Eyelid surgery, also known as “blepharoplasty,” can be both a functional and cosmetic surgical procedure intended to reshape the upper or lower eyelid by the removal or repositioning of excess tissue, as well as by reinforcement of surrounding muscles and tendons.
When an excess amount of upper eyelid skin is present, the skin may protrude or droop over the eyelashes and cause a loss of peripheral vision. The outer and upper parts of the visual field are most commonly affected and the condition may cause difficulty with activities such as driving or reading. In this circumstance, upper eyelid blepharoplasty is performed to improve peripheral vision. Patients with a less severe amount of excess skin may have a similar procedure performed for cosmetic reasons. Lower eyelid blepharoplasty is usually done for cosmetic reasons, to improve puffy lower eyelid “bags” and reduce the wrinkling of skin.
Blepharoplasty is performed through incisions made along the natural skin lines of the eyelids, such as the creases of the upper lids and below the lashes of the lower lids, or from the inside surface of the lower eyelid. Initial swelling and bruising take a week or two to resolve, but most patients are able to return to normal activity after a few days. Although your eyelids will look improved right away, it does take several months of healing until the final result is fully realized.
Another consideration when thinking about blepharoplasty is the position of your eyebrows. If your eyebrows sit too low, you may want to consider a brow lift before having a blepharoplasty. In some cases, the brow lift may improve the upper eyelid enough so that upper blepharoplasty is no longer needed.
Dr. Stastny can help you decide which procedure will benefit you during a consultation to assess your needs.