Eyelid Surgery (Blepharoplasty) – Fort Lauderdale / Boca Raton / Miami
The eyes are integral to maintaining a youthful appearance. It is well recognized that the eyes are a focal point of the face, and invite the most attention. The eyes are also one of the first areas of the face to exhibit aging. This can occur in the form of fine lines and wrinkles, heavy bags under the eyes, and excess skin that can hang over the eyes. Patients often report that they always look tired or unhappy. These signs of aging include baggy eyes and puffiness, both of which can sometimes interfere with vision.
Fortunately, cosmetic eyelid surgery (also known as blepharoplasty) can help to reverse signs of aging and restore a youthful, rejuvenated appearance. It is often performed in conjunction with a facelift or neck lift to improve overall appearance. In some patients who have obstructed vision from excess upper eyelid skin, eyelid surgery may be reimbursable by third party payers. Our office will arrange visual field testing in these patients.
There are other signs of aging that cannot be fully corrected with blepharoplasty, but can be addressed in other ways. Fine lines, such as those in the crow’s feet area, can be treated with Botox or Dysport injections. Skin with poor tone and deeper wrinkles can be improved with a fractionationated laser resurfacing procedure. Some patients who complain of dark circles under the eyes may benefit from a filler placed into the tear trough. And finally, sometimes the brows descend to cause upper eyelid skin. In these cases, a brow lift may be beneficial as well.
Dr. Greene has extensive experience in eyelid rejuvenation and with both upper and lower lid blepharoplasty. During your complimentary consultation, he will discuss all treatment options to help you restore a more youthful appearance.
- Excess or sagging eyelid skin
- Difficulties with vision due to sagging eyelids
- Permanent circles or puffy bags under the eyes
Anesthesia & Surgery Length
Most surgeries are performed in an operating room in an outpatient surgery center or hospital. Light intravenous sedation and local anesthesia are used in most cases for patient comfort. The duration of the procedure is typically between one and three hours, depending on the extent of surgery.
Surgery on the upper eyelids is much different from that of the lower eyelids. Upper eyelid blepharoplasty typically involves removal of skin, a small strip of muscle, and small pockets of fat. A meticulous closure is performed with very small sutures. Dr. Greene utilizes special suturing techniques to minimize scar appearance.
For the lower eyelids, Dr. Greene will select either a transcutaneous (through the skin) or transconjunctival (inside the eyelid) approach, depending on the needs of the patient. The transcutaneous approach often involves some skin removal. In almost all lower eyelid surgeries, some fat is removed to improve lower eyelid contour and remove puffy bags. In some cases, fat is repositioned rather than removed. If no lower eyelid skin is removed, Dr. Greene may tighten the skin with a fractionated CO2 laser treatment.
Recovery typically takes approximately one week, although mild bruising and swelling may persist slightly longer. While Dr. Greene often uses dissolvable sutures, those that do not dissolve are removed in about five days. Discomfort is minimal and is typically easily controlled. While final scar maturation takes longer, the scar should look well healed within two to three weeks.
To schedule your complimentary consultation for eyelid rejuvenation, call 954-651-6600 or email us at GreeneMD@DrRyanGreene.com.
Frequently Asked Questions
What is blepharoplasty?
Blepharoplasty is a cosmetic surgical procedure which involves the removal of excess fat, skin and muscle from the upper and lower eyelids. This procedure is done to give the eyes a more youthful and pleasing appearance. Blepharoplasty can also be done in order to remove excess skin from saggy eyelids that can interfere with vision. Dr. Greene takes great care in producing a natural result that restores youthful contour to the face.
How is blepharoplasty performed?
Blepharoplasty is typically done though well-concealed incisions. At times, a small amount of fat is removed from the eyelids. However, in some patients, this fat removal is avoided. In the past, fat was removed in the majority of blepharoplasty operations, but this led to some having a ‘hollowed out’ appearance. For this reason, some patients do not have any fat removed during surgery. In these patients, fat may actually be re-positioned or even added to restore a youthful appearance. The best surgical plan for each patient is discussed during the consultation with Dr. Greene.
Does eyelid surgery require anesthesia?
Anesthesia is required for eyelid surgery, most commonly local anesthesia combined with sedation. In select patients who only require a conservative removal of skin, this procedure can be performed in our office with only a local anesthetic.
Where does eyelid surgery take place?
Eyelid surgery takes place in an outpatient surgical center or in a hospital.
Is blepharoplasty an inpatient or outpatient procedure?
Blepharoplasty is typically done as an outpatient procedure, and the patients usually go home on the same day. It is rare that an overnight hospital stay is required.
Does eyelid surgery cause any scars?
Blepharoplasty usually produces very well-hidden scars. Incisions for upper eyelid surgery are typically placed within normal eyelid creases and folds. Dr. Greene often performs lower blepharoplasty with incisions inside the eyelids. In some patients, incisions are placed just below the lash line. Regardless of the incision chosen, the scars are usually not noticeable.
Can eyelid surgery fix dark circles under the eyes?
These may slightly improve with lower eyelid surgery. Dark pigmentation of the eyelid skin is more appropriately treated with laser resurfacing and chemical peels. However, the ‘dark circles’ that patients describe are often shadows that form under the eyes. These can be addressed by improving the contour of the lower eyelid, often done by re-positioning fat or by adding volume.
How long do the results of eyelid surgery last?
The results of blepharoplasty are usually long-lasting.
Is blepharoplasty ever covered by insurance?
When blepharoplasty is performed for cosmetic purposes, insurance is not available to cover any of the costs. In certain circumstances, eyelid surgery may be covered to some degree when used to treat excess skin of the upper eyelids that is causing visual impairment.
When can I go back to work after eyelid surgery?
Bruising and swelling after eyelid surgery may be noticeable for at least seven to ten days. Nevertheless, patients often find that they can return to work within a few days after their procedure and some opt to wear makeup to conceal discoloration.
What kind of recovery should I expect after eyelid surgery?
You can expect to have some bruising and swelling that generally fades between seven and ten days. Makeup can be applied to help conceal discoloration. Though some patients may return to work within a few days, more rigorous activities, such as exercise, should be avoided for at least a week.
When are the stitches removed after eyelid surgery?
Typically, the stitches that Dr. Greene uses in blepharoplasty dissolve in about a week, and do not require removal. If stitches are placed that require removal, this is usually done about five days after eyelid surgery.
Do you offer financing for eyelid surgery?
Plastic surgery procedures can be financed. You can discuss this further with our Patient Care Coordinator during your complimentary consultation with Dr. Greene.
To schedule your complimentary consultation for blepharoplasty, call 954-651-6600 or email us at GreeneMD@DrRyanGreene.com.
You may also schedule your appointment by clicking on the link below. The details of your eyelid lift will be explained to you during your blepharoplasty consultation with Dr. Greene and his team.