Eyelid Surgery

Eyelid surgery (Blepharoplasty) corrects puffiness and sagging around the eyes that occurs due to aging, genetics or other factors.

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About Eyelid Surgery

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What is eyelid surgery?

Eyelid surgery corrects puffiness and sagging around the eyes that occurs due to aging, genetics or other factors. By tightening the skin around the eyes and removing excess skin and/or fat deposits, eyelid surgery creates a smooth, more youthful appearance.

How is eyelid surgery (blepharoplasty) performed?

Eyelid surgery can involve the upper eyelids, lower eyelids, or both eyelids depending upon the goals of the surgery and recommendations of your surgeon:

Upper eyelid surgery involves the placement of incisions in the natural crease of the upper lid, making them well hidden when the eyes are open. The excess skin and protruding fat are removed and the incision is closed. An entire upper eyelid lift can be completed in approximately 45 minutes to one hour. RTH Plastic Surgery Center surgeons may combine upper eyelid surgery with an eyebrow lift to achieve optimal rejuvenation results if the eyebrows are too low. Lower eyelid lift can correct conditions with an incision just below the lower lash line. Excess skin in the lower eyelid is removed through this incision. Your cosmetic surgeon may also use an incision hidden inside the lower eyelid, or a trans-conjunctival incision, as an alternative technique to correct lower eyelid conditions and redistribute or remove excess fat.

If the trans- conjunctival approach is used, there is no visible incision. If the lower eyelids are lax, as they are in many middle-aged individuals, your surgeon may recommend tightening the lower lids in addition to removing skin and/or fat (canthopexy or canthoplasty).

Eyelid surgery usually takes about two hours to complete if both upper and lower eyelids are completed at the same time. Typically, a local anesthesia is combined with conscious sedation (also known as “twilight sleep”).

In order to minimize scarring and recovery time, your RTH surgeon will identify the best surgery method for you. Eyelid surgery methods include:

Minimal eyelid incision: The surgeon makes incisions following the natural lines of your eyelids whenever possible. Through these incisions, the surgeon removes excess fat, skin and muscle to reduce puffiness. The incisions are then closed with very small sutures.

Transconjunctival: The surgeon makes an incision inside the eyelid so that no incision is visible after surgery. Through this incision, the surgeon removes fat to correct bags in the lower eyelids. Fine lines in the skin can be softened with a special laser when using this method.

Transcutaneous: The surgeon makes an incision along the eyelash margin. Through this incision, the surgeon removes excess skin, loose muscle and fat to reduce puffiness. The incision fades over time. Check to the right for Eyelid Surgery Before and After pics and Eyelid Surgery Recovery Photos

Eyelid surgeries are most commonly performed to achieve the following results:

  • Remove excess fatty deposits
  • Reduce puffiness in the upper eyelids
  • Remove sagging skin and folds that disrupt the natural contour of the upper eyelids
  • Remove excess skin and smooth wrinkles in the lower eyelids
  • Remove bags from under the eyes
  • Correct droopiness in the lower eyelids

What to expect

  • Step 1Consultation
  • Step 2Preparation
  • Step 3Surgery
  • Step 4Recovery
  • Step 5Results

Step 1 Consultation

A thorough consultation is an important first step when deciding if eyelid surgery is the right option for you. One of our board certified surgeons will discuss your desired results, examine you and provide an honest, professional opinion on how best to achieve those results. We also make certain that you are a good candidate for the procedure, taking into account your age, health, medical background and other factors that could affect the safety and effectiveness of your surgery. All of our consultations are conducted with the goal of making sure our patients feel comfortable, confident and informed about the eyelid surgery process.

Step 2 Preparation

Well before your procedure, let RTH know of any medications you take. Three weeks prior and three weeks after, we strongly suggest limiting your alcohol and tobacco intake. Two weeks prior and two weeks after, you should not take any medication that may thin your blood such as aspirin or ibuprofen products.

The evening before your surgery, refrain from eating or drinking anything including water, and do not smoke. If you develop a cold, sore throat, fever or any other symptoms of illness before your surgery, let RTH know right away.

The day of your procedure, refrain from wearing makeup, contact lenses, hairpins, jewelry, lotion or perfume. We also advise wearing comfortable clothing. Prepare to have a responsible adult provide you with transportation after your procedure and make arrangements for any care or assistance that you may need 24 hours after surgery.

Step 3 Surgery

Before your procedure, your surgeon will answer any questions that may have come up since your consultation. You will also have the opportunity to meet the RTH staff assisting your surgeon during your procedure. Every effort is made to make certain that all of your concerns are addressed and you are as comfortable as possible.

When it is time to begin, you will be taken to our state-of-the-art surgical suite and comfortably fall asleep under general anesthesia. Eyelid surgeries typically take one to two hours to perform. If eyelid surgery is performed in combination with other procedures, surgery time will be longer.

Step 4 Recovery

We recommend no heavy lifting and avoiding direct sunlight for several weeks following your surgery. Antibiotic eyedrops or ointment may be prescribed if necessary. If you wear contact lenses or eye glasses, be prepared to not wear them for a couple of weeks following your procedure. We also strongly advise not wearing any makeup for seven to ten days after surgery. In just a few weeks, you can resume your daily activities, but it is important to remember that everyone recovers differently, and you may need more or less time before you feel 100% again. A few days after your surgery, your RTH doctor will follow-up to see how you are healing and prescribe any necessary medication.

Step 5 Results

While results vary based on the individual, eyelid surgery patients typically enjoy a fresh, energetic appearance thanks to alert, youthful looking eyes. During your consultation, your doctor will thoroughly explain what results to expect.

Q: Is eyelid surgery right for me?

Eyelid surgery is a common procedure for both men and women who want to reduce the bags and wrinkles from around their eyes and create a more youthful and alert appearance. All eyelid surgery candidates must be in good health and have no pre-existing medical conditions that could create complications.

Q: What causes the area around the eyes to age?

Many factors influence the way areas of the face age. The most common factors are the loss of elasticity, the loss of collagen, genetics and gravity. When skin loses its elasticity it can begin to visibly sag. Loss of collagen under the skin can reduce volume and support, which creates visible wrinkles. Family genes also can be predisposed to showing early signs of aging. And unfortunately, gravity is constantly pulling down our skin, which over time leads to sagging.

Q: How is eyelid surgery (blepharoplasty) performed?

Eyelid surgery can involve the upper eyelids, lower eyelids, or both eyelids depending upon the goals of the surgery and recommendations of your surgeon:

Upper eyelid lift involves the placement of incisions in the natural crease of the upper lid, making them well hidden when the eyes are open. The excess skin and protruding fat are removed and the incision is closed. An entire upper eyelid surgery can be completed in approximately 45 minutes to one hour. Cleveland Clinic Cosmetic & Plastic Surgery Center surgeons may combine upper eyelid surgery with an eyebrow lift to achieve optimal rejuvenation results if the eyebrows are too low.

Lower eyelid surgeryan correct conditions with an incision just below the lower lash line. Excess skin in the lower eyelid is removed through this incision. Your cosmetic surgeon may also use an incision hidden inside the lower eyelid, or a transconjunctival incision, as an alternative technique to correct lower eyelid conditions and redistribute or remove excess fat.

If the transconjunctival approach is used, there is no visible incision. If the lower eyelids are lax, as they are in many middle-aged individuals, your surgeon may recommend tightening the lower lids in addition to removing skin and/or fat (canthopexy or canthoplasty).

Eyelid surgery usually takes about two hours to complete if both upper and lower eyelids are completed at the same time. Typically, a local anesthesia is combined with conscious sedation (also known as “twilight sleep”).s

Q: Why choose RTH Plastic Surgery for my eyelid surgery?

When choosing a plastic surgeon to perform eyelid surgery, there are three important qualifications to consider: training, experience and personal attention. Dr. Hajjar is Board Certified by the American Osteopathic Board of Surgery in plastic and reconstructive surgery. Above all, your doctor should be someone you trust to deliver exceptional results and perform a safe and effective procedure.

Dr. Hajjar is a board certified plastic surgeon with extensive training and vast experience in facial plastic surgery and eyelid procedures. Our doctor spends the necessary time with every patient to answer any questions and address any concerns. We make it a priority to ensure our patients are well-informed and completely comfortable with their decisions. We know that your time is valuable, which is why we maintain an efficient procedure calendar and use the latest techniques and technology to minimize your recovery time and maximize your results.

Q: Will my insurance cover eyelid surgery?

Insurance companies commonly do not cover an elective or cosmetic surgery like eyelid surgery unless it is performed to correct a medical or health condition. How Much Does Blepharoplasty Cost?  If the eyelid surgery is considered reconstructive, your insurance provider may cover all or some of the cost. If you plan to use insurance as payment, we strongly suggest consulting with your provider to discuss if the procedure is covered in part or in full by your current plan.

Q: Will my eyelid surgery have a natural result?

At RTH, we use the most advanced, minimally invasive techniques to reduce the possibility of scarring or other visible signs that a procedure was performed. While results vary based on the individual, we focus on creating the most natural results possible. During your consultation, your doctor will thoroughly explain what results to expect.

Q: How long will results last?

The longevity of results varies and is dependent on the amount of excess fat, the laxity of the skin and skin type. Typically, you can expect eyelid surgery results to last five to seven years. Results can, however, last a lifetime.

Q: What are the risks of eyelid surgery?

As with any surgical procedure, there is a risk of complication related to infection. Some people may wake up from surgery feeling groggy and experience an upset stomach, side effects of the anesthesia that are very temporary. We are happy to explain in detail any of the risks involved prior to your surgery. We carefully review your complete medical history and all medications you are on to prevent any complications.

Other risks associated with eyelid surgery may include:

  • Unfavorable scarring
  • Temporarily blurred or impaired vision
  • Dry eyes
  • Difficulty closing eyes
  • Lid lag, a pulling down of the lower eyelid, often temporary
  • Facial asymmetry
  • Numbness or other changes in skin sensation
  • Poor wound healing
  • Fluid accumulation
  • Skin contour irregularities
  • Skin discoloration and swelling

Q: Can I have additional procedures in combination with my eyelid surgery to enhance results?

Yes, your RTH doctor can recommend additional services that may enhance your desired results, which can include a brow lift, facelift or facial implants.RTH also offers the option of combining your eyelid surgery with a laser skin resurfacing treatment. Lasers promote collagen growth under the skin, which naturally helps to fill in wrinkles and restore volume around the eyes.