- 1 Description
- 2 Options
- 3 Before & After Photos
- 4 Anatomy of The Eyelid
- 5 Indications
- 6 Evaluation
- 7 Option Details
- 8 Complementary Procedures
- 9 Procedure Details
- 10 Recovery
- 11 Frequently Asked Questions (FAQs)
- 11.1 What is blepharoplasty?
- 11.2 Who is a Good Candidate for blepharoplasty?
- 11.3 What are the risks involved with a blepharoplasty?
- 11.4 Will insurance cover my eyelid surgery?
- 11.5 Does this procedure help with dark circles under my eyes?
- 11.6 What will I have to do to prepare for my eyelid surgery?
- 11.7 What is recovery from my eyelid surgery like?
- 11.8 Why should I consider eyelid surgery?
- 11.9 When will I see my final results?
- 11.10 What are the overall benefits of eyelid surgery?
- 11.11 Will I be able to wear contact lenses immediately after my blepharoplasty surgery?
- 11.12 How long does a blepharoplasty procedure take?
- 11.13 Will I be able to drive home after my surgery?
- 11.14 Will I ever need a second blepharoplasty procedure?
- 11.15 Why do eyelids sag so early?
Eyelid surgery, also known as blepharoplasty, improves the appearance of the upper eyelids, lower eyelids, or both. It gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. As you age, your eyelid skin stretches, muscles weaken, fatty deposits accumulate, droopiness occurs in your upper eyelids, horizontal forehead furrows appear and excessive wrinkling or dark discoloration of the thin eyelid skin becomes evident. Such unwelcome signs may also be accelerated by other factors including; environmental influences, hormone imbalance, smoking, alcohol intake, drug abuse, improper diet, poor health and excessive exposure to the sun. A Blepharoplasty (eyelid surgery) involves the removal or manipulation of the skin, fat and muscle of your eyelids to give you a more youthful appearance.
At Gabbay Plastic Surgery, Dr. Joubin Gabbay, M.D. offers aesthetic eyelid surgery as a solution to all of your aging eye problems and enjoys a very high rate of patient satisfaction.
Gabbay Plastic Surgery offers a full range of surgical and non-surgical cosmetic procedures that can dramatically improve the appearance of your eyes. The blepharoplasty operation can be performed on both your upper and lower eyelids (separately, or at the same time). Aesthetics are not the only reason for having eyelid surgery; extra skin hanging over your eyes can sometimes impair your vision.
Conditions treated with eyelid surgery include:
- Excess fatty deposits giving the upper eyelids a puffy appearance.
- Loose or sagging skin creating folds or disturbing the natural contour of the upper eyelid (which can sometimes impair a patient’s vision).
- The removal of excess skin and fine wrinkles from the lower eyelid.
- Bags under the eyes.
- Droopiness of the upper or lower eyelids, showing white below the iris.
Dr. Gabbay is very experienced at performing blepharoplasty, and is the best choice to perform any delicate and complex eye-related procedure.
Blepharoplasty is generally an outpatient procedure that can take from 1-2 hours to complete. Eyelid surgery can be performed either under IV sedation or general anesthesia, and Dr. Gabbay will recommend the appropriate method during your consultation. Eyelid surgery scars are nearly undetectable, because the incisions for an upper blepharoplasty are made in the natural crease of the eyelid. For lower eyelid surgery, the incision may be placed precisely at the lash line (again, leaving negligible visible scarring). Sutures (often dissolvable) are used in most cases to close incisions and hold the delicate skin of the eyelid together during the recovery period.
It takes approximately 7-10 days for the main swelling and bruising to subside after eyelid surgery. Dissolvable stitches will dissolve on their own, while permanent stitches will be removed in 4-7 days. For the first few weeks you may experience dry or watery eyes, blurring or double vision, and sensitivity to light but these symptoms will gradually subside. Normal activity may be resumed in 3-4 days, although you should avoid strenuous physical activity for 2-3 weeks after your surgery. If you would like more information about eyelid surgery, please contact Gabbay Plastic Surgery and we will be happy to answer any and all of your questions, and to schedule an initial, complimentary consultation with Dr. Gabbay. You may also click the link below to read a more in-depth description of the blepharoplasty procedure.
Before & After Photos
Anatomy of The Eyelid
There are two primary types of eyelid muscles: eyelid elevators, and eyelid depressors.
- Levator Oculi Superioris—this thin muscle is responsible for lifting the eyelid
- Muller’s muscle—this superior tarsal muscle also lifts the eyelid, but is controlled by the involuntary sympathetic nervous system
- Orbicularis Oculi: this muscle closes the eyelids when we go to sleep or blink
Eyelid surgery (blepharoplasty) is performed to remove the excess fat, muscle and skin from both the upper and lower eyelids. As with all facial plastic surgery procedures, good health and realistic expectations are important to achieve a successful surgical outcome. Patients with circulatory, ophthalmological or serious medical conditions are generally not ideal candidates for this surgery. During your consultation with Dr. Gabbay, he will assess your surgical goals and current state of physical health in order to ascertain whether or not blepharoplasty is right for you, and whether any additional complementary procedure would enhance the results of your blepharoplasty procedure.
Whether you are considering blepharoplasty surgery for functional or cosmetic reasons, your choice of a qualified facial plastic surgeon is crucial. At Gabbay Plastic Surgery, you can expect a comprehensive initial consultation and an open and honest exchange with Dr. Gabbay, which will establish the basis for a successful surgical outcome. During your consultation, Dr. Gabbay will evaluate your eyelid anatomy and will determine the appropriate technique to utilize for your blepharoplasty procedure.
Blepharoplasty surgical options include:
Upper Blepharoplasty: This minimally invasive procedure is performed to enhance the cosmetic appearance of the upper eyelid region and/or to correct a peripheral vision obstruction caused by excess upper eyelid ski. During this procedure, Dr. Gabbay will make a small incision along the outside of your upper eyelid, and will then remove any excess skin, muscle folds, or fatty deposits. Scarring after this surgery is very minor and will be inconspicuously hidden in the crease of your eyelid.
Lower Blepharoplasty: This procedure is performed to correct aesthetic problems of the lower eyelid, such as excess skin, dark circles or a “puffy” appearance. Fluid accumulation and/or excess fatty deposits cause the “puffy” appearance of the lower eyelids, and dark circles under the eyes can be caused by dyscrhromias (discolorations) or pigmentations, fatty deposit shadows, or the protrusion of the orbital bone surrounding the eyes. Dr. Gabbay will employ different lower blepharoplasty techniques depending upon the problems that need to be addressed, and their respective causes.
Blepharoplasty is often performed in conjunction with other facial cosmetic procedures in order to achieve optimal facial rejuvenation results. Based on his assessments of your facial structure and aesthetic goals, Dr. Gabbay may recommend one or more of the following procedures to be performed together with your blepharoplasty surgery:
- Brow lift
- Full facelift
- Dermal fillers
- Laser resurfacing
In general, blepharoplasty is an outpatient procedure that takes approximately 1-2 hours to complete, and is performed under local anesthesia with IV sedation or general anesthesia. The upper or lower lids can be treated alone; however, if necessary, all four lids can be treated at the same time.
During upper eyelid surgery, Dr. Gabbay will first mark the lines and creases on the natural folds of your lids in order to keep the scars as inconspicuous as possible. Once the incision is made, Dr. Gabbay will remove any excess fat, muscle and loose skin, before closing the incision with sutures.
For lower eyelid surgery, Dr. Gabbay will make the incision in an inconspicuous site along your lash line (or inside your lower eyelid if a transconjunctival blepharoplasty is performed), and will then remove a small amount of excess skin and fat before tightening the underlying muscle to produce a more youthful looking lower eyelid. The skin in and around the eyelid tends to heal very nicely, and with time, blepharoplasty scars become very faint and inconspicuous.
Immediately after your eyelid surgery, cold saline compresses will be applied to your eyelids. Your eyes may feel tight and sore as the anesthetic wears off; however, this can be easily controlled with pain medication. Bed rest and head elevation will be required to help relieve swelling, and chilled eye pads will also provide comfort from any residual soreness. Most swelling and bruising will subside approximately 10-14 days following your procedure. You will be able to clean your eyes gently with water, but will be advised not to rub your eyes or to wear contact lenses until your sutures have been removed. You will need to apply antibiotic ointment to your eyes for the first five days, and will return to the office one week after your procedure to have any permanent stitches removed.
For the first few weeks you may experience dry or watery eyes, blurring or double vision and sensitivity to light; however, these symptoms are temporary and will gradually subside. Normal activity and work schedules may be resumed in 3-4 day, but rigorous physical activity should be avoided for an additional 2-3 weeks.
Potential (although rare) complications following blepharoplasty surgery include: infection, hematoma, blurred or double vision, chemosis, swelling, eyelid ectropion, eyelid asymmetry. Factors that affect the functional and cosmetic outcomes of your eyelid surgery include the individual anatomy of your eyelids, adjacent tissues, skin elasticity, and age.
Frequently Asked Questions (FAQs)
What is blepharoplasty?
Blepharoplasty is more commonly known as an eyelift or eyelid lift, and it is the third most popular cosmetic procedure in the United States today. The procedure can include your upper lids, lower lids, or both; and its goal is to give you a more alert and rested appearance.
Who is a Good Candidate for blepharoplasty?
As with all surgical procedures, the best candidates for eyelid surgery include men and women who are in good health and who have realistic expectations about their outcome. Patients that benefit most from this type of surgery include people who have excess or sagging skin around the eyes or those who have “hooded” eyes. Blepharoplasty can also be very effective in removing the “bags” underneath the eyes, as well as improving fine lines and wrinkles around the eye.
What are the risks involved with a blepharoplasty?
As with any surgery, though rare, a blepharoplasty carries risks that include scarring, infection, and possible postoperative bleeding. For any abnormal symptoms, you should contact Dr. Gabbay immediately.
Will insurance cover my eyelid surgery?
Eyelid surgery is considered a cosmetic surgery in most cases, however, if Dr. Gabbay believes that excess skin of your upper eyelids or your sagging brow can result in visual field impairment, he will order visual field testing to be performed by your optometrist or your ophthalmologist. If there is sufficient documentation to make the diagnosis of visual field impairment, insurance may cover your eyelid procedure.
Does this procedure help with dark circles under my eyes?
Many patients who complain of dark circles under their eyes have pigmentation in the lower eyelids that cannot be removed. In some cases however, dark circles are a result of shadowing underneath bulging lower eyelids, and if this is the reason, removing the bulges may help dark circles.
What will I have to do to prepare for my eyelid surgery?
Once you decide to have eyelid surgery, Dr. Gabbay will almost certainly order some type of lab tests to confirm your health status before operating. You will be examined and asked to answer questions concerning vision, tear production, use of contact lenses, and any past surgical procedures. You will need to tell Dr. Gabbay about all medicines or supplements you are currently taking, and you may be asked to cease, adjust, or start taking certain medications in the week or two prior to your surgery depending on your situation. It is also very important that you avoid aspirin, other anti-inflammatory drugs, and herbal supplements in the two weeks prior to surgery, as all of these can increase bleeding.
What is recovery from my eyelid surgery like?
After your blepharoplasty, you should keep your head elevated for the first few days, and avoid any straining, bending, or lifting for at least 3-4 days. For the first 7-10 days, your eyes may feel sticky, dry, and itchy, and you will be shown how to clean your eye area. Eye drops are also recommended to aid with the irritation. Most sutures dissolve, and the rest are removed 4-5 days after surgery. Make-up can be applied shortly thereafter, usually in approximately 10 days. Most patients will be able to resume normal activities within 10 days, although your vision may still be slightly blurry, and contact lenses should not be worn for approximately 2 weeks. Following the guidelines set by Dr. Gabbay will speed up your healing process.
Why should I consider eyelid surgery?
The elimination of the excessive sagging skin and fat around your eyes produces a more rested and youthful appearance, and that is why eyelid surgery has continued to have consistently pleasing and satisfying results, with a high rate of patient satisfaction.
When will I see my final results?
Bruising should subside in 5-10 days, and swelling should subside in 2-4 weeks. Final results may appear in 1-2 months, although scars will continue to fade for up to one year. Results vary depending on each patient’s unique situation.
What are the overall benefits of eyelid surgery?
The main benefits of eyelid surgery are a reduction of “bags” under the eyes, which immediately improves your appearance by taking away your tired look. Your eyelids will be firmer and tighter, and if your vision is affected by drooping eyelids, blepharoplasty will correct this. Wrinkles will be reduced, but not completely eliminated, and your eyes will look brighter and clearer. The physical benefits from eyelid surgery will make you feel more confident and self-assured, boosting your self-esteem.
Will I be able to wear contact lenses immediately after my blepharoplasty surgery?
You will be instructed to refrain from wearing contact lenses for at least two weeks following surgery, although eyeglasses are acceptable to wear, as long as they are cleaned and disinfected prior to use.
How long does a blepharoplasty procedure take?
Depending on the technique Dr. Gabbay uses, operating times will vary because he tailors every surgery to meet his patient’s individual needs. Typically, performing an upper and lower blepharoplasty will take 90 minutes to two hours, and an upper or lower blepharoplasty alone may take 45 to 60 minutes.
Will I be able to drive home after my surgery?
Following your blepharoplasty surgery, you will need to have someone drive you to your destination and remain with you for the first 24 hours. If you do not have a family member or friend available, it would be best for you to arrange for a nurse to help you. It is never recommended that anyone operate a vehicle following surgery under any circumstances, as patients are still recovering from anesthesia. In addition, after eyelid surgery you will not be able to see clearly for approximately one day.
Will I ever need a second blepharoplasty procedure?
Blepharoplasty does not stop the aging of the eyes and it is not uncommon for patients to eventually seek a second blepharoplasty for revision, depending on an individual’s circumstances.
Why do eyelids sag so early?
We blink thousands of times per day, and the skin of your eyelids is much thinner than the rest of your face. It also contains fewer internal moisture glands, and as a result, eyelid skin is prone to sagging and stretching. Sun exposure, squinting, and rubbing the eyes irritates the situation. As you age, the fat surrounding your eye tends to bulge outward, and since eyelid fat retains water, bags appear. In some cases, premature aging is heredity, and this too can be corrected with blepharoplasty.