When to Consider Eyelid Surgery

  • If you have excess, hanging skin covering the natural fold of the upper eyelids
  • If you have loose skin hanging down from the upper eyelids over the eyelashes
  •  If your upper and lower eyelids appear puffy, making your eyes look tired and aged
  • If you have deep grooves under your eyes

Considerations
Pros

  • You will eliminate the puffiness and bags under your lower lids and the hooded skin on your upper lids, making you appear younger and healthier.
  •  You may no longer have vision problems related to overhanging eyelids.
  • Any scars from the eye lift will be hidden in your natural eyelid creases, making them almost indiscernible.

Cons

  • It will take time to see results after surgery.
  • You’ll likely be bruised and swollen and your eyes may be itchy and dry following the procedure.
  • If your eyebrows droop and you have creases in your forehead, you may also need a brow lift.

These are the top three pros and cons to weigh when considering eyelid surgery. If you want to focus on what is unique to you, please consult with your aesthetic plastic surgeon.
Am I a good candidate for eyelid surgery?
The following are some common reasons why you may want to consider eyelid surgery:

  • You have excess skin obscuring the natural fold of the upper eyelids
  • You have loose upper eyelid skin that impairs your vision
  • You have a puffy appearance to the upper eyelids, making your eyes look tired and sad
  • You have excess skin and fine, ‘crepe paper’ type lower eyelid wrinkles
  • You have bags and dark circles under the eyes
  • Your upper eye surface is too small or not smooth enough to apply makeup

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

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What are my options?

A surgeon who is qualified in an appropriate specialty will choose the right procedure for you based on your physical characteristics and aesthetic concerns.

Upper eyelids

Your surgeon will place the incision line at the natural eyelid crease through which he or she will remove excess skin, muscle, and fat. Lasers may be used to remove this excess tissue to reduce swelling and
bruising.
Lower eyelids

There are a number of options for performing lower eyelid surgery:

  • The traditional approach places the incision just below the eyelashes, trimming and/or repositioning excess skin and fat, and tightening the lower eyelid muscle.
  • In the transconjunctival approach, effective in improving lower eyelid bags and puffiness, your surgeon places the incision inside the eyelid. Your surgeon can remove excess fat through a transconjunctival incision, but not excess skin.
  • The ‘skin pinch’ blepharoplasty removes only a bit of skin. This is effective if you have strong lower eyelid support and only a little extra skin. In some patients laser resurfacing can both tighten excess skin and remove wrinkles.
  • The use of hyaluronic acid (HA) fillers is a non-surgical alternative for the lower eyelids. Restylane, Juvéderm and other soft tissue fillers can be injected into the tear trough (crescent-shaped under-eye area) to rejuvenate the appearance of the under-eye area. Results are varied and last approximately six months.

How Long Will My Results Last?
Your eyelid surgery results should be long-lasting. For the most part, removal of hooding and upper eyelid skin is a procedure that is performed only once. As aging continues, your brow can drop or descend, causing excess skin to reappear on the upper eyelid, but in this case the solution is a brow lift, not a second upper blepharoplasty. Lower blepharoplasty is usually performed to remove eye bags and puffiness around the eyes, and it too should only need to be performed once.

Maintain a relationship with your aesthetic plastic surgeon

For safety as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon’s office for follow-up evaluation at prescribed times and whenever you have any questions about your eyelid surgery healing and results. Do not hesitate to contact your surgeon when you have any questions or concerns.

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