Blepharoplasty (eyelid surgery) is a plastic surgery procedure for correcting sagging or drooping eyelids. The eyelid, because its skin is much thinner than that in other parts of the face, is often one of the first facial areas to exhibit signs of aging. Eyelids that sag or droop can affect peripheral vision, making daily activities such as driving more difficult. Blepharoplasty may become necessary when various factors, which include aging, sun damage, smoking and obesity, cause the muscles and tissue that support the eyelids to weaken.
What can a blepharoplasty do?
A blepharoplasty is ideal for correction of the following:
- Loose, sagging and/or folded upper eyelids that may interfere with vision
- Puffy fat deposits in the eyelids
- Undereye bags
- Sagging lower eyelids that may show the whites of the eyes below the irises
- Excess skin in the lower eyelids
- Fine wrinkles in the lower eyelids
A blepharoplasty cannot raise the eyebrows, or treat deep wrinkles, dark circles under the eyes, or crow's feet.
Reasons for Blepharoplasty
Blepharoplasty tightens the eyelid's muscles and tissue, and removes excess fat and skin. Blepharoplasty eliminates the drooping of skin into the visual field, greatly improving peripheral vision. It is also performed for strictly cosmetic reasons.
If the eyelids begin sagging into the field of vision, a functional blepharoplasty may be required. The procedure may be covered by medical insurance if it is deemed medically necessary. A determination of how much vision is affected is done by checking the peripheral visual field with an instrument called the Humphrey Visual Field (HVF) Analyzer.
Dr. Carlos Paz can perform Blepharoplasty on either the upper or lower eyelid, or on both, for cosmetic purposes. For a lower eyelid that needs fat rather than skin removed, a transconjunctival blepharoplasty is performed. During transconjunctival blepharoplasty, an incision is made inside the lower eyelid, so there are no visible scars, and the fat is removed. This procedure has no effect on vision, but results in a person's looking younger and more refreshed.
It is important for a patient to have realistic expectations before undergoing cosmetic blepharoplasty. Although the procedure can enhance appearance and improve self-confidence, it does not radically alter the face.
The Blepharoplasty Procedure
Blepharoplasty is typically performed as an inpatient procedure requiring local anesthesia and sedation. General anesthesia may be used for anxious patients. Patients can choose to have this procedure on their upper or lower eyelids, or both. The procedure can take anywhere from 45 minutes to 2 hours, depending on whether both the upper and lower eyelids are operated on.
If the upper eyelid is being operated on, Dr. Carlos Paz will typically make an incision along its natural crease. Once the incision is made, fat deposits are repositioned or removed, muscles and tissue are tightened, and excess skin is removed. For the lower eyelid, an incision is usually made just below the lash line so that excess skin can be removed.
After the procedure, the incisions are closed with sutures, tissue glue or surgical tape, and usually loosely covered with gauze so the area can heal.
What is recovery from a Blepharoplasty like ?
After blepharoplasty, patients may be advised to apply lubricating drops/ointment and cold compresses to aid in healing and minimize side effects. Most patients return to work within a few days to a week, but should avoid exercise and strenuous activities for at least 2 weeks. Stitches are usually removed 3 or 4days after the procedure. Most of the swelling and other side effects typically subside within 2 weeks. Contact lenses and eye makeup may not be worn for 2 weeks after surgery. Patients are typically advised to wear dark sunglasses outside or in bright light for 2 weeks to protect their eyes from sun and wind.
Risks of Blepharoplasty
Although there may be swelling and bruising around the surgical site, they will subside on their own, and the eyelids will improve in appearance for up to a year. Uncommon side effects include infection, reaction to anesthesia, and double or blurred vision. Eyes may be irritated and dry due to a temporary change in tear distribution. Side effects such as uneven healing and permanent scarring are rare but, if they occur, may require surgical correction. The scars from blepharoplasty are well-concealed, and usually fade with time until they are virtually undetectable. Although the eyelids are still subject to aging, blepharoplasty produces long-lasting results.
Blepharoplasty, also known as eyelid surgery or an eyelid lift, can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat and skin from the upper and/or lower eyelids. The procedure canal so tighten eyelid muscles and tissue. A blepharoplasty is performed to improve a patient's peripheral vision by lifting droopy eyelids, or strictly for cosmetic reasons.
Who is a good candidate for a blepharoplasty?
The best candidate for a blepharoplasty is in good overall health, does not smoke, does not have serious eye conditions, and has healthy facial tissue and muscle.
A person with eye disease, diabetes, thyroid disorder, cardiovascular disease or high blood pressure may not be a good candidate for a blepharoplasty.
It is important for a patient to have realistic expectations before undergoing a blepharoplasty. Although it can enhance appearance and improve self-confidence, it does not radically alter the look of the face.
What are the results of a blepharoplasty?
Although there may be swelling and bruising around the surgical site, they will subside on their own, and the eyelids will improve in appearance for up to a year. The scars from a blepharoplasty are well-concealed, and usually fade with time until they are virtually undetectable. Although the eyelids are still subject to aging, blepharoplasty produces long-lasting results
Interested in Blepharoplasty in Fresno or Visalia, CA?
Take the next step and schedule a Blepharoplasty consultation! Call our Fresno office at 559-233-3376 or the Visalia office at 559-385-2133 to schedule your consultation today. You can also fill out the form on our contact page, and our team will help you set up a personalized appointment with one of our providers. Dr. Carlos Paz looks forward to serving you!