BLEPHAROPLASTY

The Eyes

The eyes are a central facial feature and throughout history have aided in defining identity, defining beauty and defining cultures. As our eyes are commonly the focal point of the face and often communicate with others before we speak, they can simultaneously be delicate yet strong, communicative yet reserved, and emotional yet stoic.

The eyes are one of the first areas on the face to reveal signs of aging and given their position, garner early attention when these changes begin. Eyelid surgery is one of the most commonly performed surgeries by Dr. Moses and is one of the most “worth it” procedures for facial rejuvenation. As we age, skin loses both collagen and elasticity as well as the support structures in and around the face change, including around the eyes. This leads to excess skin accumulation and sagging as well as protruding fat under the eyes, occurring as early as the mid-30s. Coupled with wrinkling and skin crepiness, this frequently yields the appearance of being tired, sad, sick, angry or older than one’s age. Blepharoplasty, or eyelid lift/eyelift, is a facial plastic surgery
procedure that rejuvenates and refreshes the periorbital complex (the entire area around the eyes). With great results in a short period of time, it remains one of the most popular facial plastic surgery procedures performed.

 

Am I a Candidate?

Blepharoplasty is for men and women who are concerned with the appearance of the eyelids and/or area around the eye. Patients often report concerns of appearing sad, tired, angry, ill or that they have “bags” developing under the eyes. Patients with eyelids drooping, puffiness, or excess skin (dermatochalasis) are appropriate candidates for blepharoplasty surgery. Even
though visible signs of aging become noticeable around age 35, hereditary and genetic factors may lead to these signs appearing earlier or later in life. If there are visible signs of aging around the eye that you would like to improve, blepharoplasty may be an ideal solution. Healthy, non smoking patients with realistic expectations and goals are ideal surgical candidates.

Through a consultation with Dr. Moses, which is an important part of the blepharoplasty process, together you will review your medical history (focusing on overall health, eye conditions, previous eye surgeries) and she will examine the periorbital area and your facial frame in order to provide you with the best options to realize your treatment goals. Through your discussion with Dr. Moses, your candidacy for blepharoplasty will be determined along with any additional facial cosmetic concerns you two have identified and would like addressed. This conversation is driven by the patient and Dr. Moses keenly listens, reviews all information with you and ensures you have the knowledge and comfort level to make an informed decision.

Surgical patients will need to be cleared for surgery by either Dr. Moses, the Anesthesiology team, or one’s individual primary care physician or specialist as needed. Certain medical conditions, pre-existing ocular conditions, and patient medications may complicate surgery itself or the recovery process – if present, these are addressed during the initial consultation as well. Lastly, our practice may request medical records, blood tests, and X-rays to ensure the best possible patient experience.

 

Expected Results

Patients and potential patients can expect results that restore the eyes, provide a refreshed appearance and return a more youthful, rested look to the eye. The specific techniques that Dr. Moses utilizes do NOT change the shape of the eye and are performed in a way to maintain and/or improve the supporting structures of the eye. A hallmark of older, antiquated eyelid surgery techniques can change the way the eye is shaped and cause long-lasting issues with eyelid closure, eyelid function, dry eyes, and worsening appearance over time due to weakening of important support structures. Through her training with top leaders in cosmetic facial plastic surgery, she employs techniques that guard against these issues and ensure a natural, fresh look that will last for years to come.

Following surgery, patients can expect the following:
1. Elimination of eyelid skin heaviness, wrinkling, crepiness, or puffiness around the eyes
2. Elimination of weighted down or heavy eyelids
3. Elimination of eyelid droopiness, eyelid bags, or lower eyelid puffiness and fullness
4. A more awake, rested, restored appearance to the eyelids and surrounding area

 

The Procedure

Blepharoplasty, also referred to as eyelid surgery or eyelift, is performed as an outpatient surgical procedure by itself or in combination with other procedures. It is often combined with additional surgical procedures, including a facelift, necklift or laser resurfacing. The upper eyelid and lower eyelid surgeries can be performed independently (for example: just the upper eyelid)
or together if needed or desired.

The day of surgery and prior to the start of surgery, Dr. Moses creates careful markings on the eyelid skin in the preoperative area. Once in the operating suite, anesthesia is administered by our board-certified Anesthesiology staff at each of our surgical locations and ensures that our patients are relaxed, comfortable and feel no pain during the surgery.

The surgery consists of the following components:

  1. Incision(s): Incisions are made in one or more of the following areas depending on the location of surgery being performed and the exact issue being addressed (excess skin or fullness, skin puffiness or herniation of fat). Incisions are placed in the pre-existing natural eyelid crease of the upper eyelid, just along the lash line of the lower eyelid, and/or just inside the lower eyelid.
  2. Eyelid Lift: Excess skin is excised, immediately refreshing the upper or lower eyelid. If determined pre operatively that fat or muscle is to be removed, this is also gently performed.
  3. Incision Closure: To Dr. Moses, the incision closure is absolutely critical to a perfect result. Special suture hidden just under the skin (that is later removed) or surgical skin glue are used to carefully and pristinely close the incision. Incisions are meticulously closed so there is no noticeable scar that will form after surgery.

The length of time for the procedure varies depending on several factors: location(s) of surgery (upper and/or lower eyelid), surgical goals (skin only or if fat & muscle are to be removed as well), and patient-specific conditions. Total time ranges from 1 hour to 2.5 hours. Following surgery, the patient is observed for a period of time in the post operative recovery room prior to
discharge home.

 

The Post Operative Period & Recovery

Surgery is performed on an outpatient basis therefore, following surgery and a period of observation, patients are drive home by a friend or family member the same day. It is recommended that the patient have a friend or family member spend the night of surgery and the following day with the patient. An added bonus to blepharoplasty surgery is that the recovery time is very condensed and short. Most patients fully recover in as little as 3 to 5 days. There is minimal pain, if any at all, and if any swelling or bruising occur, it is easily managed with ice, resolving in a short period of time. The eyelid suture is removed 4-5 days after surgery. Post operative care instructions are provided to the patient during the pre operative appointment and are also reviewed during the post operative appointments to ensure everyone is on the same page. Restrictions regarding activity level, use of eye makeup, contact lens use etc are reviewed in detail. If additional procedures are performed during your blepharoplasty surgery, recovery time may vary but overall, a short, uneventful recovery is expected with eyelid surgery.