Eyelid Surgery (Blepharoplasty)

What is blepharoplasty?

Loose skin above the eyes, tired eyes or bags under the eyes can be improved dramatically with eyelid surgery, also known as blepharoplasty. Eyelid surgery improves the appearance of your upper eyelids, lower eyelids or both.

Am I a candidate for eyelid surgery (blepharoplasty)?

A common cosmetic procedure in patients age 30 and older, eyelid surgery, also known as an eyelid lift, is used primarily to fight the effects of aging skin. As skin ages, it gradually loses its elasticity, and this, combined with the constant pull from gravity, leads to excessive skin collecting in the upper eyelids, causing drooping of the eyelids. The primary cause of lower-lid aging is loosening of skin and the underlying muscle.

The best candidates for eyelid surgery are adult men and women who have healthy facial tissue and muscles and realistic goals for improving the upper and/or lower eyelids and surrounding area. If improving both upper and lower eyelids, the procedure is called an upper and lower blepharoplasty.

Candidates for eyelid surgery include:

• Healthy individuals who do not have a life-threatening illness
• Individuals with a positive outlook and specific goals in mind for blepharoplasty
• Individuals without serious eye conditions.

How do I prepare for eyelid surgery (blepharoplasty)?

Preparation for your eyelid surgery may includes:

• Lab testing or a medical evaluation
• Taking certain medications or adjusting your current medications
• Stopping smoking well in advance of surgery
• Avoiding taking aspirin, anti-inflammatory drugs and herbal supplements due to the risk of increased bleeding.

What results can I expect?

The final results of your eyelid surgery (eyelid lift) will appear within several weeks. While eyelid surgery will not stop your eyes from aging, the procedure is typically very long lasting. The effects of upper eyelid surgery can last many years to an entire lifetime, while lower eyelid surgery rarely needs to be repeated. Initial healing throughout the first one to two weeks following your eyelid surgery may include:

• Swelling
• Bruising

• Irritation or dry eyes
• Irritation at the incision sites.

It is important that you practice careful sun protection, including using darkly tinted sunglasses until the healing process is fully complete.

Is eyelid surgery (blepharoplasty) safe?

All surgical procedures carry some risk. Although rare, possible complications from eyelid surgery include:

• Bleeding
• Infection
• Dry eyes
• Abnormal discoloration of the skin of the eyelids

• An inability to fully close the eyes
• Eyelid skin that folds in or out abnormally
• A pulled down lower lid lash line 
• Possible loss of vision (extremely rare).

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