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Eyelid Surgery

Eyelid surgery, or blepharoplasty, is a procedure that improves the appearance of your upper or lower eyelids. As people age, the eyelid skin can wrinkle, fold or become puffy. This can make people look older or tired. The goal of eyelid surgery is to achieve a more youthful, rejuvenated appearance of the eye. Upper blepharoplasty is a different surgical procedure from lower blepharoplasty but often both procedures can be performed at the same time.

Upper Eyelid (Blepharoplasty)

With aging, excess skin accumulates along the upper eyelid creating a redundant skin fold. Sometimes fullness develops in the upper lid. Upper blepharoplasty involves removing excess skin, and sometimes fat, from the upper eyelid. The result is a more youthful looking eye.

Lower Eyelid (Blepharoplasty)

As people age, the skin and soft tissues of the lower eyelid become looser resulting in sagging skin, wrinkles and sometimes prominent skin folds.  Fat below the eye can also bulge outward resulting in a puffy appearance of the eyelid.  Lower blepharoplasty involves removing the bulging fat and tightening the lower eyelid skin to create a tighter, smoother appearing eyelid.

Why do patients undergo upper or lower eyelid surgery?

Patients choose to have upper or lower eyelid surgery for several reasons:

  • Wrinkling of eyelid skin
  • Skin fold hanging over the eye
  • Puffiness of the eyelids
  • Someone who feels she/he looks tired all of the time

Am I a good candidate?

When you see Dr. Martin in consultation you can explain your concerns.  He will then examine your face and discuss with you your surgical options.  All patients are different and results can vary.  Dr. Martin will discuss with you what can be reasonably achieved with surgery.  He will make sure that all of your questions are answered and that you are comfortable before proceeding with surgery.

We are here to answer your questions.

How is the procedure performed?

Dr. Martin performs upper and lower blepharoplasty in the operating room with patients asleep.  Sometimes upper blepharoplasty is performed under local anesthetic with the patient awake.  Skin incisions are made in the upper eyelid crease and just below the eyelashes of the lower eyelid.  Excess skin and fat are removed, the eyelid tightened, and the skin closed.  At the end of the procedure surgical tapes are applied to the eyelids followed by eye pads and ice packs to reduce swelling.

Recovery after surgery

Patients can go home the same day of surgery.  There will be some swelling and sometimes bruising of the eyelids for 2-3 weeks after surgery.  Patients are encouraged to be up moving around but cannot exercise for 2 weeks following surgery.  Pain medicine is given after surgery although most patients do not find the procedure to be very painful.  There are several post-operative visits with Dr. Martin after surgery to be sure that everything heals properly.

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