Also known as an Eyelift or Blepharoplasty, this surgery improves the appearance of either the upper, lower, or both eyelids. This surgery is used to correct hanging, loose, or puffy skin in the upper lid, as well as loose or puffy skin in the lower lids. Additionally, deep grooves under the lower lids that give the appearance of being tired can be corrected with this type of surgery.
Many people who are considering eyelid surgery are also potential candidates for a brow lift, a facelift, fillers like Juvederm, and botulinum toxin injections.
When To Consider Eyelid Surgery
Eyelid surgery has many benefits. It will reduce the puffiness and fullness in both your upper and lower lids, as well as extra skin that may obstruct vision in the upper lids. The scars can be well hidden in the upper lid crease, under the lower lid lashes, or on the inside of the lower lid. There are some negative issues to consider. There may be a few weeks before your results become evident, mostly due to bruising and swelling. Your eyes may be itchy and dry following your procedure, and this may require additional eye drop medications for a number of weeks after the procedure. Finally, if your eyebrows droop, you may also need a brow lift as well.
The most common reasons why you may consider eyelid surgery:
- Excess upper lid skin obscuring the natural fold
- Loose upper lid skin that obscures your vision
- Puffiness of the upper lids, giving your eyes a tired or sad look
- Loose and excessive upper lid skin making even application of make up difficult
- Fine, loose skin of the lower lids with wrinkles
- Under eye bags or dark circles
Eyelid surgery or blepharoplasty can be performed on the upper or lower lids, or both. Your preoperative evaluation will determine the nature and extent of your surgery, and whether you will benefit from upper lid surgery, lower lid surgery, both, or a concomitant brow lift surgery. Depending on your anatomy, the surgery may involve reduction of excess skin, muscle, or fat. Alternatively, lid tightening or fat repositioning may be indicated. Dr. Minniti will review your history, which will include medical conditions, previous surgeries, and allergies and current medications. In addition to your history and physical, your aesthetic goals will be discussed to help Dr. Minniti determine the best course of action.
About Your Procedure
Precise skin markings will be made by Dr. Minniti to indicate landmarks and potential incisions. In the upper lid, the scar can fall in the upper lid crease, but may extend to the lateral orbital area where it can potentially be seen. In the lower lid, the scar can be on the inside of the lid, also known as the conjunctiva (transconjunctival incision). Frequently, a laser or a chemical peel can be performed to smooth and tighten the lower lid skin. Alternatively, a ‘skin pinch’ excision may be performed to tighten skin, leaving an incision just under the eyelashes of the lower lid.
Skin and sometimes muscle is reduced by Dr. Minniti using a scalpel and sharp scissors. Sometimes fat is reduced to alleviate puffiness, usually in the lower lids. Frequently, fat in the lower lids is partially released and repositioned into the upper cheek; this has the two-fold effect of decreasing puffiness and smoothing the transition between lid and cheek. Sutures are placed to close incisions, which are treated in 5 to 7 days.