Sagging of the thin upper eyelid skin may give the impression that the eyelids are drooped and is one of the first areas of the face that begin to show signs of aging. Your lax upper eyelids may make you appear fatigued and older than you really are. Hooding of the upper eyelid crease makes the application of cosmetics difficult and cosmetics can no longer camouflage the inevitable. Upper eyelid cosmetic surgery also called an upper eyelid blepharoplasty may be the solution that you are seeking. A customized upper eyelid surgery translates into a re-contouring of the upper eyelids. This is typically achieved by removing loose upper eyelid skin, a small strip of underlying muscle, and a graded removal or redistribution of bulging fat deposits. Occasionally some patients are endowed with too little fat. In these cases fat is implanted and grafted below a membrane called the orbital septum which will naturally fill in the “hollows” around your eyelids.
Every patient presents with a unique set of characteristics, both with respect to their anatomy and the degree of surrounding tissue laxity. No cosmetic surgical procedure is so “standardized” that it is applicable to all patients. In general, in the lying and sitting positions, Dr. Kopelman will precisely measure the exact amount of skin that is going to be removed from both of your upper eyelids. Temporary marks that are placed on the upper eyelid skin function as a road map that will guide his incisions. The incisions are placed within the eyelid crease to make the incisional scar as natural and inconspicuous as possible. An anesthesiologist will relax and sedate you into an arousable “twilight sleep”. To prevent you from having any discomfort while you are sleeping Dr. Kopelman will inject a numbing agent, similar to Novocaine, beneath the skin. An incision along the pre-designated lines will allow him to remove a precise amount of lax upper skin and in most cases a small strip of underlying muscle is also removed. These surgical steps will define the location of the eyelid crease and fold. Bulging fat deposits in the inner corner of the upper eyelid is conservatively trimmed. Care is taken to reduce the bulge but enough fat is left behind to prevent a “hollowed-out” appearance.Retention of some of the eyelid fat will also prevent a downward descent of the eyebrow. The incisions are then sutured closed with fine non-absorbable sutures and a topical antibiotic ointment is applied.
Q: What can I expect during my post-operative course?
A: You will experience minimal discomfort. Most patients are comfortable with Tylenol® every 4 to 6 hours for the first day. The sedatives are mild and therefore the majority of patients will not experience nausea. Dr. Kopelman recommends ice compresses contained in zip-lock bags for the first two days. You must refrain from vigorous exercise for the first two weeks to prevent any rise in blood pressure or disruption of the wound. Following surgery you can expect to have swelling and bruising for up to two weeks. In some diabetic patients healing and swelling will take longer to resolve. Your sutures are typically removed in the office within 5-7 days following surgery. You can expect that the incisions will appear initially pink and over several months these incisional scars will fade almost completely. Ultimately you will regain a more youthful and natural appearance.
Why consider custom eyelid lift surgery?
Upper eyelid surgery can remove excess fatty deposits that appear as puffiness in the upper eyelids.
Loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision, can be treated by eyelid lift surgery.
Lower eyelid blepharoplasty can remove excess skin and fine wrinkles of the lower eyelid.
Bags under the eyes can be corrected by blepharoplasty.
Lower eyelid surgery can correct droopiness of the lower eyelids, showing white below the iris (colored portion of the eye).
Is it right for me?
A blepharoplasty procedure is usually performed on adult men and women who have healthy facial soft tissue and have realistic goals for improvement of the upper and/or lower eyelids and surrounding area.You should choose cosmetic surgery to make a positive change in your self- image.
Who are ideal candidates for cosmetic eyelid surgery?
– Individuals with a positive outlook
– Healthy individuals who do not have a medical condition that can impair healing
– Individuals without serious eye conditions
Contact Ms. Anne Lembersky our patient care coordinator at
201-444-4499 to arrange for an in-depth consultation to discover how an eyelid blepharoplasty can rejuvenate the appearance of your eyelids.