One of the first things noticed about a person is their eyes. During the aging process, wrinkles, lines, and puffiness contribute to a tired or aged appearance. Eyelid surgery (blepharoplasty) is designed to remove excess skin and fat from the upper and lower eyelids.  The procedure can correct drooping upper lids that tend to sag with time and the puffy bags below the eyes.   Blepharoplasty can be done as a single procedure, or in conjunction with other facial surgery such as a facelift, a browlift or nose surgery (rhinoplasty).  

Reasons for Considering Eyelid Surgery:

• Dark circles or bags under the eyes.
• Excessive skin or wrinkles surrounding the eyelids.
• A tired appearance or puffiness due to inherited factors.

General Procedure

The surgical procedure includes tiny incisions made in the natural contours around the eyes which should leave no visible scarring.  The surgeon will usually work on the upper eyelids first to remove any fatty tissue and tighten loose skin.  Lower eyelids are completed next to eliminate puffiness and reduce dark circles.  In some instances, laser technology may be used to smooth lower eyelid areas.  Newer techniques may include Botox injections to firm fine lines and wrinkles.

The surgery generally takes about one to two hours and is performed in the hospital or surgery center. If additional cosmetic procedures are being performed, the eyelid surgery could last longer.

Recovery Process

Normally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and reduce the recovery time.  Patients sometimes report minor pain associated with surgery which can be treated with oral medication.  While complications are rare, patients can minimize the risk for potential problems by carefully following the post-operative directions given after the surgery.  The healing process for this procedure is about the same as most other forms of cosmetic surgery and the benefits are long-lasting.  Patients will have a more rested and youthful appearance.

The procedure is generally considered cosmetic, however insurance coverage is sometimes available to correct visual field blockages caused by excess skin of the upper lids.