Eyelid Surgery (Blepharoplasty)

Do you feel you look tired or older? Are you noticing drooping upper eyelids or bags under your eyes? Often, these gradual changes around the eyes play a big role in your appearance.

Eyelid surgery (also called eyelid lift or blepharoplasty) removes excess skin and fat on the upper and/or lower eyelids. The result is less heaviness and sagging of the upper lids and reduced lower eye bags. Blepharoplasty can wash away years of aging, giving your face a refreshed, more rested appearance.

For those who lack a well-defined upper eyelid crease, one can be created during this procedure. This is often called Asian double eyelid surgery or Asian blepharoplasty.

Upper blepharoplasty corrects signs of aging of the upper eyelids, while lower blepharoplasty corrects bags under the eyes. If you have both conditions, upper and lower blepharoplasty can sometimes be performed simultaneously.

While the majority of people who have eyelid surgery are over the age of 35, you may have inherited the tendency toward overhanging upper lids or eye bags. The surgery is safe for most adults of any age.

At the Center for Facial and Body Rejuvenation, our board-certified facial plastic surgeons evaluates every individual carefully to determine what factors are contributing to aging. After this in-depth evaluation of your eyes, they devise a surgical plan that will tighten the eye area in a way that looks natural and maintains the integrity of the surrounding muscles.

Our board-certified facial plastic surgeons have performed thousands of successful eyelid surgeries for patients in the greater San Francisco Bay area. With two board-certified facial plastic surgeons in our office, you have the option of receiving a second opinion, with regard to your surgery, right in the same office.

While blepharoplasty is a cosmetic procedure for the majority of patients, if a drooping upper eyelid impairs your ability to see properly, the surgery might be considered medically necessary. In that case, some insurance carriers may cover the procedure.

Note that fine surface lines, forehead creases, or drooping eyebrows will not be corrected by eyelid surgery. For these conditions, you may need a brow lift (forehead lift), Botox® injections, or a skin resurfacing procedure to smooth very fine lines. Some patients decide to have a face lift at the same time as their eyelid lift so that the entire face looks younger and more refreshed.

Your Eyelid Surgery Procedure

In most cases, eyelid surgery can be done with local anesthesia. This allows you to stay awake, but you will not feel pain. Most people have little recollection of their surgery after the anesthesia and sedation wear off.

An upper eyelid lift usually involves removing some excess skin and fatty tissue from the upper eyelids in order to tighten the area. The incisions are small and are made within the folds of the eyelids so that the scar will not be seen. Stitches will be removed during a follow-up examination in our office.

For a lower eyelid lift, incisions are made inside the lower lids or along the lash line. In either case, the scars will not be noticeable. Excess fat and skin are removed so that the lower lid is smooth, flat, and naturally tight. In some cases of lower eyelid surgery, fat is repositioned instead of removed to fill out any hollowing of the lower eyelids that can occur with aging.

Recovering from Blepharoplasty

A few hours after your surgery, you can go home with someone’s help. You will not be able to drive right away.

It is normal for the eyes to tear and feel irritated for a few days. Your vision might be blurry at first, and there will probably be some swelling, bruising, and mild pain for up to two weeks. You can take pain medication, and we recommend sleeping upright for a few nights to keep swelling to a minimum. You will be given eye drops to use for several days.

You should be able to go back to work after one week and resume exercise/sports in two weeks. Please avoid wearing eye makeup and contact lenses for about two weeks.

We will remove your sutures one week after your procedure. We will also see you for post-operative examinations to make sure that you are healing well.

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At the Center for Facial and Body Rejuvenation, our board-certified facial plastic surgeons evaluates every individual carefully to determine what factors are contributing to aging.

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