Eyelid Surgery (Blepharoplasty)
The eyes, the natural focal point of the face, are often the first areas to show signs of aging or environmental effects. Symptoms typically include sagging upper eyelids, baggy lower eyelids, and excess fat deposits around the eyes, which can make some patients appear tired, sad, or older than they really are. Severe skin inelasticity can sometimes even lead to impaired vision. Eyelid surgery, also called blepharoplasty, seeks to correct these issues by removing excess skin and fat from around the eyes to produce a more youthful, rested appearance. One of the most popular facial rejuvenation procedures available, eyelid surgery at our Walnut Creek practice can often do more than refresh the eyes – it can also improve confidence in your appearance.
Eyelid Surgery Procedure
During the initial consultation, our plastic surgeon, Dr. Ramin Behmand, will examine your eyes and develop a treatment plan tailored to your needs. There are a number of techniques available that address various conditions affecting the upper and lower eyelids, and Dr. Behmand will discuss which options are right for you. A basic overview of what to expect during eyelid surgery includes:
- Upper Eyelid: As skin ages and stretches, it can cause sagging on the upper eyelids, potentially impairing vision. To correct this, Dr. Behmand will make an incision in the natural crease of the upper eyelid through which he will remove excess skin and fatty tissue. The incision scar is typically well concealed by the natural crease of the eyelid and may be virtually undetectable once healed.
- Lower Eyelid: For concerns about excess skin, fine wrinkles, and/or bagginess of the lower eyelids, Dr. Behmand will make an incision just below the lash line of the lower eyelid and remove excess skin and fatty tissue. This procedure is designed to create a smoother, more youthful appearance in the lower eye area by reducing puffiness and adding volume to the semicircular hollow beneath the eyes. If necessary, the underlying muscles will be tightened using a procedure called canthopexy.
- Transjunctival Blepharoplasty: Also addressing the lower eyelid, transjunctival blepharoplasty is a surgical approach that removes and/or relocates excess fat through an incision made on the interior of the lower eyelid. This method is appropriate for individuals with under-eye fat pockets but minimal excess skin. As this technique requires no external incisions, there are typically no visible scars.
Eyelid Surgery FAQ’s
- What is a blepharoplasty?
- Blepharoplasty, also called eyelid surgery, is a procedure designed to treat excess skin and fatty tissue of the upper and lower eyelids.
- Can I combine upper and lower eyelid surgery?
- Absolutely. In fact, for many of our patients, combining upper and lower blepharoplasty can offer the most optimal results.
- Where is the incision located?
- Each approach utilizes a different method. For example, in upper eyelid surgery, the incision is typically made in the natural crease of the eyelid. In lower eyelid surgery, the incision is made either along the lash line or on the inside of the lid. Regardless of the location, the incision is created to remain as concealed as possible.
- Can BOTOX® Cosmetic provide similar results as blepharoplasty?
- No. BOTOX® Cosmetic is designed to relax the muscles around the eyes, helping reduce the appearance of wrinkles. It cannot correct sagging or excess skin or remove fatty tissue, which is the purpose of blepharoplasty.
- How long do results last?
- Results of eyelid surgery typically last many years, depending on a variety of individual factors. The effects, however, are not permanent. You can often extend the outcome by maintaining good health following surgery.
- Is there a specific age to consider blepharoplasty?
- Anatomic indicators, not age, determine candidacy for eyelid surgery. We often see patients between the ages of 25 and 85 years of age requesting this procedure. As the rate people experience age and environmental effects can be highly individual, our cosmetic enhancement treatments are customized to suit each patient.
Eyelid Surgery Recovery
Dr. Behmand will provide you with detailed post-operative instructions prior to your procedure. You should expect to take at least one week off work and avoid all strenuous activity for approximately four weeks following surgery. Dr. Behmand will let you know when it is appropriate to return to normal activities.
Some bruising and minor swelling is common post-surgery. While most side effects will typically fade after a few weeks, the skin around your eyes must be treated with extra care for several months. Dr. Behmand advises wearing dark-tinted sunglasses and sunblock during the day to help protect your eyes from sun and wind. Once healed, your eyes should appear younger, fresher, and more alert. You should keep in mind that your face will continue to age at its natural pace; however, the results of our cosmetic eyelid surgery are typically long-lasting.
“Although it has only been two weeks since my operation, my results are phenomenal and exceeded my expectations! Words can not justify my feelings. Thank you so much.”
Surgery can vary, but is generally between $6,000 and $10,000. If upper and lower blepharoplasty surgery are combined for optimization of time in surgery and recovery, surgery can be estimated between $10,000 – $15,000 .