Age, sun exposure and hereditary factors all contribute to wrinkles, deep lines and puffiness around the eyes. Eyelid aging can cause unwanted changes in expression, causing us to look permanently fatigued and older than we really are. In some cases, redundant upper lid skin can even contribute to visual impairment. An upper or lower eyelid lift, or blepharoplasty, can restore a more youthful appearance to your eyes. Dr. Wigod can help you decide which of the several operation types is right for you.
In traditional upper lid blepharoplasty, an incision is made in the crease of the upper lid and excess skin, fat, and muscle is removed. Once healed, the incision is hidden when the eye is open and often barely noticeable when the eye is closed. In traditional lower lid blepharoplasty, an incision is made along the lash line and excess skin, fat, and muscle is removed. Once healed, the incision is usually hidden by the lashes. With the transconjunctival approach, an incision is made inside the lower lid. Fat can be removed or redistributed through this incision. Excess skin may still be reduced with a pinch excision hidden underneath the lashes.
Canthopexy or canthoplasty are techniques which are used when the lower lid has poor tone and extra support is required to avoid unattractive and potentially dangerous lid retraction after skin removal. When performing lower lid blepharoplasty, care must be taken to remove just the right amount of tissue to give the best aesthetic result while avoiding complications.
Blepharoplasty may be performed alone or in combination with other operations. Local anesthetic with IV sedation or general anesthetic may be used, depending upon your preference. The operation times vary, but you will be able to return home the same day. Complications are not common, but may occur. The most concerning ones include prolonged swelling, infection, asymmetry, double vision, dry eyes, upper lid drooping, lower lid retraction, and vision loss.
The area surrounding the eyes will remain swollen in the days following the surgery, but should improve rapidly. Some vision blurring and mild pain are normal.
Sutures will be removed in 4-7 days. Swelling and bruising will persist for about 10 days, but makeup can help conceal this. You may expect to resume normal activity rapidly and start enjoying your new look within approximately 10-14 days. It may take up to 6 months for the scars to lose their redness.
Although results may be long lasting, signs of aging around the eyelids will recur.