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Eyelid Surgery (Blepharoplasty)


It is often said that “the eyes are the window of the soul”. A “tired” or “aged” appearance around your eyes often determines the first impression you make. Cosmetic eyelid surgery, or blepharoplasty, removes the prominent fat and wrinkled, drooping skin of the upper eyelids that can make you look tired or sad and often obscures the shape of the upper lid, making the eye appear smaller. It can also remove or reposition the prominent fat of the lower lid to reduce “bags” or a “puffy” appearance and tightens and smoothes the sagging lower lid skin. The “sagging” or “drooping” appearance of a lower eyelid can also be improved by providing increased lower lid support. Most patients wish to regain the “youthful” appearance that their eyes once had, and to retain their “look”; others wish to not only look more “youthful”, but to actually change the appearance of their eyes. Both are possible, and neither is “wrong”. During your consultation, Dr. Gold will help you decide which approach would be best for you.

While blepharoplasty surgery is most commonly performed for the first time for patients in their 40′s, some people have inherited traits (prominent fat around their eyes, darker pigmentation of the lower eyelid skin, asymmetrical eyelids, “webbing” of the inner corner of the eye, a downward slant of the outer corner of the eye, etc.) that cause them to seek improvement in the appearance of their eyes even in their 20′s or 30′s.

Fat and loose skin are removed from the upper eyelids through an incision in the upper lid crease which extends slightly beyond the outer corner of the eye and blends into a “laugh line” or skin crease. If the skin tone of the lower lids is good, a “puffy” appearance can be improved by removing or repositioning prominent fat through an incision made through the conjunctiva, or lining, of the lower eyelid, thus avoiding any visible scar at all. A small degree of skin tightening can be accomplished by resurfacing the lower eyelid with a laser or a chemical peel. However, a greater degree of skin laxity and wrinkling requires resection of skin through an incision within the natural skin crease just below the lash line.

Often resurfacing techniques are combined with surgery as the best way to improve the overall appearance and texture of the lower lids even when excess skin has been removed. All blepharoplasty scars can be well hidden in natural creases, and fade quickly to become barely perceptible. Although often done as an isolated procedure, blepharoplasty is frequently performed in conjunction with other procedures for facial rejuvenation, such as a facelift or brow and forehead lift.

Although it may take up to three months for complete resolution of your swelling and for you to see your final result, the swelling and bruising are usually minimally noticeable by other people in two to three weeks, and make-up may permit return to work or social activities even sooner.