Eyelid Surgery

Eyelid Surgery

More than any other facial feature, your eyes reveal the most about how you feel. When your eyes are bright and alert, you appear energized, well-rested, and in control. However, if you have lower-eyelid puffiness, dark circles or drooping upper lids, others may assume that you are fatigued, angry or unhappy.

If you believe that your eyes are making you look tired, sad, or older than you really feel, cosmetic eyelid surgery (also called blepharoplasty) may be the right choice for you. Eyelid surgery can remove the excess fat and drooping skin of the upper eyelids, minimize bags under the eyes and tighten the upper eyelid skin. The result is a more alert and rested appearance.

You’ll find basic information about eyelid surgery in the following pages. However, the best way to get complete answers to specific questions that relate to your individual needs is to have a personal consultation with a plastic surgeon certified by the American Board of Plastic Surgery.

Is cosmetic eyelid surgery right for me?

Eyelid surgery is performed on men and women of all ages who want to improve their self-image. Most people have eyelid surgery to minimize the effects of aging. However, many people in their 20’s or 30’s may also benefit from the procedure. You may be a good candidate for eyelid surgery if you have any of the following conditions:

Upper eyelids

  • excess skin that hides the natural folds of the upper eyelids
  • loose skin that hangs down from the upper eyelids
  • puffiness in the upper eyelids that creates a tired look.

a) Eyelid puffiness, drooping upper lids or fine wrinkles around the eyelids can make people appear tired, sad, or older than they feel.

Lower eyelids

  • excess skin and fine wrinkles of the lower eyelids
  • puffy “bags” and, in some cases, dark circles

How is cosmetic eyelid surgery performed?

The specific method used for your eyelid surgery will be determined by your features and your surgeon’s preferences.

Upper eyelids

Typically, the incision begins within the natural crease of the eye’s inside corner and extends slightly beyond the outside corner into the crow’s feet or laugh lines. Through this incision, excess skin and fatty tissue are removed. The incision line follows the natural contour of the upper eyelid, and is camouflaged when healed.

Lower eyelids

Usually the incision is concealed just below the lower lashes. Through this incision, excess skin, muscle and fat are removed. Your surgeon may also make special adjustments. For example, the fat beneath the eye can be redistributed to eliminate puffiness or bulges. In some patients, the underlying muscle will be tightened.

Your surgeon may decide that the best approach for removing fat from the lower eyelid is with a transconjunctival blepharoplasty. In this procedure, an incision is placed inside the lower eyelid. This technique requires no external incision, but it cannot be used to remove excess skin. Laser resurfacing or chemical peel is sometimes used in conjunction with this procedure to minimize fine wrinkles near the eyes.

b) Typically, incisions are made following your eye area’s natural lines and creases and will be well camouflaged when healed.

c) Excess fat is removed or redistributed

d) After surgery, eyelids no longer droop and the skin under the eyes is smooth and firm.

All of this information and pictures have been provided by the American Society of Plastic Surgeons.