Eyelid surgery (technically called blepharoplasty) is a simple day procedure to remove or reposition fat–usually along with excess skin and muscle from the upper and lower eyelids.
Eyelid surgery can correct drooping upper lids and puffy bags below your eyes – features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.
Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a browlift, anti-wrinkle injections, dermal fillers, laser treatments etc.
Droopy eyelids or puffy lower eyelids often run in families, are as common in men as in women and are usually the first sign of facial aging. Protruding fatty tissue from your eye sockets that causes bags can be an inherited trait that shows up early in life, as well as the result of aging.
Eyelid skin thins and stretches as it ages and becomes loose and with time, muscles weaken, and the fat that cushions the eyeball moves forward around the eyes. Puffiness results when a fat pad that cushions the eye begins to pull away from the bone of the lower eye and sags. Gravity has its effects on the eyes as well. Sagging upper eyelids may result in hooding where upper lids become heavier and fuller.
Blepharoplasty can reduce droopy or hooded eyelids, restore the contour to the lids and eliminate the protruding fat bags under the eyes. In some cases, eyelid surgery may also correct severe hooding of the upper eyelids called ptosis, which can obstruct peripheral vision and reduce the range of upward vision.
The procedure is usually performed under local anesthesia and takes from 30 minutes to 2 hours. To remove excess skin from the upper eyelids incisions are made in the eyelid fold and extended laterally towards the smile lines. Fatty deposits can be removed and if needed the brow itself can be repositioned.
To remove fatty tissue from the lower eyelids; an incision is made just below the eyelashes or through an incision in the inside surface of the eyelid. Ice packs should be applied frequently to minimize swelling. Stitches are removed usually 4 to 7 seven days after surgery. Bruising should subside 10 to 14 days post procedure.
The overall result of eyelid rejuvenation is a subtle but remarkable change that produces a more youthful and less tired appearance.