What Is Blepharoplasty?
Blepharoplasty (eyelid surgery) is a procedure for rejuvenation of the upper and lower eyelids. Eyelids are especially prone to the effects of aging and sun damage which, over time, creates sagging and drooping of the eyelids. Additionally, the muscles around the eye can stretch and weaken over time which allows fat herniation to create puffiness of the eyelids. Surgical correction can be performed either in the office or in a surgical suite as an outpatient procedure.
Candidates For Eyelid Surgery In St. Louis, MO
Many adults consider blepharoplasty to address some of the most common signs of aging. You may be a good candidate for this procedure if you are in good health, do not smoke, and are interested in correcting concerns such as:
- Excess skin that is hiding the natural fold of the upper eyelids.
- Loose eyelid skin that is obscuring vision.
- Puffiness on the eyelids.
- Difficulty applying makeup due to insufficient upper eyelid surface.
- Crepe-paper skin on the upper-lower eyelids.
- Dark circles or bags on the lower eyelids.
Types Of Eyelid Surgery
- Cosmetic blepharoplasty is conducted on the upper or lower eyelids to smooth and tighten surfaces for a refreshed appearance
- Functional blepharoplasty is conducted on the upper eyelids to remove tissue that is drooping into the field of vision.
Upper Eyelid Surgery
Upper eyelid surgery focuses on the excess skin and fat of the upper eyelids and usually involves the removal of skin and fat where necessary.
Lower Eyelid Surgery
Lower eyelid surgery focuses on the excess skin and fat of the lower eyelids and may involve the removal or repositioning of fatty tissue to smooth puffiness away from this area. Excess skin is trimmed to create long-lasting results. In patients where there is a “hollowed out” appearance, this can be coupled with fat transfer to add fat where needed
What Should I Expect At My Blepharoplasty Surgery Consultation?
Various techniques in eyelid rejuvenation allow for an individualized approach to maximize every patient’s outcome. We will discuss the procedure with you and any additional details before and after surgery.
The Blepharoplasty Procedure
Blepharoplasty is performed as an outpatient procedure. Patients are made comfortable with a local anesthetic that numbs the nerve endings around the eyes. Sedation may also be administered for comfort.
Upper Blepharoplasty Procedure
Incisions are made in the natural crease of the eye where resulting scars will be unnoticeable. Through incisions, we repositions fat deposits or removes fatty tissue using the careful technique. He then tightens muscles and trims excess skin. Incisions are closed with medical adhesive or very fine sutures.
Lower Blepharoplasty Procedure
Lower Blepharoplasty is conducted through discreet or completely hidden incisions. Similar to the upper eyelids, the area beneath the eyes is modified through fat repositioning and tissue-tightening. Excess skin is trimmed and incisions are closed.
Patients are typically ready to leave the outpatient center within an hour or two after their procedure.
How Long Does Eyelid Surgery Take?
The entire surgery can last from one to two hours. Both the upper and lower eyelids may be treated in the same procedure if so desired.
Recovery From Eyelid Surgery
Surgical correction can be performed either in the office or in a surgical suite as an outpatient procedure. The recovery time is usually a few weeks for the eye to return to normal. A lubricating ointment and dressing may be applied after blepharoplasty. Cold compresses may also be applied for a short time after surgery. Patients leave the surgery center with detailed post-operative instructions that outline how to care for incisions as they heal. Swelling, bruising, and soreness are the most common side effects after blepharoplasty. Patients need not stay in bed but are encouraged to remain at home for a few days where they can rest their eyes as often as needed.
Prescription pain medication may be taken for a few days and cold compresses may continue to be applied for a few minutes at a time to reduce swelling and improve comfort. Most patients do not find their blepharoplasty recovery challenging. Many patients feel well enough to return to work within a few days. By two weeks post-op, most of the swelling that has occurred should be gone. However, it can take several weeks for swelling to disappear completely.
What Should I Expect At My Blepharoplasty Follow-Up Visit?
A follow-up visit will occur a few days to a week after blepharoplasty. At this visit, stitches may be removed. Incisions are observed for healing, and we discuss when more strenuous activities can be resumed.
How Soon Will I See My Blepharoplasty Results?
Some improvement can be noticed right away after blepharoplasty, despite swelling and bruising. However, the rejuvenation achieved becomes more apparent as the weeks pass and swelling continues to subside. Swelling continues to improve over weeks to months with most of the then noticeable swelling going down in the first 2-4 weeks.
How Long Will The Results Of My Eyelid Surgery Last?
The results of upper and lower blepharoplasty should last indefinitely. As aging continues, the skin on the eyelids will once again change. Age also affects the brow position. A drooping brow can create heaviness in the upper eyelids. This can be corrected with a brow lift if needed. In most cases, blepharoplasty is a one-time procedure.