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Eyelid Surgery

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Eyelid Surgery

Surgical eyelid rejuvenation (also called Blepharoplasty) treats signs of aging in the upper or lower eyelids. Upper eyelid blepharoplasty corrects sagging and hooding of extra skin in the eyes, while lower eyelid blepharoplasty removes excess skin and reduces eyelid bags. A patient may undergo both upper and lower blepharoplasty at one time. This is referred to as a Quad Blepharoplasty.

Upper Eyelid Surgery

Aging in the upper eyelid is caused by a dropping of eyebrow support, fat atrophy (loss in fat), and a loss of skin elasticity in the eyelid. Excess skin of the upper eyelids can cause wrinkling and hooding over the lash line. This creates a tired or heavy appearance in both men and women, and frequently causes difficulty in make-up application for women. Occasionally, upper eyelid aging can impair vision due to the heaviness of the drooping eyelid skin. Surgical eyelid rejuvenation removes the excess skin in the upper lid, leaving the patient with a more defined, and brighter appearance.

Sometimes the correction of eyelid skin excess requires the addition of a forehead lift (brow lift). A forehead lift can help repair the foundation of the eyelid. If you are a candidate for a forehead lift in conjunction with your eyelid surgery, your Appearance Center surgeon will discuss the option with you in your personal cosmetic consultation.

Lower Eyelid Surgery

Aging in the lower eyelid is most commonly noted by the appearance of bags or wrinkles under the eye. Lower eyelid skin wrinkling is caused by an excess of skin under the eyes, while lower eyelid bags are caused by bulging or displaced orbital fat. This orbital fat is exposed, with age, by atrophy of both eyelid skin and subcutaneous fat (the layer of tissue just beneath the skin) in the eyelid. Removal of both excess skin and lower eyelid bags is done through incisions inside the lower eyelids. During lower eyelid rejuvenation surgery, Appearance Center surgeons reposition the muscles and fat beneath the under eye skin, restoring them to their original location. Restoring the muscles and fat beneath the eyelid creates dramatic results, and it leaves the eyes looking rejuvenated and flush with a youthful glow.

Recovery From Eyelid Surgery

After surgical eyelid rejuvenation, patients can expect to experience mild to moderate bruising and swelling. This will typically last for one to two weeks. Temporary effects may include dryness or itchiness of the eyes for up to 1 week. If necessary, some sutures used may need to be removed 5-7 days after the procedure.

Alternatives to Lower Eyelid Surgery

Our Appearance Center surgeons frequently address signs of aging in the eyelids with minimally invasive options such as Hyaluronic Acid fillers, Botox, and other methods, including TCA peels, laser resurfacing, and microneedling with growth factors. These methods are administered in an office setting and offer immediate results.


Click here to read about non-surgical eyelid rejuvenation.