The procedure may either be performed on the upper eyelid, the lower eyelid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar: removing any loose skin or tissue and extracting or repositioning the fat deposit. There will be separate incisions spots. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles, or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined. For example, BOTOX® can be used to ensure a maximized outcome.
The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient. The doctor will create an incision along the natural fold of the eyelid and extract excess fat and tissue to remove any bulges. Once done, excess skin will be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are merely repositioned, instead of excised.
There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line, and excess fat, tissue, or skin will be excised. If the skin has retained good elasticity, a transconjunctival incision may be a better option, as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure, such as a chemical peel or an injectable filler.
Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1-2 hours to complete the operation. The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.