Blepharoplasty (Eyelid Surgery)



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My eyes look tired, how can I look more refreshed? 

A lot of factors can lead to looking “tired”.  As we age, the skin of our upper and lower eyelid gets more wrinkles.  In addition, sometimes our eyebrows can also drop a little bit which can lead to some hooding of skin as well as making our eyes look narrower.

There are a lot of methods to create a more refreshed look.  Sometimes Botox to the corner of the eye and the outer portion of the eyebrow can reduce some of these fine lines and raise the brow.    We can also sometimes use the laser to rejuvenate the skin of the lower eyelid.  We can also sometimes use filler around the upper and lower eyelid to help the eyes look more youthful.  Finally, surgery (i.e blepharoplasty) is sometimes needed to help rejuvenate the eyes.


What is blepharoplasty or “eyelid surgery”

Blepharoplasty is the removal of skin and/or fat of the upper and lower eyelid.  In the lower eyelid, oftentimes, no skin is removed but instead the natural fat surrounding the eye is used to help camouflage the separation of the eyelid from the cheek.   However, every patient is different and some lower eyelids will require some skin removal in order to look more youthful.


Is blepharoplasty right for me? 

This is a question that is variable for everyone.  Sometimes an upper blepharoplasty can be done for functional reasons as the skin of the upper eyelid can obstruct vision.  But oftentimes, the reason patients come in for a consultation for blepharoplasty is to have more refreshed or less tired eyes.   Sometimes this goal can be achieved by something less invasive such as Botox, filler, or skin resurfacing.   But, the best way to answer this question is to have an informative discussion with your surgeon.


What is the recovery for a blepharoplasty? 

Typical recovery time is approximately one week of limited activity.  During this time, your surgeon will not want you to perform any heavy lifting or strenuous exercise.  The pain of the procedure is usually limited and most patients don’t have any pain or just mild pain after a few days.


Can eyelid surgery be done in the office? 

Typically, upper eyelid surgery can be done in the office with some local anesthesia (numbing injection) and topical anesthesia.  Lower eyelid surgery can sometimes be done in the office but it often requires sedation of some sort.