The eyes are the first thing we notice when we meet someone. While attractive eyes can radiate beauty or handsomeness for your whole face, eyes that are tired and droopy with sagging skin, wrinkles, and fat bulges can have the opposite effect. The tender skin around the eyes is especially susceptible to aging and can portray a tired, worn, and aged appearance that affects your whole image. People may even question whether you had a good night’s sleep because of the bags under your eyes. Dr. Messa can eliminate these issues by giving you dramatically younger eyes with eyelid surgery. Also called an eyelid lift or blepharoplasty, eyelid surgery rejuvenates tired eyes to give you a more refreshed, pleasing, and youthful appearance.
Eyelid Surgery Techniques
Upper Eyelid Surgery
Upper eyelid surgery rejuvenates sagging upper eyelids to correct a tired, droopy eye appearance and eyelid hooding. Dr. Messa places incisions in the natural upper eyelid creases and removes excess skin, repositions or removes the fat, and tightens the upper eyelid tissues. This procedure usually takes less than 30 minutes and is most often performed under local anesthesia or with intravenous sedation.
Lower Eyelid Surgery
Lower blepharoplasty rejuvenates sagging lower eyelids with bulging fat pads. Dr. Messa can make incisions below the lower lash line to remove excess skin and fat and to tighten the skin. Often, lower eyelid surgery is performed with lasers to achieve comparable results without scarring.
Combining Upper w/ Lower Eyelid Surgery
Dr. Messa frequently performs blepharoplasty on both the upper and lower eyelids together. This procedure usually lasts approximately one and a half hours. Dr. Messa combines the techniques for upper and lower eyelid surgery to remove excess skin, reposition the fat, and tighten the tissues for rejuvenated eyes.
Laser Eyelid Surgery
Laser eyelid surgery can reduce puffiness under the eyes and correct baggy upper and lower eyelids. For qualifying patients, the entire procedure may be performed with lasers to reduce or eliminate bagginess and puffiness. The results yield a more alert and youthful appearance.
Prominent fat pockets around the eyes can be removed using an incision hidden inside the eyelid. This “no stitch” technique leaves no external scarring and can be used on patients with fat prominence or eyelid bags alone without any sagging eyelid skin. Where minimal excess skin exists, transconjunctival blepharoplasty can incorporate a skin pinch technique to remove a “pinch” of lower eyelid skin. This technique usually leads to reduced swelling and discomfort with a shorter recovery time than traditional eyelid surgery.
Who Can Benefit?
Aging and gravity cause your eyelids to droop. Over time, your eyebrows and upper eyelids can sag, showing areas where the skin appears in excess. Trimming away this extra skin can rejuvenate the eyes so that they look brighter and more awake, vibrant, and inviting.
Bags beneath the eyes can develop due to aging or genetics. Baggy lids are usually caused by migrating eyelid fat that bulges with age. Displaced fat pockets may occur in both the upper and lower lids and can give you a perpetually tired appearance. With eyelid surgery, Dr. Messa can trim away this extra fat and tighten the tissues to restore a more youthful and natural appearance.
Wrinkles Around the Eyes
In some cases, wrinkles around the eyes can be minimized with dermal fillers or BOTOX® Cosmetic. However, these non-surgical treatments cannot help patients whose wrinkles around the eyes have become excessive or are the result of sagging skin and shifting fat. Eyelid surgery tightens the tissues around the eyes and can greatly minimize wrinkles for a more youthful look.
Hooded Upper Eyelids
Upper eyelids that sag excessively can adversely affect vision by obstructing your sightlines. Some candidates for blepharoplasty may require corrective surgery to eliminate eyelid hooding and restore their full range of sight. Eyelid surgery can remove excess skin and redistribute the fat to permanently correct eyelid hooding and vision impairment.
Addressing Your Concerns
Recovery You should be able to return home immediately after your blepharoplasty procedure. Some minor bruising and swelling may occur with a small amount of lumpiness at the corners of the eyes during recovery. Minimal blurry vision quickly resolves. You can go out in public with sunglasses immediately after surgery and begin wearing makeup within about one week. Many patients use makeup to disguise any bruising until it subsides. You may resume normal activities the next day but should wait to resume exercise for 14 days. Generally, recovery from eyelid surgery takes seven to ten days, though it may be shorter after laser eyelid surgery or transconjunctival blepharoplasty.
Scars Incisions from eyelid surgery are either hidden inside the eyelids or cleverly and carefully hidden under the lash lines or in the natural eyelid creases. Some techniques, such as laser eyelid surgery and transconjunctival blepharoplasty, will not produce any visible scarring. Any minimal scarring that develops will fade over time.
Cost Restoring a youthful eye appearance requires great skill and dedication on the part of your surgeon, and the cost of your surgery may reflect this. The cost of each blepharoplasty is decided on an individual basis because the technique, surgical fees, facility fees, cost of anesthesia, and location of the surgery will all impact the final price of your procedure. Patients who need eyelid surgery to correct visual impairment due to eyelid hooding may qualify to receive partial or full coverage from their medical insurance provider for the cost of the procedure.
Pain The techniques involved in eyelid surgery may result in some discomfort during recovery. Prescribed oral pain medications can alleviate any associated discomfort or pain. Patients who undergo transconjunctival blepharoplasty or laser eyelid surgery can expect reduced discomfort levels.
Frequently Asked Questions
WHAT TYPE OF ANESTHESIA IS USED FOR EYELID SURGERY?
General anesthesia, local anesthesia, or intravenous sedation may be used to ensure your comfort and safety during the procedure.
CAN I GET EYELID SURGERY IF I HAVE GLAUCOMA?
Patients with glaucoma or other serious eye conditions are not good candidates for eyelid surgery. Consult your physician before considering this procedure, and be open with Dr. Messa about your eye health so that he can advise you on what is best for you.
HOW DO I KNOW IF I NEED BLEPHAROPLASTY OR ANOTHER PROCEDURE?
Many patients who believe they need blepharoplasty would be better served with a brow lift or with both procedures together. Others would be able to achieve their desired results with dermal fillers or BOTOX® Cosmetic injections. If you are dissatisfied with the eyes you see in the mirror, the best way to determine whether you need eyelid surgery is to set up a personalized appointment with Dr. Messa. He can confirm whether you are a good candidate for eyelid surgery.
WHAT OTHER PROCEDURES CAN BE COMBINED WITH EYELID SURGERY?
Eyelid surgery may be combined with other procedures as appropriate. Often, it is combined with facelift surgery and/or forehead and brow lift surgery. Dr. Messa can confirm whether you would be a good candidate for combining your eyelid surgery with other procedures.
WHEN WILL I SEE MY RESULTS?
The results of blepharoplasty become most noticeable within a few weeks to a few months after the procedure.
WHAT RESULTS CAN I EXPECT AFTER EYELID SURGERY?
Blepharoplasty produces excellent results that withstand the test of time better than many other facial rejuvenation procedures. Your eyes will look more youthful, rested, and rejuvenated without their baggy, sagging, and wrinkled lids. Taking care of your eyes and wearing sunglasses and sunscreen when you go outside can help ensure that your results are long lasting.