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Eyelid Surgery

Tighten loose skin around the eyes for a refreshed appearance

Your eyes are the windows to the soul, and the source of our expression, telling others how we feel, what we are thinking, and if we’re happy or sad. Sagging, droopy, or baggy eyelids can make a healthy person look tired and older. Today, however, by performing a relatively safe and common surgical procedure, experienced surgeons can remove excess fat and skin around the upper or lower eyes and help patients achieve a more refreshed and youthful look. The skin around the eyes, which is the thinnest on the body, succumbs quickly to the ravages of time, sun exposure, and lifestyle. With age, the eyelids stretch, muscles weaken, and excess fat accumulates over and under the eyelids. The results are eyebrows that sag, upper lids that droop, and a bagginess below the eyes that robs us of our energetic, youthful look.

What is Eyelid Surgery?

Eyelid surgery, or blepharoplasty, is a surgical procedure that addresses excess skin and sagging in the eyelids. The procedure can address both the upper and lower lids if needed and can improve the appearance of puffy under-eyes. The procedure can be performed alone or combined with other rejuvenating procedures like the facelift or brow lift. The procedure is typically done for cosmetic purposes, but can also improve the vision of some patients with more severe sagging.

Who Chooses the Procedure?

According to the most recent statistics released by the American Society of Plastic and Reconstructive Surgeons, blepharoplasty was ranked the most commonly performed aesthetic procedure. The blepharoplasty is chosen by both men and women who begin to experience signs of aging around the eyes. A typical candidate for the procedure is a man in his 40’s or 50’s. In men, their age first shows in their eyes and they begin to look older and tired. Sometimes this causes them to lose self-confidence around younger-looking, eager colleagues. Middle-aged women also become frustrated because they workout and take great care of themselves, yet they look tired because of their eyes. Other patients simply inherited the puffy look of their eyes and want a change. While most patients in their 40’s and beyond are candidates for blepharoplasty, patients should undergo a good medical exam before this type of surgery to detect certain health problems which might become worse with the surgery. While some blepharoplasty patients choose to undergo this procedure to improve their vision, we are no longer accepting new insurance patients.

Customizing Your Procedure

Your eyelid surgery will be customized depending on your unique concerns. This often includes a combination of procedures for optimal results. While the benefits of eyelid surgery include emerging with a more refreshed appearance and less puffiness around the eyes, the procedure corrects only the lid areas. It will not take away crow’s feet and other wrinkles around the eyes unless the wrinkles are part of the skin being removed. Eyelid surgery will not lift droopy brows, smooth furrowed lines above the nose, or completely eliminate dark circles beneath the eyes.

To accomplish these results, we can combine procedures. For instance, while operating on the lower lids, surgeons can insert cheek implants to create higher, more contoured cheekbones. Eyelid surgery can be done in conjunction with a brow or facelift to remove surrounding lines and excess skin. Chemical peels, such as TCA and phenol peels, can be done secondarily to improve fine wrinkling not improved by surgery.

Patient Results

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How is Eyelid Surgery Performed?

Blepharoplasty, or eyelid surgery, is conducted on an outpatient basis – sometimes in the physician’s office. The operation involves making an incision in the crease on the upper lid, as well as in the lower lid, just below the lashes in the eye’s natural crease. These hairline incisions soon fade. It is important to maintain the function of the eye. You want to preserve the character of the patient’s eyes, but, at the same time, give that patient back his or her rested, fresh appearance.

What to Expect During Recovery

Generally, patients who undergo eyelid surgery experience minimal pain and can go back to work in about a week, back to exercise in three weeks to a month, and can wear contact lenses again after about two weeks. Patients can expect some temporary side effects like redness, swelling, and dryness that should resolve within a few days.

Your Eyelid Surgery Results

After the eyelid surgery recovery process, patients can enjoy their refreshed, rejuvenated appearance with more alert eyes and reduced sagging. The results are long-lasting and natural-looking, allowing your eyes to age with the rest of your body. Future treatments like Botox or a chemical peel can help maintain your youthful appearance for longer.

Frequently Asked Questions about Eyelid Surgery

Can I sleep on my side after eyelid surgery?

After eyelid surgery, it is generally recommended to avoid sleeping on your side, at least during the initial recovery period. Sleeping on your back can help minimize swelling and promote proper healing, as it reduces pressure on the delicate surgical area around the eyes. Elevating your head with an extra pillow can also aid in reducing swelling. Most surgeons advise maintaining this precaution for at least a week or until they assess your healing progress.

Does eyelid surgery leave scars?

While all surgeries involve some degree of scarring, the scars from eyelid surgery are typically minimal and strategically placed. Dr. Berman will make incisions along the natural creases of the eyelids, which helps in camouflaging any scarring. Over time, these scars usually fade and become less noticeable.

How do you reduce bruising after eyelid surgery?

Ice and your medications that are given prior to surgey.

How long after blepharoplasty do you see results?

Patients typically start noticing initial results of their blepharoplasty surgery within two to three weeks post-op. During this time, swelling and bruising begin to subside, allowing the new overall appearance to become more apparent. However, it's important to understand that full results may not be evident until several months have passed, as residual swelling and minor changes continue to resolve.

How long are eyes blurry after blepharoplasty?

Blurred vision is a common side effect after undergoing blepharoplasty. This typically occurs due to swelling and temporary changes in the cornea or tear film after the procedure. In most cases, patients experience blurry vision for a few days to a couple of weeks as their eyes heal. However, the exact duration can vary depending on individual healing rates and the specifics of the surgery.

How long does eyelid surgery take?

Eyelid surgery typically takes about 1 to 3 hours to complete, depending on the complexity and whether both the upper and lower eyelids are being addressed. The procedure involves the removal of excess skin, muscle, and sometimes fat from the eyelids to achieve a more youthful and refreshed appearance. Recovery times can vary, but most patients can expect to return to their normal activities within 10 to 14 days.

How long does it take for lower blepharoplasty scars to heal?

Lower blepharoplasty scars typically take several weeks to heal, with most noticeable swelling and bruising subsiding within the first 7 to 10 days post-surgery. However, the complete healing process for scars can take several months (3 to 6 months), as the scar tissue continues to settle and fade over time. Proper post-operative care, including avoiding direct sun exposure and following Dr. Berman's advice, can significantly aid in a smooth recovery and optimal healing.

How long does it take to heal from upper eyelid surgery?

Healing from upper eyelid surgery typically takes a few weeks, although the initial recovery period is often shorter. Most patients can expect to return to normal activities, such as work or social events, within 10 to 14 days, as the majority of swelling and bruising diminishes significantly during this period. However, the complete healing process can take several months. During the initial weeks, it's crucial to follow post-operative care instructions provided by Dr. Berman.

How much is an eyelid surgery?

Eyelid surgery can vary significantly in cost depending on various factors, including the complexity of the procedure.

Is drooping eyelid surgery covered by insurance?

At this time we are no longer accepting new insurance patients.

Is eyelid surgery painful?

During the procedure, we administer anesthesia to ensure you're comfortable. Afterward, many patients report mild pain or discomfort, which is typically manageable with prescribed or over-the-counter pain medication. Swelling and bruising are common in the first few days after surgery, contributing to temporary discomfort. It's important to follow post-operative care instructions to minimize pain and facilitate a smooth recovery.

What are the risks of eyelid surgery?

Eyelid surgery carries several risks and potential complications, as with any surgical procedure. Common risks include infection, bleeding, and reactions to anesthesia. Additionally, patients may experience temporary side effects such as swelling, bruising, and irritation or dryness in the eyes.

Your Consultation in Boca Raton

To start refreshing your appearance with eyelid surgery, contact our office today. We can tell you more about the procedure we offer and schedule your consultation with Dr. Berman to ensure that you are a candidate.

Board Certified Plastic Surgeon at  | Website

Dr. Jonathan Ross Berman is a Boca Raton plastic surgeon who has been certified by both the American Board of Plastic Surgery and the American Board of Otolaryngology / Head and Neck Surgery with over 30 years of service experience specializing in Breast Augmentation, Rhinoplasty, Face Lift, Liposuction, and many other types of plastic surgery in Boca Raton, FL.

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