Blepharoplasty—which is commonly referred to as eye lift surgery—is a procedure designed to resolve eyelid drooping, fat displacement, wrinkly skin, and various other aesthetic eyelid concerns in order to create a refreshed, more youthful appearance in the eye region. Depending on one’s specific needs and cosmetic goals, treatment can be performed on the upper and/or lower eyelids.
At our practice, board-certified plastic surgeon Brian J. Miller, MD offers both upper and lower blepharoplasty surgery. In order to optimize results, he adjusts his approach as needed, depending on each patient’s specific anatomy and concerns.
To learn more about eyelid surgery, we invite you to read the informative sections below, or contact us today to schedule a consultation with Dr. Miller. We are happy to assist you in any way we can.
Who Is a Candidate for Blepharoplasty?
Good candidates for blepharoplasty generally include women and men who wish to treat one or more of the following concerns:
- Excess, hanging upper eyelid skin (that may or may not be partially blocking a full range of vision)
- Puffiness or displaced fat pockets in the upper and/or lower lids
- Lines, wrinkles, or creases in the upper and/or lower eyelids
- Bags and/or dark circles below the lower lids
- Lower eyelid droopiness
- A perpetually tired or exhausted appearance to the eyes
How Is the Blepharoplasty Procedure Performed?
To perform upper blepharoplasty, Dr. Miller will first make incisions in the natural creases of the eyelids, helping to limit the visibility of postoperative scarring. He will then carefully remove excess skin as well as strategically resculpt and/or excise fat throughout the lids. If necessary, Dr. Miller will also reconstruct or tighten loose tissues to restore proper positioning of the lid and its supportive structures. Finally, he will smooth out the remaining skin and suture the incisions closed.
Lower blepharoplasty can be performed through incisions made on the inside of the eyelids (transconjunctival approach) or on the outside of the eyelids (external approach). Regardless of the incisional method, Dr. Miller will remove or reposition excess fat and, if needed, tighten lax or sagging tissues. If redundant skin and wrinkles are present, he will also remove a small amount of skin to improve these issues. Lastly, he will carefully close the incisions.
In most cases, both upper and lower blepharoplasty are performed at a surgical facility under general anesthesia.
What Can I Expect During Recovery from Blepharoplasty?
Initially following blepharoplasty, some degree of swelling, bruising, and tenderness can be expected throughout the eye region, but these symptoms should resolve gradually on their own with time. While significant pain is rare, any discomfort that might be experienced can usually be effectively managed with oral medication. By about one to two weeks, most patients look and feel well enough to return to normal, non-strenuous daily routines—though Dr. Miller generally advises waiting at least four to six weeks before resuming vigorous exercise, heavy lifting, and other strenuous activities in order to promote optimal healing. Following this period, a gradual return to all activities is usually possible.