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Blepharoplasty - Eyelid Rejuvenation Surgery
Blepharoplasty (eyelid surgery) refreshes tired, aged eyes by removing excess skin, fat, and puffiness from upper and/or lower eyelids. Eyes are the first thing people notice - droopy eyelids make you appear exhausted, sad, or older than you feel, even when you are well-rested.
This subtle yet transformative procedure restores youthful, alert eyes without changing your natural eye shape. Results are dramatic yet natural-looking - people notice you look refreshed, but cannot tell you had surgery.
What Blepharoplasty Corrects
Upper Eyelids:
- • Hooded, drooping excess skin
- • Impaired peripheral vision
- • Puffy upper lid fullness (fat pockets)
- • Tired, angry resting expression
Lower Eyelids:
- • Under-eye bags (fat herniation)
- • Loose, wrinkled skin
- • Dark circles / hollowing
- • Festoons (malar mounds)
Upper vs Lower Blepharoplasty
Upper Blepharoplasty
Problem: Excess skin creates heavy, hooded appearance. Lashes disappear, eyeliner impossible to apply, makeup creases.
Solution: Remove crescent of excess skin + fat through hidden incision in natural eyelid crease. Scar becomes invisible white line matching crease.
Anesthesia: Local with sedation or general | Time: 45-60 minutes | Recovery: 7-10 days
Lower Blepharoplasty
Problem: Fat pockets bulge forward creating bags. Loose skin wrinkles. Tear trough hollowing casts shadows (dark circles).
Solution: Two approaches -
- Transcutaneous: Incision just below lashes. Remove/reposition fat, tighten skin. Scar fades to invisible line.
- Transconjunctival: Incision inside eyelid (no external scar). Remove fat only. Best for younger patients with good skin.
Anesthesia: Local with sedation or general | Time: 1-2 hours | Recovery: 10-14 days
The Procedure
Step 1: Precise Marking
While sitting upright (gravity shows true excess), surgeon marks exactly where skin/fat will be removed. Precision is critical - removing too much causes complications.
Step 2: Anesthesia
Local anesthesia with IV sedation (twilight sleep) is most common. You are comfortable but not fully asleep. Some patients prefer general anesthesia.
Step 3: Incisions & Removal
Upper: Incision in natural crease. Excess skin + fat removed. Lower: Incision below lashes or inside lid. Fat removed/repositioned, skin tightened if needed.
Step 4: Delicate Closure
Ultra-fine sutures (6-0 or 7-0 thickness) close incisions. Meticulous technique ensures scars heal flat and imperceptible.
Recovery Timeline
Peak Swelling: Eyes puffy, bruised (looks like black eyes). Cannot wear contacts. Vision slightly blurry from ointment. Ice packs every 2 hours. Sleep elevated 45 degrees.
Sutures removed day 5-7. Swelling 50% resolved. Bruising fading from purple to yellow/green. Can cover with makeup starting day 7. Return to work if comfortable.
90% healed. Minimal swelling remains (only you notice). Bruising gone. Can wear contacts again. Resume normal activities except exercise.
Resume all activities including strenuous exercise. Incision lines still pink - massage with Vitamin E oil to soften.
Final Result: Scars fade to thin white lines matching natural creases - completely invisible. Eyes look bright, refreshed, youthful.
Often Combined Procedures
Blepharoplasty addresses eyelids only. For complete upper face rejuvenation, combine with:
- • Brow Lift: Raises droopy brows pulling down on upper lids
- • Facelift: Tightens lower face, creating overall harmony
- • Fat Grafting: Fills hollow tear troughs under eyes
- • Laser Resurfacing: Smooths wrinkles, improves skin texture
- • Botox: Relaxes crows feet wrinkles around eyes
Am I a Candidate?
Good candidates:
- Age 35+ with droopy eyelids or under-eye bags
- Healthy, non-smoker, realistic expectations
- No active eye diseases (glaucoma, dry eye, retinal issues)
- Stable thyroid function (thyroid affects eye appearance)
Not suitable if: Untreated dry eye (surgery worsens it), Certain autoimmune diseases affecting healing
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Blepharoplasty Longevity
Results typically last 10-20 years. Aging continues, but from improved baseline. Factors affecting longevity:
- Sun protection (UV accelerates aging)
- Genetic aging speed
- Skin quality and thickness
- Smoking (never smoke - destroys results)
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