Blepharoplasty (Eyelid Lifts) New York City
If you have longed for a more youthful look for your eyelids, which have a tendency to sag with age, or due to specific conditions in earlier life, blepharoplasty is a procedure that can correct the problem.
The blepharoplasty (eyelid plastic surgery) operation is performed to rejuvenate the appearance of the eyelids. Blepharoplasty is one of the most common operations performed by plastic surgeons today. The vast majority of blepharoplasties are performed on an outpatient basis, usually in a freestanding ambulatory surgery facility.
Blepharoplasty eyelid plastic surgery overview by John E. Sherman, MD, FACS New York Plastic Surgeon
There are several options of the procedure available. The choice depends on the age of the patient, the amount of fat in the upper and lower eyelids, and the general elasticity and tone of the lower eyelid.
What Happens During Eyelid Surgery?
The eyelid procedure is routinely performed on patients from their late adolescence through later years. Younger patients who request this operation, often, have inherited fat pockets which may appear as dark circles underneath the eyelids. The nature of each procedure varies widely depending on the age and needs of the individual patient.
After a preparation period, blepharoplasty is almost always performed under intravenous sedation anesthesia supplemented with local anesthesia. Of course, as in all of our surgeries, the patient is continuously monitored by a board certified anesthesiologist. The patient is drowsy, pain-free, and unaware of the procedure that is being performed.
The operation may take anywhere from 30 minutes to one an half hour. This depends on whether a four lid blepharoplasty is performed, or if just the lower eyelids or upper eyelids are done. The patient is then transferred to the recovery room, and will be discharged from our clinic approximately one hour after surgery.
What Happens After Eye Surgery?
After discharge, the patient may return home or to the hotel under the care of a nurse, friend, or a family member. The main requirement is that ice compresses be maintained on the eyelids for several hours after surgery as this will reduce bruising.
This procedure is usually characterized by patients having minimal discomfort in the postoperative period. Pain medication is usually prescribed. However, the patient will look worse than he or she feels due to the bruising that usually accompanies blepharoplasty. Bruising is typically gone within 10 days of the plastic surgery. Sutures, if present, are removed by the fourth or fifth day. Patients can go out and do normal activities on the first day, but usually wear sunglasses to disguise their bruising.
Swelling usually lasts up to three weeks, and the final eyelid result is obtained by two months. Scars are placed in inconspicuous areas that are most difficult to see on the upper lid. On the lower eyelid, if a transconjunctival blepharoplasty is not performed, the scar is placed right below the eyelashes, which is most difficult to see.
Dr. Sherman will discuss all potential complications, and the relative frequency (or infrequency) of their occurrences. This may include bleeding, dry eye, and swelling.
Variations of the Operation
The big decision for you and your doctor comes down whether you need laser or transconjunctival blepharoplasty.
Dr. Sherman has performed hundreds of these operations over the past 30 years, and was featured in an article describing this procedure in Elle magazine. This procedure is ideal for the younger patients, in their early adolescence through their early forties who have inherited a family tendency for puffy upper and lower eyelids.
It is this fat that causes the puffiness, and is unrelated to dietary fat, and is unresponsive to dieting. A very thin patient may have this as well as one who is heavier. In the younger patient, the beauty of this operation is that the incision is made inside the eyelid, avoiding any type of scar, and teasing the fat out of the lower eyelid. Because of the elasticity in the younger patient, the skin drapes nicely, avoiding the need for skin adjustment. If a small amount of skin must be tightened, a laser or peel may be performed simultaneously.
In laser blepharoplasty, the laser is used to make an incision in the conjunctiva of the lower eyelid (the pink area inside the eyelid). The fat is then removed. Skin may be tightened with the use of the laser, and bruising is minimal.
The operation for transconjunctival lower lid blepharoplasty takes roughly 30 to 45 minutes. If upper eyelids are added, the procedure may take up to one hour. Most of our patients are back to work within a week, without the use and need for any suturing.
Laser Resurfacing of the Eyelids
This procedure has the advantage of resurfacing the eyelids to provide a younger fresher look, and to minimize the finer wrinkling that is often present with aging and/or sun damage. This procedure is also performed as an outpatient.
Lower Eyelid Resuspension or Canthopexy
Occasionally the lower eyelid may need to be repositioned. This is due to aging and poor tone. The patient often notices that too much sclera (white of the eye) shows below the iris (the colored part of the eye). This procedure restores the natural shape and the tension of the lower eyelid; it is usually performed in conjunction with the lower eyelid blepharoplasty on older patients if needed.
The eyelid procedure is routinely performed on patients from their late adolescence through patients in their seventies. Younger patients who request this operation have inherited fat pockets, which may appear as dark circles underneath the eyelids. The nature of each procedure varies widely depending on the age and needs of the individual patient.
Expertise and Skill for Your Manhattan Eye Procedures
In order to produce the best results for each patient, Dr. Sherman utilizes his extensive surgical knowledge and decades of experience. For more information about rhinoplasty or other plastic surgery procedures, please feel free to contact our office today.