By removing various combinations of excess fat, skin or muscle from the upper and lower eyelids, blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes.
It is both a cosmetic procedure and medically indicated procedure when vision is blocked by the droopy eyelids. A blepharoplasty incision can also be used to perform minor brow elevations, but only provide a small amount of change to the crow’s feet and dark circles under the eyes. Blepharoplasty can be combined with other procedures such as a browlift, laser resurfacing and neurotoxin treatments such as BOTOX®, Dysport, or Xeomin treatments to achieve these results.
Ideal Candidate for Blepharoplasty
Candidates for this procedure may notice the following:
- Excessive, sagging or wrinkled upper or lower eyelid skin
- Excess upper eyelid skin that interferes with vision
- Loss of natural upper eyelid crease
- Puffy pouches of fat in the upper or lower eyelids that create a tired or aged appearance.
This procedure is performed in our state-licensed surgery center in Lynnwood with local anesthesia and lasts 45 minutes to 90 minutes depending on how much work is done. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and inside or just below the lashes on the lower lids). Excess tissue will be removed through these incisions and then are stitched closed with fine sutures. In the case that no skin needs to be removed from the lower lid, a transconjunctival blepharoplasty would be performed in which the incision is made inside the lower eyelid creating no visible scars.
Stitches are removed after four to seven days and most people return to work in five to ten days. Contact lenses may not be worn for one to two weeks. Eyes can be sensitive to light and wind and may be slightly irritated for a short while; eye drops and cool compresses may be recommended to counteract these discomforts but pain medicine is seldom needed.