Eyelid Surgery

Facial aging is often first visible around the eyes. Droopy, heavy lids, extra skin, bags and undesirable fullness around the eyes can lead to a tired or upset appearance. Cosmetic changes often go hand-in-hand with functional changes in the eyelids; excess tissue in the upper eyelids can obstruct vision, and patients after blepharoplasty can often see better while looking better as well.

While non-surgical options such as Botox and Dysport and dermal fillers can bring about great improvements around the eyes, blepharoplasty or eyelid surgery may be the best option for some eyelid concerns. Blepharoplasty is a powerful technique for facial and eyelid rejuvenation, and is one of Dr. Fishman’s favorite surgeries for a youthful and natural result.

Age-related changes in the eyelids usually appear in the third decade, and Dr. Fishman often performs blepharoplasty eyelid surgery on patients in their late 30s and 40s. Depending on anatomy and aesthetic desires, some patients may combine eyelid surgery with brow lifting, forehead lifting, CO2 laser or chemical peel skin resurfacing, and facelifting.

BLEPHAROPLASTY SURGERY ADVANTAGES

  • Eyelid surgery restores natural contour to the eyelids.
  • Eyelid surgery removes or repositions excess fat deposits, and so treats bags.
  • Eyelid surgery removes excess, loose skin, and tightens muscles and tissues around the eyes.
  • Upper eyelid surgery removes excess skin that may obstruct vision.

IS BLEPHAROPLASTY SURGERY RIGHT FOR YOU?

If you are in good health and want to improve the appearance of your eyes and eyelids, you may be a good candidate for Dr. Fishman’s eyelid surgery. You should have realistic expectations of treatment.

BLEPHAROPLASTY SURGERY: TREATMENT DETAILS

Dr. Fishman performs eyelid surgery under local or general anesthesia. During upper eyelid surgery, Dr. Fishman places an incision in the natural crease of the upper eyelid. For lower eyelid surgery, she uses an incision just under the eyelashes or inside the eyelid. Dr. Fishman carefully measures and removes excess skin, trims or repositions the excess fat around the eye, and tightens muscles during eyelid surgery. The scars on both eyelids are hidden within the natural creases on the lids.

AFTER SURGERY

  1. You will have some swelling, bruising, and paleness about the eyes.
  2. You may have some discomfort, which should be controlled with oral pain medications.
  3. Cool compresses should be used on the eyelids as instructed.
  4. The eyelid heal quickly, over the course of 1-2 weeks.
  5. You will likely note itchiness and some blurry vision, which resolve over time.
  6. You will need to sleep with your head elevated for the first week after surgery.
  7. Swelling and soreness resolve over time; give yourself 7-10 days before returning to work or social activities.

Frequently Asked Questions

WHAT TYPE OF ANESTHESIA IS USED DURING BLEPHAROPLASTY (EYELID) SURGERY?

Dr. Fishman will discuss her anesthesia preferences during your consult. She uses local anesthesia, deep sedation, or general anesthesia for eyelid surgery.

HOW LONG IS BLEPHAROPLASTY SURGERY?

Dr. Fishman typically performs eyelid surgery over 45 minutes to 1.5 hours, depending on the amount of work to be done and other associated procedures.

DOES BLEPHAROPLASTY SURGERY LEAVE SCARS?

Yes, eyelid surgery leaves scars, which are hidden in the natural creases of the eyelid or inside the lower eyelid. These scars fade very well over time and are difficult to find once healed.

HOW PAINFUL IS BLEPHAROPLASTY SURGERY?

Most of Dr. Fishman’s blepharoplasty patients describe a swollen or sore sensation as opposed to true pain after blepharoplasty surgery. Most people will have mild-moderate swelling, bruising, and itchy or blurry eyes after surgery. These symptoms are well-managed with cold compresses, oral medications, and lubricating eye drops.

HOW LONG BEFORE I WILL SEE THE FINAL RESULTS OF MY BLEPHAROPLASTY?

Most swelling after eyelid surgery resolves within 2 weeks, though some swelling remains for several months after surgery. Most patients may return to work and social activities within 2 weeks after surgery, though final results usually appear closer to 2-3 months post-operatively.

WILL INSURANCE PAY FOR BLEPHAROPLASTY SURGERY?

Insurance does not cover elective cosmetic procedures, but may cover procedures deemed medically necessary–such as a heavy eyelid obstructing vision. You may be instructed to undergo an exam and testing with your Ophthalmologist to evaluate for possible visual field obstruction. For non-insurance cases, we offer financing and are happy to discuss this with you after your consult with Dr. Fishman.