What is blepharoplasty?
Blepharoplasty refers to eyelid surgery and is designed
to remove the excess fat, along with skin and muscle,
from the upper and lower eyelids. It is the second most
common aesthetic procedure performed by plastic surgeons.
What are the goals of blepharoplasty?
A properly performed blepharoplasty procedure will brighten the face and
restore a more youthful appearance. In some patients the procedure will improve
vision by removing the excessive skin of the upper eyelids which can hang down
and interfere with peripheral vision.
How is the procedure performed?
Eyelid surgery is usually performed using local anesthesia and light
intravenous sedation. It is commonly done in a doctor s office, outpatient
surgical center or, in some cases, in a hospital. The procedure is most often
performed on an outpatient basis.
Are there scars from the blepharoplasty procedure?
Scars are a result of any surgical procedure. The incisions made to accomplish
the goals of the procedure are barely visible after several months as they are
placed within the normal creases and folds of the upper and lower eyelids. In
patients who only need removal of fat from the lower eyelids, the incision can
be made on the inside of the eyelid, and will therefore result in an invisible
Will the fine wrinkles around my eyes go away after blepharoplasty? What about
my sagging eyebrows and dark circles under my eyes?
The blepharoplasty procedure will not eradicate the wrinkles around the eyes
(crow s feet) nor will it elevate droopy eyebrow. There are other procedures
designed for these purposes. Dark circles under the eyes may improve a bit if
this is related to large bags , but most often the dark appearance of the lower
eyelid skin remains.
Can anyone have a blepharoplasty?
The best patients are those who are healthy, psychologically stable and well
motivated. Some medical conditions may increase the risk of blepharoplasty
surgery such as thyroid disease, high blood pressure, and patients who do not
make sufficient tears to keep their eyes well lubricated.
What are the risks involved with this procedure?
Fortunately, when performed by a competent plastic surgeon, complications are
infrequent and minor. All patients will experience some bruising and swelling
for a few days after the surgery. In addition, a temporary problem with closure
of the eyelids is usually seen. Some may have temporary blurring of their
vision, usually due to the ointments applied to the incisions post operatively.
In rare instances, the lower eyelid may be pulled down causing an ectropion. If
this does not resolve on its own, further surgery may be necessary. The
theoretical complications of any surgical procedure, such as bleeding,
infection, wound disruption and heavy scarring are also possible, but rare.