Eyelid lift surgery, also called “blepharoplasty,” is a surgical procedure done on the upper and/or lower eyelids. In the upper eyelid lift, the appearance of loose or overlapping skin and puffiness is corrected. Fat that may cause “bags” is reduced, and midface skin and muscle are tailored and lifted during the lower eyelid lift. The upper eyelid lift and lower eyelid lift are different procedures that can be performed at the same time if needed. Dr. Hand has performed hundreds of eyelid lift procedures and continues to provide men and women with a well-rested and improved appearance.
Who Can Benefit From Blepharoplasty?
Men and Women
Both men and women can experience excess skin on the upper and/or lower eyelids, often with puffiness that does not subside. This can be the result of genetics or the stretching and weakening of the tissues over time, which allows bulges of fat to show through and produce “bags.” Any adult who can relate to these concerns is a probable candidate for the upper or lower eyelid lift.Schedule Your Consultation
Ideal candidates for blepharoplasty include healthy individuals who do not smoke and do not have serious eye conditions or concerns that may limit healing. All patients are evaluated for candidacy during their consultation.Schedule Your Consultation
Blepharoplasty can be performed on adults of any age. Although most individuals are in their 40s and beyond when they undergo eyelid surgery, some may decide to undergo the procedure in their 30s.Schedule Your Consultation
What Do You Desire?
A Refreshed Appearance
The eyes truly are the feature that most people notice first as tired and sad or refreshed and animated. Candidates for this procedure have noticed excess skin on the upper and/or lower eyelids, often with areas of puffiness that never seem to go away. The expectation of the surgical outcome for an eyelid lift should be a more youthful and rested appearance of the eyes. Wrinkles caused by repetitive facial movements will also be softened but not completely erased.
Eliminate Puffiness or Bags
The lower eyelid lift eliminates puffiness and bags beneath the eyes that result from weakened tissue. Excess fat bulges are trimmed away, and the eyelid muscles and skin are tightened so that patients appear well-rested and alert. The mid-face is lifted and fat pads that have drifted downward are repositioned at the cheekbone, adding balance to the face and improving the appearance of nasolabial folds (the folds between the nose and the mouth).
Remove Sagging Upper Eyelids
Upper eyelid surgery can correct mild to severe sagging skin in the upper eyelids to restore a more youthful and wide eyed appearance. Visual fields may be increased if excessive upper skin has blocked vision. Excess drooping of the eyebrows may also require a forehead lift to achieve the best correction.
Concerns About the Healing Process
Immediately after surgery and for the rest of the day, cold saline compresses will be applied to the eyelids, and the patient will remain in an elevated position to aid in recovery. Swelling and bruising will occur but will usually begin to subside after 48 hours. The day after surgery, Dr. Hand will clean and examine the eyelids. All sutures are removed after four days. The patient may be ready to resume normal activity or work in three to four days, although swelling and bruising will still be evident. Eyeglasses and dark glasses may be used immediately. Contact lenses should not be worn for one to two weeks following eyelid surgery. If desired, a cover-up type of makeup may be used after the sutures are removed to mask any discoloration. Patients are usually presentable without dark glasses in 10 days to two weeks, and may resume their regular exercise in 10 days.
The incision on the upper eyelid is placed in the lid crease, while the lower eyelid incision lies just along the lash line. Both incisions may extend for a short distance slightly beyond the edge of the outer eyelid within or near a natural smile crease. Excellent healing is characteristic of eyelid skin. Once the incision lines are mature, they are typically quite inconspicuous.
The cost of eyelid surgery will vary from patient to patient and depends on several factors, including whether both the upper and/or lower eyelid lift are performed and whether they are combined with other procedures. Dr. Hand will provide you with a cost estimate for blepharoplasty during your initial consultation.
The patient will not feel any pain during surgery, as local anesthesia with sedation or general anesthesia will be administered. Any postoperative discomfort can easily be controlled with oral pain medication that Dr. Hand will prescribe.
Blepharoplasty (eyelid lift) is a procedure that is often performed alone but just as often combined with other procedures that will compliment the goal of achieving the best aesthetic outcome. During your consultation, Dr. Hand will make recommendations for areas of treatment based on the appearance of the eyes exclusively, and the surrounding areas that may benefit from surgical correction. Very often the best result is seen when blepharoplasty is combined with a brow lift. The result is the eye has a refreshed appearance, and the brows have returned to a natural, youthful position. Facelift is sometimes also done with the eyelid procedures, or it may be done at a later time. Often, dermal fillers are injected into the nasolabial lines at the completion of the eyelid lift, to further compliment the mid-facelift that occurs during the lower eyelid lift.