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Blepharoplasty

(Eyelid Surgery)

Blepharoplasty is a type of plastic surgery that corrects or repairs concerns of the upper eyelid (upper blepharoplasty) and under eye area (lower blepharoplasty). It can be performed for several reasons, including the removing dark under eye circles, under eye bags, and droopy upper eyelids. It also can be performed for creation of natural looking eyelids or simply for the aesthetic purpose of restoring the eyelids to a smoother, younger looking appearance.

What it is

Also referred to as eyelid surgery, an eyelid lift, or simply upper blepharoplasty removes sagging skin to provide a more youthful appearance.

What It Does

 

When using for crow’s feet, the injections relax muscles surrounding your eye corners, so your skin smooths out. The effects may be especially noticeable when you laugh.

Key Benefits

Botox injections have several helpful uses. Although widely known for their cosmetic use in correcting fine lines, wrinkles, and other aging concerns of the facial area, Botox treatments are also useful for their work in helping temporarily treat hyperhidrosis (an overproduction of sweat), reducing the size of large calf muscles, helping treat chronic migraines, headaches, and neck pain, and in helping control an overactive bladder, just to name a few.

​Solutions for

 

  • Baggy or droopy upper eyelids

  • Excess skin of the upper eyelids that interferes with your peripheral vision

  • Excess skin on the lower eyelids

  • Bags under your eyes

Different Types of Blepharoplasty (Eyelid Surgery)

  • Asian Blepharoplasty

  • Asian Blepharoplasty Open Incisional approach

  • Asian Blepharoplasty Partial Incisional Suture technique

  • Lower Eyelid Blepharoplasty Transconjunctival Approach

  • Lower Eyelid Blepharoplasty Transcutaneous Approach

  • Upper Eyelid Blepharoplasty

  • Lower Eyelid Malposition - Lateral Tarsal Strip Canthoplasty

  • Lower Eyelid Malposition - Massage and Steroid Injection

  • Lower Eyelid Malposition - Lateral Canthal Suspension Canthopexy

Cost

Whether you are considering blepharoplasty as a way of eradicating issues that impair your vision or as aesthetic cosmetic surgery, knowing the cost is important in helping you plan accordingly. Blepharoplasty has a wide range of prices. The Lower Eyelid Malposition – Massage and Steroid Injection option falls on the lower end of the price spectrum and only costs approximately $25 - $300 per shot. The rest range anywhere from $1,500 - $5,000 depending on your procedure, your needs, your geographic area, and your surgeon’s pricing.

Common Side Effects 

  • muscle weakness near where the medicine was injected;

  • trouble swallowing for several months after treatment;

  • muscle stiffness, neck pain, pain in your arms or legs;

  • blurred vision, puffy eyelids, dry eyes, drooping eyebrows;

  • dry mouth;

  • headache, tiredness;

  • increased sweating in areas other than the underarms; or

  • bruising, bleeding, pain, redness, or swelling where the injection was given


Possible risks of eyelid surgery include

  • Infection and bleeding

  • Dry, irritated eyes

  • Difficulty closing your eyes or other eyelid problems

  • Noticeable scarring

  • Injury to eye muscles

  • Skin discoloration

  • The need for a follow-up surgery

  • Temporarily blurred vision or, rarely, loss of eyesight


Risks associated with surgery in general, including reaction to anesthesia and blood clots.


Talk to your doctor about how surgical risks apply to you. Understanding what's involved in blepharoplasty and weighing the benefits and risks can help you decide if this procedure is a good option.

What You Can Expect

Before the procedure


Blepharoplasty is usually done in an outpatient setting. Your surgeon injects numbing medication into your eyelids and administers intravenous medication to help you relax.

During the procedure


If you have surgery on your upper and lower eyelids, the surgeon generally works on your upper lids first. He or she cuts along the fold of the eyelid, removes some excess skin, muscle and possibly fat, and closes the cut.

On the lower lid, the surgeon makes a cut just below the lashes in your eye's natural crease or inside the lower lid. He or she removes or redistributes excess fat, muscle and sagging skin, and closes the cut.

If your upper eyelid droops close to your pupil, your surgeon may do blepharoplasty with a procedure called ptosis (TOE-sis) that provides additional support to the eyebrow muscle.

After the procedure


After surgery you spend time in a recovery room, where you are monitored for complications. You can leave later that day to recuperate at home.

After surgery you may temporarily experience

  • Blurred vision from the lubricating ointment applied to your eyes

  • Watering eyes

  • Light sensitivity

  • Double vision

  • Puffy, numb eyelids

  • Swelling and bruising similar to having black eyes

  • Pain or discomfort

Seek medical attention immediately if you experience any of the following

  • Shortness of breath

  • Chest pain

  • An unusual heart rate

  • Severe new eye pain

  • Bleeding

  • Vision problems

Long Term Results

Many people express satisfaction with the results of blepharoplasty, such as a more rested and youthful appearance and more self-confidence. For some people, results of surgery may last a lifetime. For others, droopy eyelids may recur.

Bruising and swelling generally subside in 10 to 14 days, which may be when you feel comfortable going out in public again. Scars from the surgical cuts may take months to fade. Take care to protect your delicate eyelid skin from too much sun exposure.