are throwing off your “Facial Age Harmony” then consider eyelid surgery.

Upper eyelids surgery can rejuvenate puffy, sagging or tired-looking eyes by through removal of excess fat, skin and muscle from the upper eyelids. While doing it for cosmetic reasons is typical, it can also improve sight by lifting droopy eyelids out of the field of vision.

Lower eyelids surgery can help correct dark or sunken in appearance under the eyes, or it can help remove some puffiness or fat from this area, smoothing out the transition from the eye to the cheek.

Botox® can be used around the eye during eyelid surgery to enhance the results and help raise the eyebrows or reduce the appearance of wrinkles and crow’s feet. Fat grafting or Juvederm® can be used to fill in the hollowness or dark circles under the eyes. Laser procedures can greatly improve the skin tone under the eyes and at the cheek – supplementing or replacing surgery. Dr. Birchenough can help you decide which procedures can bring you the results you expect.

What Can I Expect During Eyelid Surgery?

Upper eyelids surgery is usually performed in an office with local anesthesia and oral sedation, and lasts about 45 minutes up to two hours depending on how much work is done. Incisions are made along the upper eyelid creases. The surgeon removes excess skin and fat through these incisions and then sutures them closed with thin sutures.

Lower eyelids surgery is typically performed in the operating room in about one hour. Often, incisions are hidden behind the lower eyelid, leaving no scars on the skin itself. If skin needs to be removed, then the incisions go inconspicuously right below the eyelashes.

Both upper and lower eyelids surgeries can be done together and are commonly done with forehead or mini facelifts to rejuvenate the entire face.

How Long Will It Take For Me to Recover?

Sutures are removed after three or four days and most women can return to deskwork in about seven to ten days, because of the swelling that can result. Contact lenses can go back in at about two weeks. Strenuous exercise can resume at about two to three weeks.

What Questions Should I Ask Dr. Birchenough?

  • “My eyelids droop a lot, what can be done for me?”
  • “How much fat do you have to remove to make my lower eyelids look better?”