Eyelid Surgery (Blepharoplasty)
The skin of our eyelids and the area surrounding our eyes is among the thinnest on the entire human body. Plus, our eyes are constantly exposed to the elements. Throw in the natural slackening of our tissues with age, and you’re left with droopy, sagging eyelids, and puffy, wrinkled skin beneath our eyes that can make us look far older than our actual age.
What is Eyelid Surgery?
Eyelid Surgery, also known as Blepharoplasty, is a surgical procedure to improve the appearance of the eyelids. Surgery can be performed on either the upper lids, lower lids, or both to give a rejuvenated look around the eyes. Dr. Potozkin performs eyelid surgery to reverse this aging. He removes excess skin and repositions fat, and tightens muscles as needed to give patient a younger, more-rested appearance. While usually performed for cosmetic reasons, the sagging could impact the patient’s vision and become a medical necessity.
Who Is a Good Candidate for Eyelid Surgery?
Eyelid surgery is a cosmetic procedure that is popular with both women and men. This is because the eyes are the focal point of the face, and aging eyes make you look older and tired, no matter what your sex is. Good candidates for a blepharoplasty still have good tone in their facial muscles and tissue. However, people over the age of 40 could benefit from this surgery. Only people with eye diseases are not able to have eyelid surgery.
“Dr. Potozkin’s office was kind enough to get me an appointment right away at one of their busiest times of the year. It’s a beautiful practice with kind and pleasant staff. The doctor was amazing. Thank you for serving the needs of our community.” -Sabine
Eyelid Surgery Benefits
There’s a reason that blepharoplasty is one of the world’s most popular cosmetic surgeries every year. It can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin, and muscle from the upper and lower eyelids. It may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient’s field of vision. The procedure delivers dramatic results, but they are subtle. Unlike procedures such as facelifts or breast augmentation, most people have no idea when a person has had eyelid surgery; they only know the person somehow looks more alert and refreshed.
Another benefit of eyelid surgery is the ease of recovery. Recovery is not overly painful and if patients are diligent when applying the cold compress we supply, swelling and bruising can be minimized. Most patients feel that when Dr. Potozkin removes their stitches after one week, they are mostly recovered.
- rejuvenates eye appearance
- can improve patients field of vision
- more subtle looking results
- quick recovery
Can Blepharoplasty Be Combined With Other Procedures?
It’s easy to combine eyelid surgery with BOTOX injections to remove aging. Blepharoplasty can be combined with Ultherapy or BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles, crow’s feet or dark circles under the eyes.
How Is Blepharoplasty Performed?
Dr. Potozkin can perform blepharoplasty on either the upper or lower eyelid or on both in one procedure. The procedure is usually performed in an office with local anesthesia and lasts 45 minutes to a few hours depending on how much work is done. With anesthesia, the surgery can run from 45 minutes to two hours. This is a delicate surgery that employs small incisions. Incisions are made along the eyelids in inconspicuous places (in the creases of the upper lids, and just below the lashes on the lower lids). On the upper eyelid, Dr. Potozkin makes a small incision in the natural crease of the eyelid to conceal any scarring. He then tightens the muscle tissue, removes excess skin, and usually repositions the fat.
For lower lids, we perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars. More excess skin may be removed on this lid, as it is often leading to puffiness and excessive wrinkling beneath the eye. There isn’t any difference in this procedure whether it’s done for functional reasons or for cosmetic reasons. The difference is simply in the degree of adjustment. Dr. Potozkin removes excess tissue through these incisions and then stitches them closed with fine sutures.
Recovery from a blepharoplasty is not difficult, as this is an outpatient procedure. When you return home after your surgery, Dr. Potozkin will have covered your eyelids with light gauze. We give you a cold compress and eye lubricant. If you’re diligent with the compress, you can minimize bruising and swelling. Pain is not severe and can usually be handled with over-the-counter pain medication. After one week, your stitches will be removed and your eyelid recovery is mostly complete. Patients can have some minor continuing swelling. This is on again, off again and doesn’t happen for everyone. This is not severe, and it usually resolves in a few weeks.
Most people can return to work in ten days, but contact lenses may not be worn for two weeks. The effects of a blepharoplasty can last for a long time and are sometimes even permanent. It’s important to allow your eyes to rest in the first few days after your surgery. You can begin walking and light exercise in that same timeframe. For the first couple of weeks, you don’t want to do any exercises or activities that really increase the blood pressure to your face.
How Soon Will I See My Results?
You will notice an immediate change in your eyelids, although you will have swelling and likely bruising. If you’re attentive with using your cold compress, you can minimize the swelling. After a week, you’ll really get a good idea of how your eyes will look.
How Long Will My Results Last?
The changes made with this surgery are permanent, as you would expect. Removing excess skin, repositioning fat, and tightening the muscles — these are permanent changes in your eyes and they will reflect this for a long time. However, obviously this procedure can’t stop the aging process. Your eyes will still age, but they will begin aging from a younger starting point after this surgery. The removal of the hooding that occurs with aging eyelids means this is gone for good. Most patients don’t need another upper blepharoplasty to correct future sagging; a brow lift is usually what is needed in the future.
Eyelid Surgery Risks and Complications
Eyelid surgery with Dr. Potozkin is a very safe, satisfying procedure, but it still is surgery. There is the possibility of excessive bleeding, infection,SsS and poor incision healing, just as with any surgery. Complications specific to eyelid surgery are:
- Inability to fully close the eyelids
- Eyelid infection
- Double vision
- Noticeable scarring
- Malpositioned eyelids
- Numbness of the eyelids