One of the most popular types facial rejuvenation techniques is blepheroplasty, also known as the eyelid lift. There are several variations to consider and some patients may not be candidates for all types of cosmetic eyelid surgery. Dr. Mohan guides his patients along each step, from the initial consultation through the procedure and into recovery. Blepheroplasty, as with any kind of surgery, has risks and complications, so it’s a good idea to ask questions.
What is Blepheroplasty
A blepheroplasty or eyelid lift is primarily intended to correct sagging skin and loss of volume in the cheek and eyelids. The goal in facial rejuvenation is to make the face more youthful and to turn back the clock in a way that also looks natural.
Blepheroplasty is the most common procedure for improving sagging eye skin, and can be performed on the upper or lower eyelids. The goal of the procedure is to remove extra skin and fat in the eyelid. Sometimes fat is repositioned or grafted to make the eyelid look more youthful.
Patients who are ideal candidates for a blepheroplasty are in good health and have signs of facial aging associated with the lower face and neck. Patients typically present with fine lines, excess skin and fat in the upper and lower eyelids. Patients undergoing a blepheroplasty range from ages 40-80.
Options and Variations
There are many different types of blepheroplasty techniques and Dr. Mohan formulates an individualized plan for each patient depending on their examination. Dr. Mohan performs an upper eyelid blepheroplasty technique that is aimed at removing excess skin and fat. Some patients experience improvement in vision after the procedure. The lower eyelid blepheroplasty is a completely different procedure that is aimed at removing extra skin and fat in the lower eyelid. Sometime fat is transferred or grafted or repositioned in this area to add volume where it is lost. The muscle may also need to be tightened in certain cases.
During the initial consultation, Dr. Mohan will conduct an evaluation of the patient’s skin and identify opportunities to improve the appearance of eye wrinkles, including non-surgical options. When non-surgical options cannot produce a desired result, patients will then be evaluated for surgical options such as blepheroplasty . The procedure will be described to patients in detail so that they have a grasp on how invasive or non-invasive the surgery will be and can determine whether or not it’s worth pursuing.
Dr. Mohan may make additional recommendations at this time for other procedures which may help the patient to achieve desired results of youthful appearance, such as the brow lift. As well he may make recommendations for skin care treatments or products to help restore the quality of the skin. The goal is for Dr. Mohan to formulate a plan that each patient is most comfortable with and addresses his or her desires.
Patients should follow any pre-surgical instructions. Some patients may be required to undergo a physical or receive a release for surgery from a primary care doctor prior to scheduling a procedure. All patients will be provided with information about the procedure and aftercare instructions before surgery. Patients who smoke are advised that it is best to abstain from smoking for at least 2 weeks prior to surgery through recovery for best results.
The procedure is done at an accredited surgery center or at a hospital. On the day of surgery, Dr. Mohan will perform markings to plan the procedure. Afterwards, under general anesthesia, Dr. Mohan will perform the procedure which will take about 1-3 hours depending on the complexity and extend of the procedures. Most patients can go home the same day after the procedure.
During and eyelid lift the surgeon makes incisions along the creases of the patient’s eyelids to trim sagging skin and muscle, as well as to remove excess fat. Once the tissue is excised, the skin is joined with tiny stiches designed to reduce the appearance of scars.
After the procedure
Patients are given detailed instructions on the recovery process. Swelling and bruising can be present for up to one week after surgery. Dr. Mohan teaches each patient on how to care for and take care of the incisions during the recovery process. Patients are given special eye-drops and prescription medications to speed up the recovery process. Sutures are removed about one week following surgery, and most people can return to work within one to two weeks. Most patients feel comfortable returning to social settings two weeks after surgery.
Patients can resume their normal exercise regimen 4 weeks after the procedure – once the wounds have sufficiently healed. After one month, Dr. Mohan teaches different techniques and modalities to minimize scarring. Complete healing may not occur for two to three months.
Limitations, Risks, and Possible Complications
Infection and bleeding
Dry, irritated eye
Difficulty closing your eyes or other eyelid problem
Injury to eye muscle
The need for a follow-up surgery
Temporarily blurred vision or, rarely, loss of eyesight
Risks associated with surgery in general, including reaction to anesthesia and blood clot
Q: What is Upper Blepheroplasty ?
An upper blepheroplasty or eyelid lift is a procedure intended to rejuvenate the upper eyelid. The goal is to restore the natural contours that were present at a younger age. The procedure is aimed at removing extra skin and fat in the upper eyelid region. It really opens up or makes the eyes look more awake.
Q: What is Lower Blepheroplasty ?
A: A lower blepheroplasty or eyelid lift is a surgical procedure that removes extra fat and skin on the lower eyelids. This area can give the appearance of aging or tiredness. Some patients benefit from muscle tightening or fat grafting/transfer. The technique and procedures that are done depend for each patient.
Q: Are the results permanent?
A: Yes, the results should last a long time but the results can change with weight changes and aging. Some patients report better vision with an upper blepheroplasty also. .
Q: What is the recovery like?
A: During the first week, Dr. Mohan will provide detailed instructions on which eyedrops and medications to take. It is normal to have some bruising and swelling but that will subside. We recommend icepacks to help alleviate this. Patients can go back to performing daily activities of living the day after the surgery. It is important to begin walking right after surgery. We recommend waiting one week before performing any activities which may strain your eyes such as reading or focusing on a screen. It is normal to have some blurriness or visual changes that takes a few days to subside. Patients can return to work one week after the procedure. Patients can resume their normal exercise regimen four weeks after surgery.
Q: What is the bulging in the lower eyelid?
A:The bulging or bags under the eyes that makes the eye look aged or tired are excess fat. There are three fat bags in the lower eyelid that are addressed in a lower eyelid lift.
Q: Can you remove fat in my upper eyelid?
A: Yes in some cases, there is extra fat that needs to be removed from the upper eyelid when performing a blepheroplasty .
Q: I have a deep crease in my lower eyelid, what is that?
A: Some patients have a deep crease that is called a tear trough deformity. This can make the eyelid look tired or aged. This has to be released or treated during an eyelid lift so it is not visible.
Q: I have dry eyes, can I undergo eyelid surgery?
A: Patients with severe dry eye are not suggested to undergo elective eyelid surgery because the condition can worsen. For mild amounts of dry eye, patients are advised to use artificial tears or eye drops frequently after surgery.
Q: When can I wear glasses or contact lenses after eyelid surgery?
A: Patients can wear glasses right away as long as they do not dislodge sutures or affect the incisions. Dr. Mohan recommends waiting at least one week before attempting to wear contact lenses.
Dr. Mohan has a high-degree of success with his eyelid-lift patients. A leader in the industry, his techniques for delivering patient results and satisfaction set the gold standard for plastic surgeons in the field. Ultimately however, patients choose Dr. Raja Mohan for the results. His patients look and feel their best, and so can you.
If you want to learn more about whether or not blepheroplasty is for you please call (469) 301-1725 to schedule a consultation with Dr. Raj Mohan, board certified plastic surgeon serving the Dallas-Fort Worth Metroplex. He operates in Arlington, Grapevine, Southlake, Dallas, Plano, Frisco, Irving, and Coppell.