Blepharoplasty/Eyelid Surgery

Eyes are a prominent facial feature. It is the surrounding skin, rather than the eyes themselves, that conveys emotion. The tissue, muscle, fat, hair and lashes all contribute to the wide array of expressions. Age, sun exposure and hereditary factors all contribute to wrinkles, deep lines and puffiness around the eyes.

The aging process can cause unwanted changes in expression, causing us to look permanently fatigued and older than we really are. These changes in appearance can cause emotional distress and sometimes even visual impairment. An eyelid lift, or blepharoplasty, is designed to restore a more youthful appearance to your eyes. It may involve the upper lids, the lower lids, or both.

How is the surgery performed?

Traditional Blepharoplasty: An incision is made in the crease of the upper lid. Once healed, it is not noticeable when the eye is open. On the lower lid, the incision is made along the lash line and is hidden by lashes when healed.

The Transconjunctival Approach: An incision is made inside the lower eyelid and fat is removed through this incision. There is no skin excision so excess skin cannot be eliminated.It is often combined with a small skin pinch excision.

Blepharoplasty is often performed with other facial cosmetic procedures. Occasionally an abnormally droopy upper eyelid condition known as ptosis is present and should also be corrected.

Who is a candidate?

Healthy non-smoking individuals without serious eye conditions who show signs of aging. These include, loose or sagging eyelid skin, fat bulges causing bags under the eyes and upper eyelid puffiness all of which give tired and aged look.

What are common risks?

Dr Chun will discuss in detail the complete risks associated with the procedure. Although rare, some of the notable risks include:

  • Bleeding/hematoma.
  • Numbness and other skin changes.
  • Difficulty closing eyes.
  • Droopy lower eyelids.
  • Impaired or very rarely loss of vision.
  • Dry eyes.

How long is the recovery period?

The area surrounding the eyes will remain swollen in the days following the surgery. It should begin to subside after the first 48 hours. Some vision blurring is normal.

The stitches will be removed in 7 days. Swelling and bruising will persist for about 10 days, but wearing makeup helps to conceal these appearances. Light activity is started after the first week . Physically strenuous activities including exercise is resumed at 4 weeks. Most patients start to enjoy their new look at about 2 weeks. It may take about 6 months for the scars to fade.