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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, combined with heredity, sun damage, stress, fatigue, and a lot of exercise, 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).

What is Blepharoplasty?

Eyelid surgery is designed to remove bags, pouches, and excess skin from under and over the eyes. Signs of aging can be reduced to create a more rested and energetic appearance, while “hooding” of the upper eyelids—in which lax skin above the eyes droops into your line of vision—can be corrected. Eyelid surgery has grown tremendously in popularity as men and women realize how small improvements in the eyes can create a powerful result and achieve a more youthful appearance. Depending on your desired look, eyelid surgery may involve removing excess skin, tightening skin laxity, repositioning pockets of fat, or some combination of all these techniques. With this procedure, plastic surgeon Dr. Scott Miller can improve telltale signs of exhaustion and age in the eyes and provide naturally beautiful results.

What are the Benefits of Eyelid Surgery?

When performed correctly, blepharoplasty can enhance the contour of the eyelids without producing an “overdone” look, achieving beautiful rejuvenation of the area around the eyes. Blepharoplasty is often used to:

Yielding results that look elegant and natural, Dr. Miller takes great care to place incisions discreetly within the lower lash line or along the natural crease of the eyelid.

Candidates for Eyelid Surgery

Ideal candidates for eyelid surgery typically exhibit:

These characteristics often make a person seem older than they actually are, or constantly tired and stressed. If you wish to invigorate your appearance, eyelid surgery can serve as a solution to rejuvenate and refresh the eyes. A consultation with Dr. Miller can help you learn whether eyelid surgery is an ideal treatment for your cosmetic goals.

The Consultation Process

During your 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 review your medical history and discuss any pre-existing ophthalmologic conditions you may have (including glaucoma or dry eye). If you are a good candidate for eyelid surgery, Dr. Miller will thoroughly discuss your expectations and then design a customized treatment plan around your unique needs and reasons for surgery.

How is the Eyelid Surgery Procedure Performed?

Eyelid surgery can either be performed on the upper eyelids, the lower eyelids, or both, depending on 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.

Non-surgical cosmetic enhancement procedures like our facial filler treatments can also be excellent complements to eyelid surgery.

Upper Eyelid Surgery

Upper eyelid blepharoplasty is designed to eliminate excess skin over the eyes and correct the “hooding” effect that can result from sagging tissue. 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

On the lower eyelids, this 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 hollow tear troughs, and the skin of the lower lids is tightened to resolve laxity.

What is Recovery From Eyelid Surgery Like?

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. Sutures are typically removed approximately one week after surgery.

What Results Can I Expect From Blepharoplasty?

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. While the aging process will continue, results achieved from blepharoplasty can be very long-lasting and typically do not require retreatment.

What Will My Blepharoplasty Scars Look Like?

Scars from eyelid surgery often have the advantage of easily blending into areas of natural anatomic transition around the eye. For example, an incision placed along the crease of the upper eyelid typically allows any scarring to be imperceptible to outside observers. These scars also usually fade to some degree as they heal, further disguising their appearance over time. In cases of lower eyelid surgery, the scar can be even more inconspicuous, as it is often located just below the lash line. Dr. Miller will examine your concerns and show you exactly where your blepharoplasty scars are most likely to appear. Fortunately, the issue of scarring is rarely a concern for our patients thanks to Dr. Miller’s meticulous surgical technique.

How Much Does Blepharoplasty Cost?

The price of eyelid surgery generally depends on many factors unique to your treatment plan, such as the extent of your concerns, whether upper and/or lower eyelid surgery is being pursued, and the surgical technique necessary to achieve your goals. In any case, our Patient Care Coordinator will be able to provide you with a personalized quote of your expenses once Dr. Miller evaluates your needs in a consultation.

If you prefer to pay for your blepharoplasty procedure in installments rather than a lump sum, our practice accepts plastic surgery financing from CareCredit®. This widely used healthcare lending company can make it easier to pay for out-of-pocket treatment costs by offering qualified applicants a variety of low- to no-interest payment plans. Approved patients can simply choose the arrangement that suits their budget most ideally, thereby making any expenses from eyelid surgery more manageable. If you have any questions about our accepted payment methods, please don’t hesitate to reach out to our team today.

Is Non-Surgical Blepharoplasty Possible?

There is currently no non-surgical treatment that can achieve the same quality of results as blepharoplasty. However, if you would like to refresh the upper third of the face and achieve a more youthful look around the eyes, you may benefit from treatment with BOTOX® Cosmetic. This minimally invasive injectable can be an excellent way to smooth forehead creases, frown lines between the eyebrows, and crow’s feet that line the corners of the eyes. While BOTOX® Cosmetic is not designed to treat lax eyelid skin, it can be used to help smooth expression lines and reduce some signs of facial aging without the need for downtime. Dr. Miller can listen to your aesthetic goals in a consultation and suggest the most appropriate treatment options to address your concerns.

Additional Blepharoplasty FAQs

What is transconjunctival blepharoplasty?

The transconjunctival procedure refers to an eyelid surgery technique that uses a small internal incision to smooth eye bags and puffiness in the lower eyelid. Under-eye bags can develop for genetic or age-related reasons as the fat pockets around the eyelid begin to bulge forward. Transconjunctival blepharoplasty can reposition this herniated fat to reduce an aged or fatigued look while yielding a more energetic aesthetic. Since the incision is made on the inside of the eyelid, the procedure should not leave external scars.

How long after eyelid surgery should I wait before I wear makeup?

You should wait to apply makeup for at least two weeks after surgery, or until your incisions are fully healed. Putting on makeup before it is safe to do so can expose your incisions to dirt, bacteria, and other impurities that increase the risk of infection. Dr. Miller will let you know when you can resume makeup application based on the progress of your healing. Once you can safely use makeup again, we recommend replacing your old products with new cosmetics to lower the chance of bacteria buildup.

How can I reduce swelling after blepharoplasty?

Swelling after surgery can be reduced by limiting activity, using bandages or compresses as directed, and not smoking. Over-the-counter pain medication can also temporarily alleviate discomfort from post-surgical swelling and/or bruising. While the majority of swelling should resolve within the first two weeks, mild inflammation may linger for as long as a couple of months.

When can I wear contacts after eyelid surgery?

If you wear contacts, Dr. Miller will instruct you to switch to eyeglasses for at least two weeks after surgery. This is required to limit tension on your incisions and prevent twisting and tugging of the skin.

What’s the difference between eyelid surgery and ptosis repair?

Eyelid surgery is largely considered a cosmetic procedure while ptosis repair is performed to correct a medical condition. Patients experience ptosis when their levator muscles (the muscles that support the upper eyelids) stretch or separate and are no longer able to fully uphold the eyelids. As a result, the upper lid can droop and cover the eye, often conveying a tired expression in addition to obstructing one’s line of sight. Ptosis repair is a medical procedure designed to tighten the levator muscles and treat this condition. Blepharoplasty, on the other hand, is intended to improve aesthetic concerns.

For more information on the eyelid surgery procedure, please contact our office today.