Corrects: Excess fat, wrinkled drooping upper and under eye bags and puffiness.
Length of Procedure: 1-3 hours
Number of Treatments: 1
Recovery Time: 10-12 days
Blepharoplasty (Eyelid Surgery)
Blepharoplasty is the most common procedure to correct the sagging or drooping of the eyelids and the removal of excess fat, skin and muscle or even the herniated fat in the eye area. As we get older, most individuals start to see a difference in their eye area—more laxity, bags below and above the eye; sometimes so much that the upper lid seems to disappear underneath the extra fatty area under the brow bone. This procedure can give a more youthful appearance to an otherwise older, more tired looking, face, however it can be performed on patients of any age.
This procedure can enhance your appearance and give your eye area a more awake look and can even remedy certain individuals’ vision problems if they are caused by the excess skin blocking their vision. Some of you may feel as if your eyes give the appearance of you being tired or angry. A Blepharoplasty can rid your eyes of its excess baggage and allow you to look as good as you feel. A forehead lift may be recommended if sagging eyebrows are an issue.
Blepharoplasty will not get rid of wrinkles around the eye area although it may make your eyes look smoother if you have considerable excess skin and the wrinkles are on the skin which is to be removed. Smoothing crow’s feet or wrinkles may require laser resurfacing or Botox to achieve the best possible results.
Dr. Johnson will personally design a course of procedures for you that are sure to achieve a subtle and natural look.
To find out more about the wonders of Botox and what it can do for you, contact us today.
One of the top five cosmetic surgical procedures, blepharoplasty can be performed on the upper eyelid to tighten drooping skin, on the bottom eyelid to correct bags, or on both at the same time
Blepharoplasty, or eyelid surgery, removes fatty tissue and tightens aging skin around the eyes. One of the top five cosmetic surgical procedures, blepharoplasty can be performed on the upper eyelid to tighten drooping skin, on the bottom eyelid to correct bags, or on both at the same time. Blepharoplasty will not reverse the appearance of wrinkles or crow’s feet.
How It’s Done
Eyelid surgery usually takes between one and three hours and is ordinarily performed under local anesthetic and oral or intravenous sedation, though some patients desire or require a general anesthetic. Surgery is usually performed as an outpatient procedure in your doctor’s office or surgical suite.
The surgeon begins by making incisions along the natural lines just bellow the lashes on the bottom eyelid and in the crease of the upper. Excess fatty tissue, muscle, and skin (when necessary) are removed, and the incision is closed with sutures.
After surgery bruising and swelling lasts between 7 and 10 days, and most patients are not comfortable returning to work until after this period of recovery. A full recovery will take up to six weeks or more. Contact lenses and eye makeup should be avoided for a week or longer, according to your doctor’s instructions, and physical activity should be avoided until instructed otherwise by your physician.
For 24 hours after surgery, keep ice water soaked pads on eyes, changing pads every 20-30 minutes. Pads should be soaking wet – do not wring out completely. It is the weight of the water as well as the temperature that helps minimize bruising. A small bag of frozen peas or corn may also be used on top of the eye pads. Make sure the bag is not placed directly on the skin. Use a washcloth or towel between the bag and your skin.
At bedtime clean any excess ointment off sutures with a Q-tip. Then apply the eye ointment (most commonly polysporin ophthalmic) on the eyelid sutures and inside the lower eyelid. Until the sutures are removed, you will apply the eye ointment two times a day (morning and evening) to the sutures. It is only necessary to apply the ointment inside the lower eyelid at bedtime. Ointment inside the lower eyelid will make vision blurry, so best to do this immediately prior to retiring for the evening. Sutures that have been kept lubricated with ointment are less painful to remove.
Most patients complain of discomfort more than pain. Use pain medication (Vicodin/hydrocodone) as directed/as needed. Vicodin contains Tylenol. Do not take additional Tylenol or acetaminophen while taking Vicodin. Do not drive or drink alcohol while taking pain medication. Side effects of pain medications can include nausea and constipation. Taking pain medication with food helps minimize nausea. Over-the-counter laxatives are indicated if constipation persists.
Start your antibiotic (Keflex/cephalexin) when you get home and one at bedtime. Tomorrow take one tablet every six hours until gone. It is not uncommon to have a low-grade fever for 24 hours following eyelid lift surgery.
Start swelling medication (Medrol Dose Pak/methyl prednisolone) when you arrive home. Take with food.
Take Vitamin C (ascorbic acid), which helps promote healing, for two weeks following surgery. Also take Arnica, a natural herb that significantly decreases bruising, for one week following eyelid lift surgery.
Advance diet from liquids to soft food to your regular diet as tolerated.
Sleep with head of the bed elevated or use two to three pillows for one week after eyelid lift surgery. Absolutely no bending, lifting or straining. If you have little children, bend at the knees or sit on the floor and let them climb on to your lap. No driving for one week following surgery. One week off work is recommended.
After 24 hours, keep incisions dry except for ointment. You are encouraged to shower and wash your hair before coming for suture removal. Steri-strips, which must remain dry and in place for four days following suture removal, are applied. Bruising can be camouflaged at one week postoperatively with make-up
Avoid unprotected prolonged sun exposure for three months following blepharoplasty to prevent pigmentation of incision lines.
Tearing, bruising, swelling, eye fatigue and disrupted sleep are very normal postoperative eyelid lift symptoms and will decrease as the healing process occurs. Since vision is temporarily compromised, assistance with daily activities is recommended.
Following blepharoplasty, it takes time for the swelling to subside and for the skin to heal. Most patients return to work one to two weeks following eyelid lift surgery, depending on temporary bruising and swelling. At that time, swelling and bruising may be apparent to you but not to many of your coworkers and closest friends.
Final results following blepharoplasty are not apparent for one full year following surgery. After three months, the changes are ever so subtle, although still important. Being perfectionists about our work, you may tell us you are pleased long before the one year anniversary. However, we request that you follow-up with us at that time for postoperative eyelid lift photographs and so that we can enjoy your final result.
Besides initial swelling and bruising, which should be expected, the most common cosmetic complications stem from insufficient removal of fat, resulting in bulging, unevenness, and irregularity in shape.
There are other, more serious complications associated with this surgery including:
- Blurred vision or loss of vision
- Alteration of position of lower eyelid
Additional risks and complications should be discussed with your doctor before surgery.
Am I A Canditate?
To be a candidate for blepharoplasty you should be at least 18, excepting circumstances of medical necessity such as vision impairment. Most patients are dissatisfied with excess skin above their eyes or bags below them, and complain of looking “tired.” Blepharoplasty will not decrease wrinkles or facial folds, but is often combined with procedures such as laser skin resurfacing and others to create a full facial rejuvenation.
For more information and any further questions regarding the procedure, make an appointment with us today.