Also known as eyelid shaping, a blepharoplasty re-contours the upper and or lower eyelids. Most blepharoplasty patients are unhappy with the loose skin along the upper eyelid, and or the bagginess and or puffiness of the lower eyelid. These changes contribute to a tired or aged appearance.
Aging changes involving the upper eyelid typically reflects excess skin hanging over the eyelid margin. When this occurs, the crease above the eyelid is obscured, leading to a more tired look. Many women are then frequently frustrated by the added difficulty in applying makeup to the upper eyelids due to the excessive skin.
When considering the upper eyelid blepharoplasty, one must assess if the eyebrow has descended, and whether this is contributing to the problem. In this case, a browlift may be performed in conjunction with the upper eyelid blepharoplasty for optimal results.
When performing an upper blepharoplasty, the incision is designed to blend in with the existing but hidden natural skin crease. The redundant skin is removed and any excess fat is removed if needed. The incision is closed and the end-result is a cleaner better defined upper eyelid crease with a more refreshed appearance.
The lower eyelid blepharoplasty may focus on either the loose skin or the puffiness (bags) below the eyes. The surgery can be approached in one of two ways - depending on the problems that need to be corrected. When puffiness and fat is the primary problem, an incision may be made on the inner surface of the eyelid (termed a transconjunctival blepharoplasty) resulting in no visible external incision. When the concern involves loose skin in addition to possible puffiness then an external incision is created just beneath the eyelashes. Fat may be addressed accordingly and or repositioned if necessary. The excess skin is then removed, and the end result is a smoother, more youthful appearing lower lid.
A blepharoplasty may be performed as an outpatient under local anesthesia with or without sedation. Bruising and swelling may typically last 7-10 days, and sutures are removed at this time at a follow up appointment. Frequently by 2-4 weeks patients have fully healed resulting in a natural rejuvenated appearance.
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Last updated: Dec 11, 2018 2:49 pm