Eyelid Surgery/ Blepharoplasty
Are you starting to notice that age is beginning to take a toll on your eyes, specifically your eyelids? If you are unhappy with the look of saggy or puffy upper or lower lids, eyelid surgery may be able to help. This procedure is commonly performed on men and women alike to create a youthful, refreshed appearance. Blepharoplasty is a type of surgery that repairs droopy eyelids and may involve removing excess skin and fat. As you age, your eyelids stretch and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, droopy upper lids and bags under your eyes. Besides making you look older, severely sagging skin around your eyes can reduce your field of vision, especially the upper and outer parts of your field of vision. Blepharoplasty can reduce or eliminate these vision problems and make your eyes appear younger and more alert. Our office is 12 minutes from Brookhaven and 16 minutes from Buckhead.
To help decide if blepharoplasty is right for you, find out what you can realistically expect and explore the benefits and risks of blepharoplasty. With his artistic eyes and steady hands, Dr. Walker can provide you with the natural looking, long lasting results you desire.
What is a Blepharoplasty?
Blepharoplasty, or eyelid surgery, is a procedure to refresh the eyelids to accentuate the natural beauty of your eyes. It can be performed on the upper eyelids, lower eyelids, or both, to rejuvenate the eyes and improve a tired appearance. The changes are typically subtle yet can make a striking impact on your overall appearance. Upper or lower blepharoplasty in Atlanta is a popular cosmetic surgery that is performed on both men and women.
Upper eyelid surgery focuses on removing skin redundancy with or without conservative fat removal. Ptosis, or drooping of the upper eyelids, may be performed in conjunction with upper blepharoplasty.
Lower eyelid surgery is focused on removing bags of protruding fat under the eyes, camouflaging the “tear trough,” improving dark shadows under the eyes, and conservatively removing excess lower eyelid skin if needed. As the eyes are considered to be the most engaging and important part of your face, eyelid surgery can correct the aforementioned issues and give you a more youthful, refreshed, and awake look. Even though most blepharoplasty surgeries are considered cosmetic, upper eyelid surgery may be functional if the field of vision is impaired from heavy upper eyelids.
WHAT TYPES OF BLEPHAROPLASTY ARE THERE?
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Cosmetic Blepharoplasty
Cosmetic Blepharoplasty addresses eyelid problems that affect the aesthetics of the eyes and face to create a more youthful look. There are several issues that can be corrected through cosmetic blepharoplasty, which can give you a more youthful and rested appearance. Normal aging can cause the skin to stretch and muscles to weaken in both the upper and lower eyelid areas.
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Functional Blepharoplasty
Functional Blepharoplasty corrects eyelid issues that affect an individual’s field of vision. If the field of vision is diminished, the surgery would be considered functional surgery as opposed to cosmetic surgery and could be covered by your health insurance depending on your insurance plan. An ophthalmologic evaluation is typically necessary to examine your field of vision.
HOW IS A BLEPHAROPLASTY PROCEDURE DONE?
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Lower Blepharoplasty
Upper eyelid surgery may be safely and comfortably performed under local anesthesia or twilight sleep either in the office or operating room depending on your preference. Lower eyelid surgery is performed under deeper sedation either in the office or operating room. Under sedation, you are considered to be awake but unaware of the procedure. In some instances, blepharoplasty is performed under general anesthesia with you fully asleep and unaware of the procedure (usually done in conjunction with other procedures such as brow lift, rhinoplasty, or facelift). Dr. Walker will discuss the anesthetic options with you and recommend the most appropriate method of anesthesia in your specific case.
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Upper Blepharoplasty
Upper eyelid surgery is performed through a small hidden incision in the natural upper eyelid skin crease. This allows for the removal of loose and excess skin, removal of fatty tissue as necessary, repositioning of the lacrimal gland (tear-producing gland) if needed, and correction of eyelid position. The procedure takes approximately one hour. Sutures are placed on the outside and removed 5-7 days after surgery.
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Anesthesia
Lower eyelid surgery may be performed through a carefully planned small incision inside your eyelid, a small incision just below your lash line, or both. Incisions just below the lash line (“subciliary”) are typically best to address and treat excess skin to subtly lift the skin to achieve a softer and flatter look and correct lower lid malposition/laxity. This approach is more commonly utilized in older patients. Internal incisions (“transconjunctival”) through the inside of the lower eyelid may be utilized if the fat protrusion is the sole problem without skin redundancy/excess. This approach is commonly utilized in younger patients or patients with puffy eyelids only. In some cases, a laser resurfacing treatment can be incorporated to assist with skin tightening or discoloration, while fillers may be used to achieve more smoothness and softening.
BLEPHAROPLASTY RECOVERY
Eyelid surgery is an outpatient procedure. Once eyelid surgery has been completed on both sides, ointment and cool compresses are applied. After recovering from the twilight anesthesia and assuring your comfort, you will be able to go home the same day.
After upper eyelid surgery, some bruising and swelling is to be expected that typically lasts for one week. It is recommended that you rest at home and do not go to work for one week after surgery. A cold compress can help reduce discomfort, swelling, and bruising. Sutures are removed after 5-7 days. Mild blurry vision is not unusual after eyelid surgery and usually lasts one week, rarely longer. After 2-3 weeks, you may wear contact lenses again or apply eye makeup. If upper and lower eyelid surgeries are performed at the same time, the recovery time takes slightly longer with the lower eyelid surgery being the rate-limiting step in your recovery.
Can you get rid of hooded eyelids?
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Does insurance cover the cost of eyelid surgery?
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How long does upper eyelid surgery take?
Are there non-surgical alternatives to eyelid surgery?
Can Botox lift droopy eyelids?
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Schedule your consultation
Are you interested in learning more about the best blepharoplasty procedure in Atlanta? If so, contact our office today to schedule a consultation with double board-certified facial plastic surgeon, Dr. Thomas Walker.