Corrective Eyelid Surgery

Eyelids, like other face and neck areas, may develop wrinkles and bulges from either heredity or aging. Pouches, both at the inner part of the upper lids and in the lower lids, are generally due to increased pressure caused by accumulations of fat above and below the eyes. Such excess fat and excess skin are removed in the eyelid procedure.

Upper eyelid surgery can improve vision by removing excess skin interfering with eyesight, and improves appearance by reducing fat bulges.  It is commonly combined with a minimally invasive procedure called an endoscopic brow lift to reposition the brow arch in a less aged position.

The lower eyelid is typically improved via an incision on the inside of the eyelid called a “transconjunctival blepharoplasty”.  Fat repositioning is performed to reduce the “tear trough” under-eye groove.

The operation takes about one hours for each segment and is usually performed under monitored sedation supplemented with local anesthesia in our office surgical suite. Patients generally experience early return to daily routine.

There is usually little or no pain in the postoperative period. Each operation is followed by varying degrees of swelling and discoloration, which usually subside within ten days. By this time, too, the thread-thin upper eyelid skin scars can be camouflaged by makeup. The lower eyelid procedure is performed with thread like incisions. The upper eyelid incision line gradually blends in well with the surrounding skin and, after several weeks, becomes perceptible only on close scrutiny. Corrective surgery of aging eyelids is frequently performed in combination with face lift, nasal, or eyebrow surgery.