• 601 Providence Park Drive, Suite O, Mobile, Alabama,36695
    251-650-5437
  • 27961 U.S. 98, Thomas Medical Center, Daphne, Alabama,36526
    251-928-1941
  • 1720 Medical Park Dr, Suite 330a, Biloxi, Mississippi,39532-2131
    228-396-5185

Blepharoplasty

 

Cosmetic eyelid surgery, Blepharoplasty, Eyelift
Before Blepharoplasty

Cosmetic eyelid surgery, Blepharoplasty, Eyelift
After Blepharoplasty

   

What is Blepharoplasty?

  • Your eyes including your eyelids, are perhaps one of {the} initially things people notice in you. This makes your eyes and eyelids one of {the} most important components for an appealing facial expression and aesthetic appearance. Any visible change in {the} shape or size of {the} orbital or periorbital region can spoil {the} look of your face.
  • As you age and grow older, your eyelids might become ‘droopy’ or ‘baggy’ due to {the} stretching of your eyelid skin and gradually decreasing tone of your eyelid muscles. Your droopy eyelids and brow together cut a sorry figure for your face making you look tired, sleepy and haggard, further leading to eyelid or brow straining or both. In extreme cases, your saggy, baggy eyelids can even obstruct your vision, particularly peripheral vision causing difficulty in reading or driving.
  • Blepharoplasty ensures cosmetic or functional corrections to {the} area around your eyes to improve your look or to correct any abnormalities in function.

Defining Blepharoplasty

  • The term blepharoplasty is derived from {the} Greek ‘blepharon’ which means ‘eyelid’ and ‘plassein’ which means ‘to form’. Simply put, blepharoplasty is a plastic surgical procedure that is used for correcting defects, deformities, and disfigurations of {the} eyelids, and more recently, it has been used for achieving aesthetic modification of {the} periorbital region of {the} face.
  • Blepharoplasty is often erroneously referred to as an ‘eyelift’ or “eyelid lift” as {the} procedure does not involve lifting of {the} eye or eyelids in any manner. It might be done to achieve either functional or cosmetic ends or a combination of both.
  • Blepharoplasty involves removal or repositioning of excess tissue as well as reinforcement of surrounding muscles and tendons to reshape {the} upper eyelid, lower eyelid or both.

What are {the} Goals of Blepharoplasty?

  • The objective of blepharoplasty include {the} functional restoration of affected eyelids and aesthetic restoration of {the} orbital and periorbital regions of {the} face.
  • This is done by removing excess skin from {the} eyelids, smoothing {the} underlying eye muscles, tightening {the} supporting structures, and resecting and re-draping excess fat of {the} retroseptal area of {the} eye thus achieving a smooth anatomic transition from {the} lower eyelid to {the} cheek.

What are {the} Types of Blepharoplasty?

Based on desired results, blepharoplasty can be done either for functional or cosmetic purposes.

Functional or Reconstructive Blepharoplasty: This is performed to restore vision by removing excess skin, muscle and fat which blocks {the} visual axis. Following are {the} three essential elements of a functional blepharoplasty:

  • Patient should have noticeable visual improvement after skin elevation off their eyelids.
  • A visual field test is done to document {the} loss of {the} superior field of vision.
  • Photographs should clearly show upper eyelid skin laying across {the} eyelashes.

Cosmetic Blepharoplasty: The goal of cosmetic blepharoplasty is to accentuate {the} appearance of {the} eyes at {the} patient’s request and is not done to improve vision.

Anatomically, blepharoplasty can be performed on either {the} UPPER or LOWER eyelids, or BOTH eyelids.

Upper eyelid Blepharoplasty ("eye lift")

Cosmetic eyelid surgery, Blepharoplasty, Eyelift

  1. Incisions made on {the} outside of {the} upper eyelids are barely visible and fade over time.
  2. The excess fat is removed through incisions which are finally closed with fine sutures such that it forms an eyelid crease.
  3. It assists in {the} reduction of excess skin and fat in {the} upper eyelids.

 

 

Lower Eyelid Blepharoplasty

Cosmetic eyelid surgery, Blepharoplasty, Eyelift

  1. Lower eyelid blepharoplasty is almost always done for cosmetic reasons - to improve puffy lower eyelid "bags" or to reduce wrinkling of skin.
  2. This is done either through a skin incision, called trans-cutaneous approach or through {the} inner aspect of {the} eyelid, called trans-conjunctival approach.
  3. Incisions made on {the} inside of {the} eyelids in {the} trans-conjunctival approach are not visible.
  4. Lower Eyelid Blepharoplasty reduces excess fat from within {the} lower eyelids through incisions which are then closed with fine sutures.

Combined Upper and Lower Blepharoplasty

Cosmetic eyelid surgery, Blepharoplasty, Eyelift

  1. This involves removal of excess skin and fat in both {the} upper as well as lower eyelids with smoothing of {the} muscle and other tissues.
  2. The excess skin and fat are removed through incisions which are finally closed with fine sutures resulting in a fine scar that forms an eyelid crease.
  3. Incisions made on {the} inside of {the} eyelids in {the} trans-conjunctival approach are not visible and usually preferred.
  4. Incisions made on {the} outside of {the} lower eyelids are barely visible and fade over time. They might be chosen in cases that require {the} sculpting of additional eyelid creases.
  5. They might be done in conjunction with other procedures such as a facelift.

 

 

Who is ideal candidate for blepharoplasty surgery?

Blepharoplasty is not recommended for all. It is performed exclusively to remove under-eye bags, correct puffy upper eyelids, and to restore vision obscured by excess skin and fat in {the} eyelids.

  • The ideal candidates for blepharoplasty include:
  • Those with puffy upper eyelids looking for an aesthetic upgrade
  • Those with old, tired-looking eyes looking for a younger look
  • Those with excess upper eyelid skin obstructing vision for functional improvement
  • The patient should be at least 18 years of age
  • The patient should have a healthy mind and body
  •  A patient with realistic expectations of {the} final outcome

Does insurance pay for Blepharoplasty: what is {the} difference between functional or Cosemtic Blepharoplasty

Blepharoplasty can be both a functional and cosmetic surgical procedure intended to reshape {the} upper eyelid or lower eyelid by {the} removal or repositioning of excess tissue as well as by reinforcement of surrounding muscles and tendons.

  • Eyelids (and your eyes)  are, perhaps, what other people notice initially.
  • Eyelid surgery to improve {the} appearance of {the} eyelids is often called 'eyelift' or 'blepharoplasty'.
  • As we age, your eyelids (both upper and lower) might become 'droopy' or 'baggy'. The eyelid skin stretches and muscle tone weakens
  • In addition, your eyebrows might also droop.
  • Your droopy upper eyelids and droopy brows might give you {the} appearance of being sleepy, tired and aging prematurely
  • In addition, this sagging, might lead to brow/eyelid strain
  • Excess skin can hang over {the} eyelid and interfere with vision

When an advanced amount of upper eyelid skin is present, {the} skin might protrude over {the} eyelashes and causing a loss of peripheral vision. The outer and upper parts of {the} visual field are most commonly affected and {the} condition might cause difficulty with activities such as driving or reading. In this circumstance, upper eyelid blepharoplasty is performed to improve peripheral vision.

  • Patients with a less severe amount of excess skin might have a similar procedure performed for cosmetic reasons.
  • Lower eyelid blepharoplasty is almost always done for cosmetic reasons, to improve puffy lower eyelid "bags" and reduce {the} wrinkling of skin.

 

 

  

What can you expect after a Blepharoplasty or Eyelift Surgery?

  • The long term results of blepharoplasty can be utterly fulfilling and generally lasts for years together. For those lucky few who have reported a permanent improvement in their facial features, it is a bonus to have a lifetime of youthfulness in their eyes.
  • However, you ought to be realistic in your expectations of {the} surgery. It might provide your face a dramatic overhaul, but be warned that complications could ruin not just {the} procedure but your face as well. Also, your eyelids and eyes will witness a number of changes during {the} recovery period, right from redness and swelling of {the} eyelids to blurred vision and discomfort which resolve with time.
  • Set realistic expectations and discuss every issue with your surgeon before undergoing surgery.