Blepharoplasty (Eyelid Lift)

Blepharoplasty (eyelid lift) is one of the most common procedures in facial plastic surgery. As we age, many males and females accumulate excess skin and fat in the upper and lower eyelids.  These changes lead to a sad and tired appearance around the eyes, and in some cases can obstruct vision.   Blepharoplasty of the upper eyelids involves making an incision along the natural crease in the eyelid and removing excess skin and occasionally fat and muscle.  Lower lid blepharoplasty can be done through an incision just below the eyelashes or sometimes through an incision on the inside of the eyelid. Lower lid blepharoplasty removes excess skin and can reduce the appearance of the dreaded “bags” under the eyes. Additionally, some patients benefit from the additional of a chemical peel, injectable filler, or BOTOX® Cosmetic to help maximize the surgical result.

What is recovery like for a blepharoplasty?

Blepharoplasty is an oupatient procedure done under IV sedation in most cases.  After surgery you can expect a moderate amount of swelling and bruising around the eyes which will resolve over the course of several weeks. Frequent use of ice packs to the eyes for the first 72 hours following surgery can greatly reduce swelling and the time it takes for bruising to resolve. Stitches placed in the eyelids are removed 5-7 days after surgery in the office. Some patients will have a small temporary change in their vision due to swelling, which will resolve over 1-2 weeks. Patients can expect to be off work for 5-7 days, and we ask that patients refrain from wearing contact lenses or makeup during the first 2 weeks following surgery.

I have dry eyes – am I a candidate for blepharoplasty?

Dry eye symptoms can be exacerbated by performing blepharoplasty. A thorough medical history and comprehensive eye examination should be completed by your physician to make sure you are a candidate for surgery. Furthermore, Dr. Wudel and the team at Renew Facial Plastic Surgery can help set up a plan to help manage your dry eye symptoms during the recovery period if you are deemed a candidate for surgery.

What is the difference between a transcutaneous and transconjunctival lower lid blepharoplasty?

The transcutaneous approach utilizes a small incision placed just underneath the eyelashes (which helps camouflage the incision). This approach allows for the removal of excess skin and can allows for repositioning or removal of eyelid fat as necessary.  A transconjunctival approach is done through a small incision on the inside of the eyelid. This approach allows for the same removal or repositioning of the eyelid fat, but skin is not removed and there is no external scar. This approach is good for patients who do not have a lot of redundant skin under the eyes.  Dr. Wudel can evaluate your eyes and together you can decide on which approach is best suited to you.