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Provider ID Number: 99100

The Ins and Outs of Blepharoplasty

Blepharoplasty, or eyelid rejuvenation surgery, is a popular cosmetic procedure among patients who want to combat the aesthetic effects of aging.

As we age, the fat, muscle, and skin around the eyes begins to sag and droop, creating a tired, aged appearance. The blepharoplasty procedure involves the removal and repositioning of fat, muscle, and skin from around the eye to create a firmer, tighter, and more youthful look around the eye. In some cases, when there is enough excess skin around the eye that it obstructs the patient’s vision, the removal of excess skin can even improve the patient’s eyesight.

There are two main types of blepharoplasty: lower and upper eye lids. A given patient might receive just upper lid, just lower lid, or both, depending on individual needs and goals.

Lower Lid Blepharoplasty

Lower lid blepharoplasty is a procedure for reshaping and tightening the under-eye area by removing excess fat and skin, and by reshaping the area, lifting drooping fat deposits.

In lower eyelid blepharoplasty, depending on the patient’s individual needs, the surgeon may perform either transconjunctival blepharoplasty or transcutaneous blepharoplasty.

Transconjunctival blepharoplasty is usually indicated when the patient has large bags under the eyes caused by fat deposits, but little or no wrinkling. In this procedure, the surgeon makes a small incision on the inside of the lower eyelid, leaving no external incision, and repositions the fat deposits higher in the eye socket, eliminating the sagging effect.

Transcutaneous blepharoplasty is a more effective option for patients who have loose skin or muscle around the lower eyelids that requires tightening. In this procedure, the surgeon will make small incisions just below the eyelashes, so any scarring will be hidden, and will then tighten the excess skin and muscle that is creating the appearance of bags, creating a more vibrant and youthful appearance.

Upper eyeLid Blepharoplasty

Upper eyelid blepharoplasty is a procedure for tightening and reshaping the upper eyelid area, removing excess skin, muscle, and fat caused by loss of elasticity as a result of aging. The tightening of the skin in this area can create a more alert, vital appearance, and in cases in which the sagging is extreme enough to obstruct vision, it can even improve the patient’s eyesight.

In upper lid blepharoplasty, the cosmetic surgeon will make small incisions following the natural creases in the patient’s eyelid, or in the laughter lines along the outside corner of the eye, following the natural contours of the face so as to minimize potential scarring from the incision.

Blepharoplasty may be performed either under local or general anesthetic, and stitches, if any, will be removed anywhere from two days to a week after surgery. Recovery times vary according to the type of blepharoplasty performed and other factors unique to the patient, but in the majority of cases, patients are ready to return to their full, normal schedule within about a week to ten days.

As with any surgery, it’s important that the patient speak with a reputable cosmetic surgeon to discuss available blepharoplasty options and weigh the costs and benefits of those options in light of the patient’s individual goals, needs, and expectations.


Disclaimer: The blepharoplasty eyelid surgery information on this page is not to be taken as medical advice. The content throughout our Cosmetic Surgeon Directory is intended to provide general information regarding plastic surgery.
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