Blepharoplasty

What is a Blepharoplasty?

Eyelid surgery, also known as blepharoplasty, is a surgical procedure that rejuvenates the upper or lower eyelids. Excess skin, wrinkles, hollows, and fatty deposits that cause puffiness compromise the beauty of the eyes. Current blepharoplasty techniques not only remove excess skin and wrinkles, but also contour and restore youthful volume to the upper and lower eyelids in a way that maximizes beauty and draws attention to the eyes.

Who is a candidate for a Blepharoplasty?

The best candidates for eyelid surgery are individuals in good health who have realistic expectations about the outcome. They are usually at least 35 years and do not have excessively dry eyes or other ophthalmologic diseases. If you desire a general change in your eyelid anatomy or if excess skin and wrinkles around your upper and lower eyelids are causing bags and circles, you may be a candidate for blepharoplasty. Also known as eyelid surgery, this procedure offers a long-lasting solution that is sure to improve your confidence and make you look and feel younger.

What to expect from a Blepharoplasty procedure:

A typical eyelid surgery, depending on whether just 2 upper or lower eyelids or all 4 eyelids are addressed, make take anywhere from 30 minutes up to two hours. These procedures may be performed either in the office or in an operating suite. You’ll receive a local anesthetic after either oral or intravenous sedation. More extensive procedures are done with general anesthesia. Upper eyelid surgery is usually performed first; incisions are made along the natural folds of the eyelids and the skin is separated so that excess fat, tissue and muscle can be contoured or removed. For the lower eyelids, an incision is usually made either inside of the eyelid or just below the lashes. These incisions generally heal imperceptibly. Excess fatty deposits are removed or contoured to eliminate bags or circles below the eyes. This is followed by excess skin removal and careful closure of the incisions. In some cases, after the incision is closed, laser or chemical resurfacing may be recommended to improve skin quality of the eyelid skin.

Post Operative:

Initially, there will be swelling and bruising. Eyelid skin is particularly prone to this, but with aggressive application of ice or iced saline compresses, this will quickly resolve. Antibiotic eye ointment will be applied to the incisions twice a day, occasionally making reading difficult. To pass the time, books on tape work well while applying ice packs during the first few days. Pain is generally minimal with this procedure. Many patients need only Tylenol. By one week, make-up can be applied and most patients can generally return to normal social and work activity. Deeper bruises may last longer. Heavy lifting or strenuous activity is limited for two weeks.

What are the Risks?

While eyelid surgery is a common procedure that thousands of people undergo every year without problems, there is always some risk involved with surgery. Possible complications include infection, hematoma, scarring, allergic reactions, eyelid position changes or asymmetry, other cosmetic imperfections, an inability to completely close the eyes, loss of vision, and dryness or irritation in the eyes. Complications are rare, and the beneficial results are usually very long lasting. However, over time, the process of aging continues and eventually laxity of upper eyelid tissues will recur. Some patients choose additional surgery on the upper eyelids after a number of years. Repeat surgery on the lower eyelids is rarely necessary.

Call Gardner Facial Plastic Surgery at (435) 628-1704 for more information or to schedule an appointment.

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Dr. Gardner is a fellowship trained, national award winning, double board certified specialist of the face and neck. His unique skillset allows him to blend cutting edge surgical and non-surgical techniques to give each patient customized, natural results.

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