The eyelid lift or blepharoplasty is a procedure designed to remove excess fat and skin from your upper and lower eyelids. It will improve your droopy eyelids and puffy bags below your eyes, features that may make you look older and more tired than you feel. It may be combined with a forehead lift to correct drooping eyebrows.
The incision for your upper eyelid is usually made along the eyelid crease. The incision for your lower eyelid may be made inside the lower eyelid, avoiding external scars (transconjunctival) or externally just below the eyelashes. Excess skin along the outside of your lower eyelid region may be “tightened” with a chemical peel or ablative laser (CO2).
Who is a Candidate
- If you have excessive, sagging or wrinkled upper or lower eyelid skin.
- If you have excess upper eyelid skin that interferes with vision.
- If you have lost your natural upper eyelid crease.
- If you have puffy pouches of fat in your upper or lower eyelids that create a tired or aged appearance.
- A more youthful and rested appearance to your eyes.
- Widening of visual fields if excessive upper eyelid skin has partially blocked your vision.
- The operation is usually done on an outpatient basis under local anesthesia alone or conscious sedation.
- The incisions are made where the natural crease should be in your upper eyelids. Excess fat and skin are removed.
- The incision for your lower eyelids is usually inside the lower lids, avoiding external incisions and scar (transconjunctival).
- If there is significant “laxity” of your lower eyelids, a canthopexy or tightening procedure may be done at the same time. The incision is along the outer portion of the lid just below the eyelash line.
Recuperation and Healing
- Your sutures are usually removed within 7 days.
- Initial discomfort is usually mild and controlled with oral medication.
- Bruising and sensitivity to light usually subside within 1-2 weeks.
- Swelling usually disappears within 2 weeks.
- Eye makeup may be used following suture removal and healing of the incisions.
- Contact lenses can be worn when comfortable and sutures have been removed, usually 7-10 days.
- Additional procedures that may enhance your result include forehead lift (endo eyebrow lift), facelift, carbon dioxide laser resurfacing (CO2), chemical peel, and BOTOX®.
The specific risks and the suitability of this procedure for a given individual can only be determined at the time of consultation with your Cosmetic Surgeon. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.