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Blepharoplasty - Eyelid Surgery


Blepharoplasty or Eyelid Surgery

                                               Licensed image for


The ancient proverb - "eyes are the windows to our soul", can take on a new meaning as our eyes reflect our inner most feelings and attitudes. Most of our human interaction is non-verbal in nature and eye contact is what we use to communicate our needs, wants and desires. This famous quote does emphasize the importance of our eye’s appearance. The eyelids frame and highlight the appearance of our eyes - which become an essential component to our facial appearance.

It is hard to be misread when our eyes are revealing something else, simply because age is showing being stressed out, tired or sad. Most people want their eyes to reflect what we are inside as a person - bright, pure and refreshed. Our eyes tell others about our moods, energy and beauty.  The eyelids are usually the first place signs of the aging process appear. Many people complain that the “bags” under the eyes or the loose and redundant skin of the upper eyelids give them a tired appearance.

This problem is highly correctable through plastic surgery with a procedure called blepharoplasty (eyelid lift surgery). Our genetic family traits, age and of course sun damage all contribute to the loss of eye tissue elasticity. This leads to wrinkles, puffiness, under-eye bags, and dark circles under the eyes. These changes do contribute to our outwardly expression with a tired or angry look.



                                                 beautiful eye

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The procedure is performed through external incisions made along the natural skin lines of the eyelids (creases of the upper lid).  Excess skin is removed. The procedure for the lower lid is similar, with excess fat and skin being removed with the remaining is stretched smooth and sutured back into place. For the lower eyelids, either the traditional blepharoplasty incision is made on the outside of the lower rim of the eye under the eyelashes or done with the transconjunctival incision which entails a small incision in the lower lid being made to allow the sculpting and removal of excess orbital fat, without the need for removal of the skin. Dissolvable sutures or fibrin tissue glue are used with closing the incisions.

During the cosmetic blepharoplasty your surgeon will make sure precise amounts of fat and skin are repositioned and removed for improved eyelid symmetry, definition and sculpture. The goal of a blepharoplasty is a natural improved look.



                            how a blepharoplasty is performed

                                   Copyright 2010 MAYO CLINIC - Used with permission


Blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. It may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient's field of vision. Blepharoplasty is actually one of the most common facial surgeries performed in the United States each year. This procedure removes the excess skin and fat in and around the lids, which, in turn, accentuates the eye, restores a more youthful look, and leaves you with a more vibrant appearance.

Eyelid surgery is performed on an out-patient basis. Patients are given oral and/or I.V. sedation. Surgery on the upper lids is performed by making small incisions in the natural eyelid crease, leaving very little if any visible scarring. The surgical procedure takes from one to three hours to complete.



               Tissue removal with eyelid surgery                        location of fat pads for blepharoplasty or eyelid surgery 

                                       Copyright 2010 ASAPS - Used with permission

       Tissue to be removed with Eyelid Surgery                      Location of Fat Pads





The best candidates for eyelid surgery or blepharoplasty:

  • Patients are physically healthy

  • Patients facial bone and supporting structure is in good condition - If the support structures of the lower eyelids are not adequate, a lid tightening procedure (canthoplasty or canthopexy) might be necessary.

  • Patient's skin quality

  • Typically the age is anywhere from 35 years on up

  • Patients are emotionally stable

  • Patients are informed about the procedure

  • Patients have "realistic goals"



                                    Blepharoplasty is performed to reduce or eleiminate sagging of the eyelids.

                                        Copyright 2010 ADAM, Inc. - Used with permission


                                drooping lids - bags under eyes

                                                    Copyright 2010 ADAM, Inc. - Used with permission


If the patients should be excluded if they have one or more of the following conditions:

  • Excessive dry eye syndrome

  • Laxity or looseness of the lower eyelid

  • Eye position on relation to the malar (cheek) complex

  • High blood pressure

  • Hypothyroidism

  • Cardiovascular disease

  • Diabetes

  • Glaucoma

  • Graves disease (hyperthyroidism)






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