The eyes have a tremendous impact on appearance. Unfortunately, the eyes are often the first place to show signs of aging. Skin around the eyes is half as thick as the rest of the facial skin, has fewer oil glands, and weaker internal support. The anatomic differences combine with heredity, sun damage, stress, fatigue, and a lot of exercise to make the eyes “the first to go.” That is why a range of people, young and old, men and women, can benefit from eyelid surgery (blepharoplasty). This procedure is designed to remove bags, pouches, and excess skin from under and over the eyes.
The Consultation Process
During your initial consultation, Dr. Scott Miller will perform a physical examination of your eyelids and facial structure to determine if you are a good candidate for eyelid surgery. Dr. Miller will also carefully review your medical history and check for any pre-existing ophthalmologic conditions (including glaucoma or dry eye) that may impact the outcome of the procedure. If you are a good candidate for eyelid surgery, Dr. Miller will thoroughly discuss your expectations and then design a customized treatment plan that can achieve your unique cosmetic goals.
Eyelid Surgery Procedure and Results
Eyelid surgery can either be performed on the upper eyelids, the lower eyelids, or both depending upon your particular needs. During the consultation process, Dr. Miller will recommend a treatment plan that can best address your concerns. Eyelid surgery typically takes one to two hours to complete; however, this will depend on the individual treatment plan. In some cases, Dr. Miller may recommend combining eyelid surgery with an additional procedure to achieve the patient’s overall goals. For example, a brow lift (forehead lift) can be performed to minimize signs of forehead wrinkles and raise sagging eyebrows.
- Upper Eyelid Surgery is designed to eliminate excess skin from the upper eyelids. In addition, fine lines and wrinkles can be smoothed for a more youthful appearance. During surgery, an incision is typically made along the crease of the upper eyelid to conceal any scarring. Excess skin is excised and any pockets of fat are reshaped or removed.
- Lower Eyelid Surgery is designed to tighten sagging skin, reduce excess fat bulging beneath the eyelids, and diminish the appearance of dark circles. During surgery, an incision is usually made below the rim of the lower eyelashes, which can conceal the incision line after the healing process is complete. Excess skin is excised, pockets of fat are reshaped or redistributed to fill hollowed tear troughs, and the skin of the lower lids is tightened to resolve laxity.
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Recovery and Results
After surgery, soreness can be controlled by medication and cold compresses, which can also limit swelling and bruising. Occasionally, patients may experience excessive tearing or light sensitivity. This usually responds to eye drops and should not last long. Most patients are up and around in a day or two and back to work in 7 to 10 days. For upper eyelid surgery, sutures are typically removed approximately one week after surgery. For lower eyelid surgery, the incisions are often closed with dissolving sutures that should fall out within one week.
For many patients who have had eyelid surgery, friends and co-workers ask them if they have been away on vacation or on a new health plan. For those whose drooping eyelids were limiting their vision, eyelid surgery can provide a widened window to the world. This treatment allows for a more refreshed, alert, and youthful appearance for many individuals. They are amazed at how a little improvement around the eyes can have such a dramatic impact on both physical appearance and self-confidence.
For more information on the eyelid surgery procedure, please contact our office today.
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