Several factors such as aging, sun damage, smoking, stretching and obesity can cause the eyelids to droop and sag as the supporting tissues deteriorate. This area is often one of the first to deteriorate, as the skin of the eyelid is thinner than the rest of the face. Eyelids that droop or bulge can cause people to appear much older or fatigued than they actually are. Often, a person’s eyes are the first facial feature you notice, making this a feature you want to feel confident about. Another common procedure is a brow lift which helps improve facial symmetry as well.
What Is Blepharoplasty?
Blepharoplasty, also known as eyelid surgery, is a surgical procedure that improves the appearance of the upper and lower eyelids by tightening muscles and tissue or removing excess fat and skin. This procedure can be performed on men and women alike and offers a younger, more refreshed look across the whole face.
Blepharoplasty is now the most popular facial plastic surgery procedure after rhinoplasty. The popularity of this procedure reflects the importance of the eyes in perfecting overall appearance. In fact, two-thirds of adults consider the eyes to be the defining feature of the face. If you are unhappy with the appearance of your eyes, you may want to consider blepharoplasty to improve your look and boost your confidence.
Candidates for Eyelid Surgery
The best candidates for eyelid surgery are individuals who are in good overall health and who do not smoke or have any serious eye conditions. If you have loose, sagging skin or puffy bags around your eyes, this procedure can help reduce these unwanted effects and leave the eyes looking young and fresh. It is important for patients to have realistic expectations before undergoing surgery in order to be satisfied with their results. While this procedure can enhance your appearance and may improve self-confidence as a result, it cannot alter your entire appearance or change the structure of your face.
What Does eyelid surgery treat?
Eyelid surgery treats a number of signs of aging you may see around your eyes. These include:
- Bags under the eyes
- Excess skin and wrinkles
- Puffiness around the eyes
Before & After Blepharoplasty
The blepharoplasty procedure is performed under local anesthesia with sedation. General anesthesia may be used for anxious or nervous patients. Patients may choose to have this procedure done on their upper eyelids, lower eyelids, or both. Depending on these choices, the procedure can take anywhere from 45 minutes to 2 hours.
If the upper eyelid is being treated, an incision is made along the natural crease of the eyelid. Once the incision is made, Dr. Hunsaker may reposition fat deposits, tighten muscles and tissue or remove excess skin in order to leave the eye looking younger and refreshed. For the lower eyelid, an incision is made just below the lash line in order to remove excess skin.
Upper eyelid “lift” (blepharoplasty) involves the precise removal of any excess skin and fat of the upper eyelid. The scar falls into the natural skin crease, routinely heals superbly and is rarely visible. The surgery does NOT raise the eyebrow (that requires a brow lift) and you cannot improve a low eyebrow by removing “extra” skin or you leave the upper eyelid unable to fully close.
Upper lid blepharoplasty can be performed under local anesthesia, sedation or general anesthesia. It typically lasts less than one hour and results in very little to no post-operative pain. There is swelling and often some bruising which resolves fairly quickly. Most patients can drive and shower the next day but should refrain from exercise for at least one week.
Lower eyelid blepharoplasty primarily removes the excess fat that causes the “bags” under the eyes. It may also help fill a groove below the eyelid, tighten some of the eyelid muscle and even remove a limited amount of excess skin. Removing too much skin retracts the lower eyelid causing an unnatural shape and can even interfere with function.
Most often, lower eyelid blepharoplasty is performed under sedation or general anesthesia. It is more involved and technically demanding then upper lid surgery. It may be performed with an incision just under the eyelash line or often times through an incision on the inside of the lower eyelid thus requiring no sutures and not leaving any external scar. Not every patient is a candidate for this approach. The surgery last between 45 minutes to 1 1/2 hrs depending on how involved it is. There is swelling and often some bruising. As with the upper eyelids, there is very little to no pain afterwards.
Recovery from Eyelid Surgery
Side effects can include swelling, bruising, irritation or dry eyes and usually subside within two weeks following surgery. Patients can usually return to work within two days but should avoid exercise and strenuous activities for at least two weeks. Dr. Hunsaker will give you specific instructions on how to care for your eyes are surgery.
Results of a blepharoplasty procedure are visible as swelling and bruising subside and will continue to improve for up to a year after surgery. This procedure is designed to produce long-lasting results. While surgery cannot prevent your eyes from aging, most patients are satisfied with their results and do not seek repeat procedures.
The scars from the blepharoplasty procedure are usually well concealed and will fade with time until they are virtually unnoticeable. The incision is hidden in the crease of the eyelid in an upper blepharoplasty, and just below the lashes in a lower blepharoplasty.
Risks of Eyelid Surgery
As with any surgical procedure, there are certain risks associated with this procedure. Although rare, these risks include bleeding, infection, dry eyes, skin discoloration and an inability to fully close the eyes. Many of these risks can be minimized by choosing an experienced surgeon and following proper care instructions after surgery. You can discuss these risks, along with any other concerns you may have, with Dr. Hunsaker to reduce anxiety and worries about your surgery.
Schedule a Consultation
If you are interested in Eyelid Surgery, contact Cosmetique Cosmetic Surgery Center. Call us at (305) 279-4700 to schedule a consultation with Dr. Hunsaker. Our practice serves Miami, Florida and surrounding areas.