Eyelid Rejuvenation Procedure
PROCEDURE OVERVIEW
*Content provided by the American Society of Plastic Surgery (ASPS)
What is Eyelid Rejuvenation?
Eyelid rejuvenation, called blepharoplasty, is a surgical procedure to improve the appearance of the eyelids. Surgery can be performed on either the upper and lower lids, or both. Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can rejuvenate the area surrounding your eyes.
Specifically, eyelid rejuvenation can treat:
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Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision
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Excess fatty deposits that appear as puffiness in the eyelids
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Bags under the eyes
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Drooping lower eyelids that reveal white below the iris
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Excess skin and fine wrinkles of the lower eyelid
In general, good candidates for eyelid rejuvenation include:
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Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
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Non-smokers
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Individuals with a positive outlook and specific goals in mind for eyelid surgery
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Individuals without serious eye conditions
Remember that the eyelids are part of the face. The appearance of a drooping upper lid may also be due to relaxation of the forehead skin and eyebrow. Sometimes a drooping eyelid is caused by stretching of one of the upper eyelid muscles, the levator. Your plastic surgeon will evaluate your anatomy thoroughly to determine the causes of your eyelid appearance, and what procedures might best remedy them.
The Procedure:
Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedure. The choices include intravenous sedation or general anesthesia. Your doctor will recommend the best choice for you.
Step 2 – The incision
The incision lines for eyelid surgery are designed so the resultant scars will be well concealed within the natural structures of the eyelid region.
The upper eyelid can be corrected through an incision within the natural crease on the eyelid. This allows for removal or repositioning of fat deposits, tightening of muscles, and removal of excess skin.
Conditions of the lower eyelid may be corrected with an incision just below the lower lash line. Through this incision, excess skin in the lower eyelid is removed. Again, the excess fat can be repositioned or removed.
A transconjunctival incision, created on the inside of the lower eyelid, is an alternate technique to correct lower eyelid conditions and redistribute or remove excess fat. With this technique, no skin is removed.
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Step 3 – Closing the incisions
Eyelid incisions typically are closed with:
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Removable sutures
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Skin adhesives
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Surgical tape
Your surgeon may suggest use of a laser or chemical peel to reduce discoloration of the lower eyelids.
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Step 4 – See the results
The results of eyelid surgery will appear gradually as swelling and bruising subside to reveal a smooth, better-defined eyelid and surrounding region, and an alert and rejuvenated appearance.
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