Blepharoplasty

Blepharoplasty, also known as eyelid surgery, is a cosmetic procedure aimed at improving the appearance of the periocular area.

About Blepharoplasty

Overview

Blepharoplasty, also known as eyelid surgery, is a cosmetic procedure aimed at improving the appearance of the periocular area. The procedure reduces bagginess in the lower eyelids and removes excess skin from the upper eyelids. This method is beneficial as skin ages and loses elasticity, leading to excess skin accumulation due to gravity. Blepharoplasty can be performed on either the upper or lower eyelids.

Typically, the surgery involves removing excess skin, muscle, and fatty tissue, although sometimes tissues can be repositioned. While primarily a cosmetic procedure, it can also improve vision in cases where sagging upper eyelids obstruct the field of vision. Ideal candidates are generally over 30, in good health, and without underlying eye conditions. Realistic expectations are crucial, as the surgery enhances appearance and confidence but does not drastically alter facial features.

Advantages
  • Improved appearance of the eyelids.
  • Enhanced vision in cases where sagging eyelids obstruct sight.
  • Increased self-confidence.
  • Can be combined with other cosmetic procedures for comprehensive results.
Pros
  • Enhanced Appearance: Significantly improves the look of the eyes.
  • Improved Vision: Benefits those with vision obstruction due to sagging eyelids.
  • Quick Procedure: Typically lasts from 45 minutes to two hours.
  • Long-lasting Results: Effects can last many years.
Cons
  • Recovery Time: Several weeks with initial swelling and bruising.
  • Surgical Risks: Includes infection, bleeding, and anesthesia reactions.
  • Limited Scope: Does not address dark circles or facial wrinkles.
  • Potential Scarring: Risk of visible scars, despite discreet incisions.
What to Expect

Upper blepharoplasty involves incisions in the upper eyelid’s natural crease, removing excess skin and fat. Lower blepharoplasty uses an incision just below the lower eyelash line or inside the lower eyelid to address excess skin and fat. The surgery duration varies from 45 minutes to an hour for upper blepharoplasty and about two hours for combined upper and lower eyelid surgery.

Recovery

Expect swelling and bruising in the eyelids post-surgery. Stitches in the upper lids will remain for about a week, while lower lids may not require stitches if the surgeon uses internal incisions. Taking time off work and limiting activities for a few days is advised. Most people feel comfortable in public within 10 to 14 days, though complete healing can take months. Cold compresses and antibiotic ointment help reduce swelling, and the surgeon will provide specific care instructions.

Results

Be aware that blepharoplasty with fat removal does not address dark circles under the eyes, crow’s feet, or other facial wrinkles. Procedures like fat repositioning, filling hollows under the eyes, or cheek lifts can address these concerns. A provider may combine blepharoplasty with other facial surgeries, such as laser resurfacing or brow lifts, for enhanced results.

Safety Profile

As with any surgical procedure, blepharoplasty, particularly when performed on the lower eyelid, carries the risk of potential complications. These include dry eye syndrome, corneal abrasion, lid asymmetry, lagophthalmos, lacrimal gland injury, canthal webbing, postoperative hemorrhage, diplopia, infection, blepharoptosis, wound dehiscence, scleral show, and ectropion.

Cost

The typical cost associated with blepharoplasty, commonly referred to as eyelid surgery or an eyelid lift, varies between $3,200 and $7,500.

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