Often lumped under the term facelift are a group of operations designed
to rejuvenate faces that show signs of aging. These include blepharoplasty
(eyelid surgery), brow and forehead lift, mid-face lift, and skin resurfacing,
People stress eye contact and believe that they can judge a person’s
character by what they see in their eyes. While people talk most about
facelifts, the most popular age reversing operation among my patients
these days involves the eyelids. Heavy, ‘hooded’ (drooping) upper eyelids
and baggy lower eyelids make people look tired, old, and certainly
past their prime. The surgical correction known as blepharoplasty can
remove the fatty pouches that cause these unfortunate problems. When
present, skin that has become stretched over the years can also be
removed. Upper eyelid drooping, which sometimes partially obscures
vision, is corrected by removal of excess skin, muscle and fat. Incisions
follow natural contour lines in the upper eyelids, and in the lower
lid can be made on the inside, so there is no scar at all. In some
cases, circles under the eyes can be filled in and the lids tightened.
Corrects sagging, puffy or drooping eyelids, as well as bags and bulges
above and below the eyes. The condition is caused when fat forces its
way through layers of muscles. If surgery is used to correct visual
field defects, upper-eyelid surgery may be covered by medical insurance.
1 to 3 hours for both eyelids.
Temporary tightness of eyelids, swelling, bruising, burning, and itching.
Excessive tearing and sensitivity to light for first few weeks.
Eyelids may feel tight and sore as the anesthesia wears off; however,
any discomfort can be controlled with oral pain medication. Reading:
2 or 3 days. Back to work: 7 to 10 days. Contact lenses: 2 weeks or
more. Strenuous activities, alcohol: about 3 weeks. Bruising and swelling
gone: several weeks.
Temporary blurred or double vision. Infection, bleeding. Swelling
at the corners of the eyelids. Dry eyes. Formation of whiteheads. Slight
asymmetry in healing or scarring. Difficulty in closing eyes completely
(rarely permanent). Pulling down of the lower lids (may require further
Several years. Sometimes permanent.
Drooping eyelids are corrected by incising a flap of skin just above
the eyelid and removing excess skin and fat. For lower eyelid surgery,
the incision to remove fat is hidden just under the lower lashes. However,
blepharoplasty wonâ€™t remove crowâ€™s feet and other wrinkles,
or eliminate dark circles under the eyes. A surgeon may also use Transconjunctival
blepharoplasty, another technique to remove excess under-eye fat; using
tiny forceps by making an incision just inside the lower eyelid, in
the pink area known as the conjunctival tissue.
Local with sedation