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Cosmetic Eyelid Surgery

As we age, the delicate skin and musculature around the eye can develop significant laxity. This can lead to excess skin resting on the eyelashes and lower eyelid bagginess. These problems are exaggerated by chronic sun exposure and sinusitis. The duplicated skin in the upper lids can become so excessive as to obscure one's vision.

Blepharoplasty provides the answer to these problems by returning the architecture of the structures surrounding the eye to their appropriate position---a more youthful one. The techniques of blepharoplasty are varied, but all techniques will remove some skin, muscle, and to a lesser extent-fat to achieve their goal.

Specifically, an upper lid procedure involves an incision which is made into the eyelid and carried shortly into the crow's foot area. Through this incision, the structures of concern are modified. The incision is then finely closed. In the lower lid, there are options which can be taken depending on the patient's specific problem or desire. An open bleph requires that an incision be made below the lash line extending into the crow's foot area. This approach is particularly helpful in patients with baggy lower lids and permits a redraping of the muscle that supports the lower eyelid. A second approach requires no external incision. Here a judicious amount of fat can be removed from an incision on the inside of the eyelid. A laser is then used to resurface and tighten the lower lid skin. Your plastic surgeon can explain the advantages of the different techniques to you and apply them to your specific concerns.

Anesthesia for blepharoplasty is typically local with sedation. Blepharoplasty, like all aesthetic surgery, is reserved for those in good health. Postoperatively, depending upon the technique used, I have returned patients to regular activity in as little as three days. Some swelling and bruising or pinkness may be evident as the healing process advances. All surgical interventions have risks, but thousands of blepharoplasties are performed annually with very satisfying results.