Eyelid Surgery, Eyelid Lift, Eye Lift (Blepharoplasty)
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The effects of aging are commonly first noticed around the eyes. With years, loose skin and protruding fat develop in both upper and lower eyelids forming increased bulging and puffiness above and below the eyes. These changes result in a sad and tired look which can affect the way patients feel about themselves and how others see them. Excess skin of the upper eyelids can cause droopy lids, impairing vision and thus blepharoplasty may be performed on a functional basis to improve a person’s visual field. Through careful removal of extra skin and fat from both upper and lower eyelids, blepharoplasty (eyelid lift, eye lift, eyelid surgery) can reverse these changes resulting in a refreshed, natural look. Upper and lower eyelid corrections are most commonly done together, frequently being combined with facial procedures such as facelift, neck lift, rhinoplasty as well as other cosmetic facial procedures.
Blepharoplasty, eyelid surgery, can achieve a dramatic rejuvenating effect on the overall facial appearance. The goal is to achieve natural looking, rested eyes while avoiding the “over-operated appearance” with contour changes and hollowing.
Pre-Blepharoplasty/Eyelid Surgery Consultation
Our wish is to help you decide on the best treatment program tailored to your individual needs. During your consultation Dr. Zemplenyi will address your eyelid cosmetic concerns and will advise you on the various blepharoplasty techniques available for their correction. While Dr. Zemplenyi will provide you with his recommendation for your treatment, you will be empowered to make an informed decision about those procedures best for you. At times, the fullness in the upper eyelids may be caused by gravity-induced descent of the eyebrows, and thus a brow lift may be needed to fully correct the upper eyelid problem. Lower eyelid surgery addresses removal of the fatty deposit and some of the skin excess. Other techniques such as a chemical peel or laser resurfacing may be recommended for treatment of more extensive lower eyelid wrinkling and crow’s feet. Non-invasive treatments with fillers and Botox may be indicated in other situations, either as the main treatment or as an adjunctive (complementary) procedure. Cosmetic surgeon Dr. Zemplenyi performs blepharoplasty at our Bel-Red Center for Aesthetic Plastic Cosmetic Surgery.
What about Eye Lift Surgery & Anesthesia?
Our goal is to perform all surgeries without patient recollection of the procedure and with the least amount of discomfort or anesthetic side-effects. Dr. Zemplenyi performs blepharoplasty most commonly under “twilight sleep” sedation. Please refer to the section on Anesthesia and Pre-Operative instructions for further information. The technique of blepharoplasty used will be decided by you and Dr. Zemplenyi in the pre-operative consultation. We often combine blepharoplasty with other of the many cosmetic procedures we offer.
The Blepharoplasty/Eyelid Surgery Procedure
Incisions for upper eyelid blepharoplasty are placed in the skin creases of the upper eyelid while for lower eyelid surgery incisions can be placed on the inside surface or under the eye lashes of the lower eyelids, thus making them almost invisible following the required healing time. Excess skin and fatty tissue are then carefully and conservatively removed and the incisions then closed. Special techniques are available for to accommodate various needs Asian patients requiring creation of a “double break” upper eyelid crease (Asian blepharoplasty), older patients with a droop of the upper eyelid margin (ptosis, blepharoptosis) needing raising of the lid margin, or patients with a lower eyelid droop (ectropion). Following blepharoplasty, patients are discharged home, accompanied by a responsible adult, usually within 30 to 45 minutes following completion of surgery.
After Your Eyelid Lift
Post-operative discomfort is quite easily controlled with prescribed medications and many patients do not feel the need to use the prescribed narcotic medications at all or beyond the first 24 hours. Application of ice compresses and elevation of the head tend to decrease on swelling and bruising. Application of mild antibiotic ointment to the incisions increases comfort. Artificial tears are sometimes used by patients to keep their eyes refreshed. A check-up visit with Dr. Zemplenyi occurs within three days and sutures from the upper eyelids are removed in seven to eight days. While the amount of bruising is minimized using our modern surgical techniques, the actual amount varies depending on individual circumstances. Most swelling and bruising resolve in ten to fourteen days. Make-up can be applied after the first week with many patients returning to work in less than one week using sun glasses to camouflage post-operative changes. The final cosmetic result may not be achieved for three to four months when residual changes have resolved.