An eyelid lift or blepharoplasty is a procedure which removes excess fat and skin from the upper and lower eyelids. It improves the appearance of droopy eyelids and puffy bags below the eyes, features that may make you look older and more tired than you feel. It may be combined with a minimal incision eyebrow lift to correct drooping eyebrows.
Before and after upper eyelid blepharo-plasty in 40 year old patient who complained of excess upper eyelid skin. It caused minimal interference with vision and upper eylid makeup continually smeared following application.
Dr. Burke also offers the Silhouette Instalift eyebrow lift for those withing rapid eyebrow elevation and correction of age related drooping and who do not wish to undergo invasive surgery. Patient have returned to work the day after.
The incision for the upper eyelid is usually made along the eyelid crease while that for the lower eyelid is usually made inside the lower eyelid, avoiding external scars (transconjunctival). In most cases no external skin sutures are placed.
Sutures are not used during the lower eyelid procedure. Excess skin along the outside of the lower eyelid region is usually “tightened” with fractional carbon dioxide laser skin resurfacing.
The minimal incision eyebrow lift is done with small incisions which are “hidden” behind the hairline.
Who is a Candidate
- If you have excessive, sagging or wrinkled upper or lower eyelid skin.
- If you have excess upper eyelid skin that interferes with vision.
- If you have lost your natural upper eyelid crease.
- If you have puffy pouches of fat in the upper or lower eyelids that create a tired or aged appearance.
- A more youthful and rested appearance of the eyes.
- Widening of visual fields if excessive upper lid skin has partially blocked vision.
- The procedure is usually done on an outpatient basis under local anesthesia or conscious sedation.
- The Ellman radiofrequency needle is usually used for skin incisions to minimize scars and bleeding during the procedure.
- The incisions are made where the natural crease should be in the upper eyelids. Excess fat and skin are removed.
- The incision for the lower eyelids is inside the lower lids, avoiding external incisions and scar (transconjunctival).
- If there is significant “laxity” of the lower eyelid, a canthopexy or tightening procedure may be done at the same time. The incision is along the outer portion of the lid just below the eyelash line.
Recuperation and Healing
- Sutures are usually removed within 5-7 days.
- Discomfort is usually mild and controlled with oral medication.
- Bruising and sensitivity to light usually subside within 1-2 weeks. Swelling usually disappears within 2 weeks.
- Eye makeup may be used following suture removal and healing of the incisions. Old makeup should be discarded as it may promote bacterial growth and postoperative infection.
- Contact lenses can be worn when comfortable and sutures have been removed—usually 7-10 days.
- Additional procedures that may enhance the result are: forehead lift (endo eyebrow lift), facelift, carbon dioxide laser resurfacing, chemical peel, and botox.
- The specific risks and the suitability of this procedure for a given individual can only be determined at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are rare.