Decreased elasticity of the skin, from aging and gravity, often cause lower eyelids to drop and become filled with fat from the socket of the eye. Gravity also causes the upper eyelid to droop which causes hooding. This often results in an appearance of tiredness. In extreme cases the upper eyelid hooding may well result in visual problems.
Blepharoplasty is an operation designed to remove the excess of skin, including the folds, remove excess of fat under the skin and re–suture to give a more youthful appearance to the face. The eyes do not look as tired anymore and this actually reflects the inner self more prominently.
This operation may be combined with other procedures in the face such as face lift, brow lift or neck lift. This may also be combined with other eyelid procedures to correct deformities of the eyelids. Some procedures such as a limited mid face lift may actually be performed through the eyelid incisions.
Dr. Jay at La Belle Center for Cosmetic Surgery performs this procedure under local anesthesia with deep sedation on an outpatient basis. The procedure may take about 2-3 hrs depending on the extent of surgery and other procedures that may be involved.
The Procedure of eyelid surgery:
Upper eyelids: An curved incision is made in the upper eyelids in such a way as to remove all the excess skin and when closed it will form a very thin scar at the naturally pleasing upper lid fold. Through this incision, protruding fat is also removed. Some other procedures such as limited eyebrow surgery may also be done through this incision.
Lower eyelids: A fine incision is made either just under the eyelashes (trans–cutaneous) or on the inner side of the lower eyelid in the bottom of the conjunctiva (trans–conjunctival). Through this incision excess fat is removed. Other procedures such as mid face lift or other eyelid corrective surgeries may also be done through this incision. The trans–cutaneous incision allows us to remove more redundant skin to make the lower lid appear very youthful.
At the end of the procedure, the skin is closed with very fine sutures that will be absorbed in 5-6 days.
Most people have excellent recovery with only minimal bruising that can be easily camouflaged with makeup. There will be swelling lasting about 7-10 days but most people are able to go back to their routines in just a few days.
In some patients, excess lower lid laxity is present and can be corrected by doing an additional procedure called Lateral Canthopexy/Canthoplasty (eyelid tightening procedure) at the same time.
This is one of the most gratifying procedures particularly when combined with face lift surgery.