Since “the eyes reveal the soul,” what do yours say about you? Do they convey your inner emotion and vitality, or do they make you look sad, tired or both? As we age:
Some of us inherit excess fat that further hides our normal sparkle. Whether from congenital excess fat or the result of aging, blepharoplasty can rejuvenate your puffy, sagging or tired-looking eyes by:
Upper blepharoplasty is typically a cosmetic procedure but can also improve vision by lifting droopy eyelids out of your field of vision. Older techniques removed significant fat from the upper lid. Today, we rarely do this since it creates a defect that later requires fat grafting. Both blepharoplasty and fat grafting are almost always done as an outpatient and frequently can be done in the office. If you have surrounding problems, we can occasionally:
If you have obstucted upper vision, this can be corrected by the blepharoplasty procedure if the problem is caused by the weight of the excess skin on the upper lid (mechanical ptosis) as the extra skin is removed. If instead you have droop of the upper lid caused by laxity of the levator muscle that raises the lid (muscular ptosis), the muscle can be shortened through the blepharoplasaty incision. This markedly corrects the “tired” look of the upper lids.
Lower blepharoplasty will usually correct the dark circles under your eyes allowing you to look younger and more vibrant. Newer techniques give you better results that last longer and avoid many of the problems of the older methods. Today we rarely remove any of the lower lid fat, as loss of fat in the area is one of the main reasons the cosmetic problem exists. Fat removal, in fact, leads to worse problems in a few years that are harder to correct. The most effective purely surgical method to treat severe “bags” requires significant manipulation of the tissues of the lid. This is usually done under significant sedation or general anesthesia. Since this has a high rate of problems, we now do a less extensive but very safe and effective office procedure and treat any residual deformity with fat grafting. This not only provides superior cosmetic results but markedly reduces problems. You can combine this procedure with others such as a Today’s Liquid Lift, forehead lift and/or BOTOX® Cosmetic treatments to achieve other desired results. When done alone, we usually perform the procedure as an outpatient. You should be able to wear makeup and return to the public in 4-5 days. The fine incisions usually virtually disappear within several months.
While many people will require full surgical correction to achieve rejuvenation of the upper and/or the lower eyelids, others may obtain excellent correction using fillers like Juvéderm™Voluma and other Injectables, including fat. These are also excellent in correcting post surgical deformities in both the upper and lower eyelids from previous blepharoplasty, especially in those where fat has been removed.
Before and After – 49 Year Old with Lower Blepharoplasty
Before and After – 69 Year Old with Upper and Lower Blepharoplasty
Before and After – Early 60’s with Upper and Lower Blepharoplasty
Before and After – Blepharoplasty with correction of Ptosis