Blepharoplasty or Eyelid Rejuvenation:
If you are tired of the loose excess skin of the
upper eyelids and fat bags of the lower eyelids
making you look tired even when you are not, you are
a great candidate for a blepharoplasty - eyelid
surgery in New York.
The
Eyelid Surgery:
Involves an incision with a laser, electrical knife
or scalpel that is made through the inside of the
lower eyelid (transconjuctival) allowing for a
scarless recovery. Through this incision the lower
eyelid fat is removed, debulked, or transposed
depending on the patients needs. If there is a
moderate amount of lower eyelid skin redundancy it
could be “shrunk wrapped” or reduced via chemical
peels or lasers. If the amount of skin redundancy is
significant skin can be carefully removed by making
an incision just below the eyelash margin
horizontally.
Surgery and Recovery:
Either upper or lower eyelid surgery in New York is performed as
an outpatient basis, under local anesthesia, with
light sedation. Upper eyelids take about 45 minutes
and lower eyelids also take about 45 minutes, an
hour and half for all four eyelids. One can expect
bruising and swelling for up to one week, with
sutures removed ay 5-7 days after the surgery,
allowing a return to work within a week.
Upper Eyelid Surgery:
Eyelid surgery in New York is fine detailed work and the true
problem should be defined as appropriate to each
individual patient. In many cases it is not just the
eyelids that are drooping, but the brow is drooping,
and putting weight on the eyelid structures giving
the appearance of it being the eyelids, in this case
the patient benefits from a browlift. There is also
the issue of differentiating between excess eyelid
skin and upper eyelid ptosis, which is drooping of
the eyelid itself making the eye look smaller than
the other eye. With regards to upper eyelid ptosis,
the levator aponeurosis (the muscle that opens the
eyelid) usually has slipped upward leaving the
eyelid in a lowered position at rest. This involves
a ptosis repair which is performed by disinserting
the levator muscle and advancing it downward and
reattaching it in lowered position.
Lower Eyelid Surgery:
Lower eyelids could be plagued with saggy excess
skin, protruding fat, dark circles, or combination
of them. Solely removing the fat is not the answer
for many of the patients. The doctor must evaluate
the bony structure of the mid-face, skin quality, and
prominence of the eyeball. If there is poor mid-face
support (sunken in, or flat bone) with a prominent
eyeball then fat must not be taken away because of
fear of looking skeletonized a few years after
surgery or even worse the retracting or a pulling
downward of the lower eyelid. These cases must be
handled with care by repositioning the fat changing
its contour so as not to look like bags, but rather
a continuation with the cheek mound. If the eyes
appear bulging the doctor must also evaluate the
patient for disease processes such as thyroid
disease or other orbital processes. Care must be
taken with the lower eyelid skin, not removing too
much to avoid a vertical shortening of the lower
eyelids and not being able to close them.
Before & After
Blepharosplasty - Eyelid Surgery Photos:
