Blepharoplasty is a cosmetic procedure designed to remove excess skin and fat around the upper and lower eyelids while repositioning any lax musculature. This can smooth and brighten the appearance of the eyes, typically making patients look more youthful. Eyelid surgery can also correct upper eyelid “hooding,” which occurs when loose skin and/or musculature rests on the lash line. This “hooding” effect may cause patients to look tired or aged—in some cases, the drooping skin can even interfere with an individual’s line of sight. Blepharoplasty can be a highly effective technique to treat eyelid hooding, as well as to smooth wrinkles, eliminate puffiness, and generally improve the appearance of the eyes.
If the eyelids are stretched, wrinkled, or baggy, the eyes can appear tired and aged. This aesthetic prompts many patients to seek out improvement in the upper eyelids, lower eyelids, or both. In turn, upper and lower blepharoplasty can be performed separately or together, depending on your concerns. These procedures are designed to remove excess skin (wrinkling) and fat (puffiness) to achieve a wider and brighter look around the eyes, which can convey youth and alertness while more accurately reflecting one’s vigor and energy levels. You may be a candidate for eyelid surgery if:
If stretched or wrinkled skin is the only issue you are experiencing around the eyes, an upper blepharoplasty alone can yield a great result. However, eyelid surgery is often performed in conjunction with a brow lift in order to completely refresh the upper third of the face. During your consultation, our board-certified facial plastic surgeon, Dr. Ali Sepehr, will determine the appropriate treatment options for your concerns by lifting your forehead subtly to the appropriate level with his hands. If this has little to no beneficial effect on the upper eyelids, upper blepharoplasty may be enough to achieve your goals. In the event that the redundant skin disappears completely, a brow lift may be indicated. If this motion improves the upper eyelid appearance but redundant skin still remains, a combination of both procedures may be recommended.
Upper blepharoplasty typically takes approximately one hour. This procedure can be performed to tighten the excess skin above the eye or correct the look of eyelid “hooding,” wherein lax eyelid tissue begins to obscure one’s field of vision. The surgery involves placing well-hidden incisions in the natural crease of the upper eyelid to make them nearly invisible after healing. Redundant skin and protruding fat are removed, and the incisions are closed with fine sutures to further minimize the visibility of the scar. Healing time is minimized by delicate surgical technique.
The transconjunctival approach is usually performed when a patient exhibits little to no excess skin in the lower eyelids and the primary goal is smoothing under-eye bags. This incision is generally suitable when skin removal is not anticipated. The procedure begins with an incision on the inside of the lower eyelid, providing an access point to smooth and remove bulging fat. Since the incision is made internally, transconjunctival blepharoplasty results in no visible scarring.
After you return home from your surgery, Dr. Sepehr recommends prioritizing your recovery process. Most patients find simply resting their eyes after the procedure to be helpful, but you should also elevate your head as much as possible for the first few days following your procedure. If you experience any soreness or tightness in the eye area, don’t worry— these are normal reactions. There may be swelling or bruising in the surgery area, but using a cold compress can often reduce these discomforts. An oral medication may also be prescribed to help manage potential pain. It is best to avoid the use of contact lenses for at least two weeks following your procedure, and strenuous exercise should be postponed for at least three weeks.
There is minimal pain after eyelid surgery. In fact, patients typically only feel tired and want to rest the eyes. Some tightness or pressure is normal and can easily be treated with pain medications. The eyelid tissues are very delicate, so any irritation can cause significant swelling. However, since surgical swelling is generally caused by very little manipulation, it also resolves very quickly. On average it takes ten days for the bruising to fade. It is normal to have some blurry vision as a result of the hydrating ointment.
Results from our blepharoplasty procedures typically last 10 to 15 years, provided you care for the skin around your eyes. This can be done by applying sunscreen daily, avoiding smoking, moisturizing your skin as needed, and a good skin care regimen. It is possible that other lifestyle choices or genetic predispositions may affect your results as well.
Dr. Sepehr has extensive training and experience and will do what he can to limit residual scarring. The incisions from your surgical procedure may be visible immediately following the operation, but once healed, any scars should be virtually unnoticeable.
The average surgical fee for eyelid surgery is roughly $3,200, according to 2017 statistics from the American Society of Aesthetic Plastic Surgery (ASAPS). This price usually depends on your geographic location, as well as your plastic surgeon. As eyelid surgery is a personalized procedure, a true estimation of your eyelid surgery expenses will be dependent on:
After Dr. Sepehr gains an understanding of your needs and cosmetic goals during a consultation, our office can provide you with a personalized quote of your procedure. To make the cost of blepharoplasty more manageable, our practice works with highly reputable plastic surgery financing companies, such as CareCredit® and Prosper®Healthcare Lending. Once approved through the easy application process, qualified candidates can choose from an array of low interest and interest-free payment plans to select the option that is most ideal for their budgetary concerns. If you are interested in paying for your treatment over time, or have any other questions about the price of eyelid surgery, please contact our practice to speak to a member of our team.
While there is not currently a minimally invasive procedure that can mirror the quality or longevity of results of eyelid surgery, patients interested in non-surgical blepharoplasty can still achieve effective facial rejuvenation with injectable treatments. For individuals concerned with horizontal brow creases, frown lines, or “crow’s feet” around the corners of the eyes, BOTOX® Cosmetic can be a simple way to refresh the upper face and smooth expression wrinkles for a more youthful aesthetic. Similarly, injectable dermal fillers can be used to restore volume in the under-eye hollows or improve the look of flattened cheeks for a more vibrant appearance in the mid-face. These treatments provide a more temporary outcome than eyelid surgery, but can nonetheless yield exceptional results. During your consultation, Dr. Sepehr will help you determine which non-surgical cosmetic enhancement can fulfill your aesthetic goals without the need for surgery or downtime.
Eyelid surgery is a powerful procedure capable of smoothing the contours around the eyelids for a more youthful expression, but the key to achieving effective and natural-looking results is finding an experienced blepharoplasty surgeon to achieve your aesthetic goals. While you are in the midst of the research process, the following tips may be able to help guide you towards the right selection:
Once you have narrowed down your possible choices, the next step is to schedule a consultation with a plastic surgeon who has met your criteria. This will give you the chance to ask about his or her qualifications in person, and allow you to assess how comfortable you feel under a given surgeon’s care.
*Individual Results May Vary