The eyes are the "windows of the soul," and one of the first places that we see aging. Some patients develop bags and loose skin on their eyelids as they age. Other patients have lower eyebrows and drooping upper eyelids due to weakness, or separation of the upper eyelid lifting muscle associated with age. These changes often lead to a tired, or even grumpy appearance, no matter much you work to be well-rested and rejuvenated. Dr. White’s approach to eyelid lift surgery is to address both functional and cosmetic components to achieve a natural, balanced, and refreshed look.
Frequently Asked Questions
Who is a good candidate for an eyelid lift (blepharoplasty)?
Many aesthetic flaws can be resolved with an eyelid lift, including the following:
- An excess of crepe-like skin on upper or lower eyelids. As we age, our skin naturally loses its volume elasticity, and the eyelids are no exception – while this deterioration shows up as wrinkles and sagging skin all over the body, it can be particularly noticeable in the eyelids, where drooping upper lids give the appearance of extreme tiredness. In some cases, this can even start to interfere with peripheral vision, making it less safe for the individual to operate a car and perform other tasks.
- A puffy appearance to the eyelids. Puffy eyes are often due to fat deposits in the eyelids. Again, these can be more than just an aesthetic concern – they may also interfere with vision. Even if you’ve worked hard to lose weight, these fat deposits may stubbornly persist, including those on the eyelids. In this case, your surgeon will be able to use a blepharoplasty to remove excess fat from within the eyelids.
- Upper eyelids droop downwards and block vision. In addition to lost elasticity in the skin of the eyelids, drooping upper lids can also be caused by a weakening of the muscles which control the eyelid. It is important to engage in a thorough consultation with an experienced plastic surgeon before undergoing surgery to determine the nature and location of the problem causing the droopy appearance.
- Lower eyelids droop down, with the white of the eye showing below the iris. When your lower eyelids are drooping low enough that white is showing beneath your iris, it is definitely time to look into treatment options. Causes may range from a loss of elasticity and volume in the skin to weakened muscles. A qualified plastic surgeon can discuss the possible causes and available treatments for your particular condition with you.
How is the eyelid surgery performed?
Depending on your specific needs, the surgery will likely involve the removal of excess skin, fat, and/or muscle. Blepharoplasty is typically an outpatient procedure, and you will be administered either intravenous sedation or general anesthesia for your comfort during the surgery. Incisions will be made either along the crease of the upper eyelid or just below the lash line on the lower lid. In some cases in which no skin removal is necessary in the lower eyelid, the doctor may also remove fat via a transconjunctival incision, or an incision made on the inside of the lower eyelid that is not visible externally (scarless blepharoplasty).
After the necessary corrections are made to the affected lid(s), the surgeon will close the incisions with sutures, skin adhesives, or surgical tape. Note that a certain amount of bruising and swelling is common for a few days or weeks after the surgery, but as these fade, you will begin to enjoy the results of your blepharoplasty. Your doctor may recommend an aesthetic treatment to improve any discoloration, such as arnica to reduce swelling and bruising.
Upper Eyelid Surgery
Upper eyelid surgery is performed via an external incision that removes excess skin. This scar heals very well and tends to blend as if it were a thin lid crease. A small amount of skin is often removed simultaneously in areas that are bulging, while leaving enough fat behind to prevent a hollowed out appearance. If the eyelid lifting muscle is elongated to the point of blocking vision, Dr. White can shorten the muscle and restore functionality to the eyelid.
Lower Eyelid Surgery
Lower eyelid surgery can be performed via an external incision to remove a small amount of excess skin or fat. The scar will be well-hidden beneath the eyelashes. If the patient does not have much excess skin and the problem involves primarily fat deposits around the eyes, surgery can be performed to hide the surgery site behind the eyelid. This minimally invasive method results in a scar-free surgery.
Blepharoplasty: Experienced Cosmetic Surgeon in Florida
In your consultation with Dr. White, he will complete a personalized evaluation of your eyelid and brow area and discuss the surgical options to help you decide on what is the optimal approach for you. Contact our office to discuss eyelid surgery.
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