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Eyelid Surgery (Blepharoplasty)

What is blepharoplasty?

Blepharoplasty ­ – better known as “eyelid surgery” – is the third most popular cosmetic surgical procedure in the United States. The procedure can be performed on both the upper and lower eyelid to improve appearance, giving patients a brighter, younger, and more rested look. During blepharoplasty, excess skin, fat, and muscle is removed from the eyelids, smoothing the face’s appearance. The procedure can:

  • Reduce puffiness in the upper eyelids by removing fatty deposits.
  • Remove excess skin and fine wrinkles in the lower eyelid.
  • Remove or reduce excess skin in the upper eyelid, which may impair vision or affect the eyelid’s natural appearance.
  • Remove “bags” from under the eyes.
  • Correct any droopiness in the lower eyelid.

At Four Peaks Plastic Surgery, blepharoplasty is an outpatient procedure, which can be performed with intravenous sedation or general anesthesia.

Who needs blepharoplasty?

The typical candidate for eyelid surgery is an adult male or female age 35 or older with healthy facial tissue and muscles. The patient may want to have blepharoplasty to improve appearance, improve vision, or both. Usually, blepharoplasty is an elective cosmetic procedure, meaning it is not medically necessary for the patient to have the procedure. In some cases, however, blepharoplasty may be medically necessary. The procedure is sometimes used to correct defects that irritate the cornea and/or conjunctiva, correct visual impairment, and correct lax muscles of the upper eyelid (as well as for other medically necessary reasons).

How Eyelid Surgery Works

Immediately prior to your eyelid surgery, you will be given intravenous sedation or anesthesia. Next, Dr. Faibisoff will make an incision in the natural crease of the upper eyelid (upper blepharoplasty) and/or just beneath the lower lash line (lower blepharoplasty). Patients undergoing a lower blepharoplasty may have an incision made inside the lower eyelid. Excess skin or fat can then be removed or repositioned. Muscle and tissue may be tightened at this time. The incisions are then closed with surgical tape, skin adhesives, or sutures.

What should I do to prepare for eyelid surgery?

The medical staff at Four Peaks Plastic Surgery will provide you with all the information you need to prepare for your blepharoplasty procedure. As with most any cosmetic surgery procedure, it’s important to stop smoking at least several weeks before the procedure and to avoid anti-inflammatory drugs and non-prescribed herbal supplements. Your surgeon will give you detailed information at your pre-op appointment. For more information about preparing for plastic surgery, download Your Guide to Cosmetic Surgery: 17 Plastic Surgery FAQs.

What is the recovery process like?

Most patients find there is very little pain in recovering from blepharoplasty. However, the first few days or so may be a little challenging. Patients are given an ointment to prevent dryness in the eyes. This ointment can make your eyes water, blurring your vision. Also, you may find that you’re extra sensitive to light after your blepharoplasty.

Swelling, bruising, puffiness, and visible red incisions are completely normal for the first week after surgery. After a few weeks, your eyelids will begin to take on their final, post-surgery appearance. It may take as long as one year for the incisions to heal and fully resolve. (However, these incisions are usually hardly visible to anyone else during the yearlong recovery process.)

How long will the results last?

The results of blepharoplasty can last a lifetime. Of course, eyelid surgery will not prevent natural aging from occurring in the future. In order to get the best results out of your procedure always use sun protection.




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