Eyelid Surgery

Blepharoplasty, or eyelid surgery, may be the plastic surgery option for you if age has caused your eyelids to appear “droopy” or has given you bags under your eyes making you look older or tired.

Blepharoplasty is the plastic surgery procedure of removing fat, excess skin, and extra muscle tissue from around the eyes, giving you smooth, firm skin around the eyes and ridding you of droopy eyelids.

These common eyelid problems are caused by age. As people grow older, the skin around their eyes begins to stretch and sag, muscles weaken, and fat accumulates in areas where it didn’t. This excess skin, loose muscle, and fat are what cause bags under the eyes or droopy eyelids.

To correct this common problem, many people elect to have a plastic surgeon perform blepharoplasty on their eye lids. This procedure is performed by first making incisions that follow the natural crease of your upper eyelids. The plastic surgeon will then separate the skin from the fatty tissue beneath and remove some of the fat and excess skin. Finally, using very fine sutures, the doctor will close the incisions.

Scarring from this procedure is usually very light and thin, and since the incisions are made in the natural crease of your eyelids, scars are rarely visible. Following the procedure, the plastic surgeon will lubricate and bandage your eyes. Most of the time people can read and watch TV in just one or two days. Many patients feel comfortable to return to their normal activities and work after about a week. Blepharoplasty can be performed alone or in conjunction with other facial procedures such as facelifts or brow lifts. Your plastic surgeon will perform the procedure with either local anesthetics or under general anesthesia. If you are under local anesthesia for the pain, you will also have sedatives to help you relax. If you are under general anesthesia, then you will sleep through the entire procedure.

Candidates for blepharoplasty include anyone who has pronounced bags under his or her eyes or droopy eyelids. Usually, people who elect to have the surgery are over the age of 35, but younger people can also have the procedure performed to correct bags under the eyes caused by heredity.

Before having a blepharoplasty procedure performed, your plastic surgeon should be in touch with your ophthalmologist to determine if there are unusual risks for you associated with getting the procedure. Some medical conditions provide additional risks with blepharoplasty procedures. If you have dry eyes, Graves’ disease, hypothyroidism, high blood pressure, or other circulatory conditions, check with your ophthalmologist or doctor before having the procedure.