Blepharoplasty (Eyelid Surgery)
Blepharoplasty, also referred to as eyelid surgery or eyelid lifts, improves the appearance of the upper eyelids, lower eyelids, or both. The purpose of eyelid surgery is to give patients a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. Cosmetic eyelid surgery enhances the eyelids also providing a more youthful appearance.
Dr. Etai Funk specializes in plastic surgery of the face and neck exclusively and has an intimate understanding of eyelid anatomy and aesthetics. Many patients have chosen Dr. Funk as their blepharoplasty surgeon to correct drooping upper eyelifts and puffiness (bags) under their eyes. Below are a series of photos from patients who have received eyelid surgery at Funk Facial Plastics as well as frequently asked questions regarding blepharoplasty.
Eyelid Lifts for Puffiness
Many patients complain of the puffiness under the eyes or heavy appearance to their eyelids. Patient may complain of tired looking eyes. One of the first areas where a person begins to notice the signs of aging is surrounding the eyes. It is typically the first area a person will inspect when looking in the mirror, and the eyes are where our attention is directed during a patient-doctor consultation. It is important to address the upper and lower eyelids separately when discussing eyelid rejuvenation surgery.
As a person ages there is an excess of skin of the upper eyelid and loss of a defined upper eyelid crease. It is also common to see a small amount of bulging fat in the upper eyelid near the nose. It is essential to pay close attention to the position of the eyebrows as low/sagging brows can also lead to that tired upper eye appearance. Typically an upper blepharoplasty removes a small sliver of skin leaving the scar where the natural crease resides. In addition, if necessary, a small amount of fat is removed for contouring.
Blepharoplasty will allow for mild improvement of the fine wrinkles surrounding the eye. However, these wrinkles are best addressed with resurfacing techniques such as laser or chemical peel and Botox®.
There is typically a mild amount of bruising with an eyelid surgery. Blepharoplasty patients recover around 1 to 2 weeks after their surgery and can return to work and social activities.
The cost of eyelid surgery (blepharoplasty) varies with each plastic surgeon along with the complexity of the patient’s eyelids. Typically upper eyelid surgery is a straightforward procedure and less in price unless there is ptosis, commonly referred to as a lazy eye. However, revision upper blepharoplasty can be more costly as there is increased scar tissue and complexity of the eyelid.
Lower blepharoplasty is a more involved surgery and requires a skilled and experienced plastic surgeon. Procedures that can increase cost include:
- Lax lower eyelids that may require canthopexy or canthoplasty in addition to eyelid surgery.
- A transconjunctival versus a skin flap approach with the surgery.
- Fat repositioning rather than simple fat removal.
Eyelid assymetry commonly occurs in the upper eyelids in many individuals. Concomitant eyebrow assymetry frequently occurs with this. Blepharoplasty or upper eyelid surgery or eyelid lift can makes these eyelids more symmetric while at the same time more youthful, vibrant, and alert.
Upper eyelid assymetry can be corrected with blepharoplasty or eyelid surgery. The crease in the upper eyelid is created by a muscle and by changing where that crease is located and the amount of skin that is excised, eyelids can be made more symmetric with eyelid surgery.
The goal in lower blepharoplasty or a lower eyelid lift is to improve that tired or puffy appearance to area beneath the eye. With a lower eyelid lift, you can also tighten the lower eyelid skin to remove the crepe, thin, and wrinkled appearance in this area. The "bags under the eyes" are due to fat that has started to push on a weakened wall of connective tissue that holds the fat back. Lower blepharoplasty addresses this fat through an incision just below the lower lid or from the inside through the pink (conjunctiva) portion of the eye. If necessary, fat can be repositioned to fill the tear trough area and improve the dark circles under the eyes. Dr. Funk typically would remove the excess fat and trim some of the excess skin with lower eyelid surgery to create a more rested, refreshed, and youthful appearance.
Eyelid surgery is a common procedure for men with significant hooding of skin over the eyes and/or bags under the eyes. This provides a more youthful and refreshed appearance to a man as is evident in the before and after photos after upper eyelid surgery of the man below.
The shape of your eyelid should not change after surgery aside from removing the excess skin surrounding the eyelid. The same almond shape will be retained. Sometimes, the lower eyelid may need to be tightened if you already have a saggy or droopy lower eyelid. You can expect your eyelid to look more refreshed, youthful and less tired.
The goal with eyelid rejuvenation is to have a refreshed, vibrant, and enlivened appearance. Once again, the objective is to provide an unoperated appearance and not to change the shape of the eye itself, but only reorient and shape the surrounding tissues.