New Jersey Eyelid Lift - Blepharoplasty

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The eyes are often the first thing people notice about one’s face and are an important aspect of facial attractiveness. Unfortunately, over time an upper eyelid and /or lower eyelid may become “droopy” or “baggy” because the eyelid skin stretches, muscles weaken, and fat pockets bulge and become more prominent around the eyes. The eyebrows also may sag or droop as part of this same process. This most commonly occurs because of the aging process but may also be due to a hereditary condition that runs in your family.

Aesthetically, such conditions may detract from the overall attractiveness of the eyes and cause one to appear “tired”, older, and even “unhappy”. When severe, these conditions also may cause functional problems, such as impaired field of vision (secondary to eyelid hooding due to very droopy eyebrows and/or baggy upper eyelids) or difficulty wearing glasses (secondary to baggy lower eyelids).

Eyelid surgery aimed to improve the appearance of the eyelids is termed “blepharoplasty”. Blepharoplasty is usually an outpatient procedure performed under local anesthesia, with sedation if desired. General anesthesia may be used as well to add to patient’s comfort.

The goal of the eyelid surgery is to improve the “baggy” or sagging tissues, which may include skin, muscle, and/or fat pockets. During upper blepharoplasty, typically redundant eyelid skin and fat are reduced. During lower blepharoplasty, either only the fat pockets need to be reduced or the excess skin also may need to be removed and the eye muscle may need to be tightened.

During eyelid surgery, incisions are made in the natural folds of the eyelid so that they are virtually unnoticeable after the tissues have healed. Upon the completion of the procedure, the incisions are closed with fine sutures. If only fatty tissue needs to be removed from the lower eyelid, and not any skin, the surgery can be performed behind the eyelid. This surgery is known as “transconjunctival blepharoplasty” and leaves no visible scar. The procedure lasts roughly an hour and is performed with sedation anesthesia at an accredited out-patient surgical facility. Not infrequently eyelid surgery is combined with other procedures, such as a browlift or facelift for a more complete facial rejuvenation. However eyelid surgery in and of itself makes a tremendous improvement in ones appearance and is often performed as a stand alone procedure. Dr. Ovchinsky’s state-of-the-art blepharoplasty technique provides patients with natural results that are safe, long lasting, produce minimal scars and allow for the quickest recovery.

Following eyelid surgery, recovery is usually quick and most patients are presentable one week after surgery, however many patients are up and about within the first few days. The eyelids are particularly sensitive, and a certain degree of swelling and bruising is to be expected. Cold compresses are usually applied to the eyelids intermittently during first 24-48 hours after the surgery to reduce swelling and bruising. During the first week, antibiotic ointment is applied to the eyelids, and strenuous activity should be minimized. Sutures are removed 5-7 days after surgery and camouflage makeup can be applied at one week. Discomfort is mild and easily controlled with oral medication. Excessive pain, bleeding, infection, or vision changes are very rare. In the unlikely event that such a problem occur, you should notify Dr. Ovchinsky’s office promptly. Showering is permitted 48 hours after surgery which often increases the patient’s sense of well being and return to normal routine. As with any plastic surgery procedure, the healing process is gradual, but the benefits will last for years.

How do I know if I need Blepharoplasty?

You may be a candidate for blepharoplasty if you answer “yes” to any of the following:

  • I have droopy upper eyelid skin and puffy bags under the eyes.
  • I have more difficulty applying eye makeup.
  • Excess upper eyelid skin starts to rest on my eyelashes.
  • Swelling under the eyes and dark circles gives me the appearance of being always tired, sad or sleepy.
  • I have more difficulty seeing sideways because of the hanging upper eyelid skin.
  • The skin around my eyes looks wrinkly.