Blepharoplasty, the medical term for eye lid surgery, is performed to rejuvenate the areas around the eyes or the peri-orbit. Many clients are concerned with excess skin, particularly in the upper lid; hollowing out of lower lid; bags under the eyes; and the descent of the brow.
In general terms, the goals for lid surgery are to treat excess skin, correct volume deficiencies, and blend the lid-cheek junction.
In many instances, the changes associated with aging eye may be corrected with in office treatments including Ulthera, Neuromodulators (Botox), HA Fillers, and Chemical Peels.
When surgery is required, it is undertaken after carefully evaluating and establishing the clients concerns and goals. I find that satisfactory rejuvenation of the peri-orbit often requires a multi-modal approach.
When Should Eye Lid Surgery be Considered?
- Excess skin in the upper lid results in a tired appearance
- Excess skin makes application of make up difficult
- Heavy lids reduce the visual field
- Hollowing of the eyes
- Increasing demarcation between the lid and cheek
Upper Blepharoplasty may be safely and effectively performed under local anesthesia in our offices in most clients. The procedure is performed with the patient awake and under local anesthesia.
Lower Blepharoplasty is frequently performed through an incision inside the lid and combined with fat grafting. I prefer to perform the latter procedure with the client comfortably under general anesthesia. In some cases, a lower lid incision is required to address excess skin. In cases where the external, or Sub-ciliary, incision is used, Canthopexy is often required to avoid rounding of the eye.
Lower eyelid bags are frequently the result of excess fat pockets which may be removed either through an internal or external lower lid incision. The fat is well defined in three separate compartments and easily removed under direct vision.
Mild bruising generally occurs and resolves within 3-7 days. Sutures are removed at 3 to 5-days. Usually dressings, other than small adhesive tapes, are not used. I anticipate full recovery within 1-week.
To see whether you would benefit from lid surgery, please arrange a consult with Dr. Reddy using the convenient on-line calendar.