BLEPHAROPLASTY - Cosmetic Surgery of the Eyes

The eyes account for a large part of the expression of the human face:  they project an array of emotions including happiness, sorrow and fear.  Yet the eyes themselves are virtually expressionless structures.  It is the contour of the skin - the tissue, muscle, fat, hair and lashes around the eyes - that conveys expression.  Wrinkles and deep lines as well as puffiness of the lids begin to develop with the passage of time.  Exposure to the sun and genetic predisposition can also be contributing factors.  The result can be marked changes in expression causing a tired and/or older appearance.  These physical changes can be one of the first areas of concern for those in their ate 30's and 40's.   Today, a remarkable surgical technique called blepharoplasty has been developed to eliminate many of these problems

Blepharoplasty can correct sagging eyelids, pouches beneath the eyes and excess folds around the eyes.  This surgical procedure involves the removal of excess skin and fat on upper and lower eyelids.

BEFORE SURGERY

Prior to surgery, a complete medical history is taken in order to evaluate the general health of the patient.  A thorough examination of the eyes and face is made to determine the most effective surgical approach.  The amount distribution and type of excess skin to be removed is carefully noted.  The physician describes the anesthesia to be used, the procedure, what results might realistically be expected, and possible risks and complications. 

BLEPHAROPLASTY SURGICAL PROCEDURE

Blepharoplasty procedures are performs in our office and is done under local anesthesia in which the area is numbed and the patient remains awake.  Prior to surgery, premedication to relax the patient is administered.

Following natural lines and creases, very fine incisions are made from the inner to the outer edge of the eyelid.  In selected cases, incisions can be made inside the eyelid.  The upper eyelid is worked on first with the incision made in the fold of the lid.  On the lower eyelid, the incision is made directly below the eyelash or in the conjunctive (the pink lining of the inner eyelid).  Excess fat and skin are then removed from the underlying compartments. The amount of fat excised is determined by the degree of protrusion of fat when pressure is gently applied to the area.  Small sutures are used to close the incision and special ointments and dressings may be applied.  The procedure can take one to two hours, depending upon the extend of the surgery.

TRANSCONJUNTIVAL BLEPHAROPLASY

Another procedure, Transconjunctival Blepharoplasty, may be performed for patients that have fat deposits below their lower eyelids but do not need skin removed.  An incision is made inside the lower eyelid and the fat is then removed.  No sutures are used to close the incision and no visible scar is left.  this procedure is usually performed on patients with more elastic skin to prevent drooping of the lower eyelid or changing the shape of the eyes.

FOLLOWING EYE SURGERY

Antibiotics may be continued for several days following these eye surgeries.  Sutures are removed within a week.  Some swelling and bruising occur but subside in a few days.  The physician may prescribe ice compresses and/or eye exercises to reduce swelling and regain mobility.  Women may be allowed to use eye makeup ten days to two weeks after surgery but are cautioned to cleanse the area thoroughly after each use.  The Physician determines when normal activities can be resumed; however strenuous exercise must be avoided for several weeks following surgery.

After blepharoplasty, excessive drying of eyes can occur, but this condition can be alleviated with medication.  There may be sensitivity to bright light and wind in which case the use of dark glasses is indicated,  Sensory changes such as numbness and itching may occur during the healing process.  Final evaluation may not be possible for several months following surgery.

typical Results

Before	After