Eyelid Lift

As you age, your eyelid skin becomes lax and the muscles in the area weaken. In addition to the accumulation of fat, you’ll see bags develop above and below your eyes. Blepharoplasty, or cosmetic eyelid surgery, can dramatically refresh your appearance, making you look younger and less tired. This procedure not only corrects aesthetic problems caused by aging, but also prevents any inherited traits that begin to be more apparent once you’re 20 to 30 years old, and just get worse with every passing year.

  SEE BEFORE AND AFTER PHOTOS  
What an eyelid lift or blepharoplasty can do for you
  • Get rid of bags above and below your eyes.
  • Smooth away wrinkles along the lower eyelid.
  • Eliminate drooping of the upper eyelids that can impair your vision.
  • Eliminate drooping of the lower eyelids to reduce the amount of white showing under your irises.
You'll experience:
  • Only local anesthesia, which is administered when treating the upper eyelids, lower lid skin pinch or both.
  • The removal of excess fat and loose skin.
  • Tiny incisions, which are placed in the natural creases of your lids so they are well hidden.
  • Transconjunctival fat removal.
  • The ability to get back to work within a week or so.
  • Swelling and bruising, which usually only last a couple of weeks.
  • Resulting scars that are well hidden, making them virtually invisible.
What makes your eyelid lift or blepharoplasty at Gartner Plastic Surgery unique

1. Your surgery will be performed under local anesthesia, which means you’ll be awake for the whole time. You won’t feel a thing, except for a tiny bit of pressure occasionally. Many patients talk throughout the surgery, making it a more pleasant experience.

2. A thorough pre-surgery assessment is performed to ensure the most suitable surgical techniques for you. This involves examining your eyelids to see if skin and/or fat need to be removed, then tailoring your surgery accordingly. Sometimes, an alternative treatment is suggested that would better achieve your expectations. For example, if you have crow’s feet (the wrinkles and creases at the outer corners of your eyes) then the nonsurgical option of Botox would be more appropriate for you.

3. Dr. Gartner is extremely careful not to cut through the ocularis muscle during your surgery. Doing so significantly reduces trauma, making your recovery less intense and faster, an outcome that has been proven in the study, Upper blepharoplasty with or without resection of the orbicularis oculi muscle: a randomized double-blind left-right study[1].

4. Dr. Gartner performs transconjunctival fat removal, which involves placing an incision inside your lower eyelid. No incision is made on the outside of the eyelid, making the resulting totally invisible. However, because this requires precision, general anesthesia is administered to minimize the risk of ocular injury.

5. Dr. Gartner performs a “skin pinch” if necessary, a technique that smoothes away the fine wrinkles and crepey skin affecting your lower eyelids. In fact, more skin can be removed during a “skin pinch” than with other more traditional blepharoplasty techniques, according to Power of the pinch: pinch lower lid blepharoplasty[2]. This allows you to see a more dramatic improvement.

Are you a candidate for an eyelid lift?

Blepharoplasty is suitable for men and women who want to rejuvenate the appearance of their eyes by addressing any of the following:

  • Upper eyelid skin that is loose and sags or droops, creating a fold and possible vision impairment.
  • Puffy upper eyelids that only gets worse with age.
  • Saggy lower eyelid skin that may reveal the white part of your eye under the iris (sclera).
  • Undereye bags.
  • Dark circles under the eyes.
  • A droop in the lower eyelid showing white below the colored potion of the eye, itself.
  • Looking generally tired all the time.

While the procedure can be performed on an adult of any age, a typical patient ranges from 35-60 years old.

Your consultation

Blepharoplasty can achieve impressive results in properly selected patients. For this reason, you’ll have a thorough consultation with Dr. Gartner to ensure the procedure is right for you. Not only will your aesthetic goals be discussed and your medical history reviewed, Dr. Gartner will examine your eyelids to assess your concern.

  • Good brow position: your brow should not be “pushing down” on the eyelids to make them droop. If your brow is found to be the reason why your eyelids are drooping, then a brow lift would be better suited for you.
  • Fullness toward the nose.
  • Excess eyelid skin.
How to prepare for your surgery
  • Two weeks before your surgery, avoid medications and supplements containing Aspirin, Ibuprofen, vitamin E, ginseng and St. John’s Wort.
  • If advised by Dr. Gartner, start taking arnica supplements two weeks before your surgery. This can help with your recovery.
  • Fill any medications that you’ll be required to take as you recover.
  • Prepare an area of your home where you’ll spend resting quietly.
  • Eight hours before your surgery, don’t drink or eat anything.
  • On the day of your surgery, please arrive at our surgical facility without makeup, wearing comfortable clothing and a button-up shirt (so you don’t have to pull your shirt over your head).
Your surgery

Your surgery is customized according to your concerns. It may take anywhere from 30 minutes for a “skin pinch” to tighten lax lower eyelid skin and smooth away static wrinkles, to two hours for tightening skin and smooth away unwanted bulges of fat in the upper and lower eyelids.

Upper Eyelids

1. Local anesthesia is administered when targeting the upper eyelids only.

2. An incision is hidden within the natural fold of the upper eyelid and extended slightly beyond the outside corner into other existing creases (or laugh lines).

3. Through the small incision, excess skin and fatty tissue are removed and due to the incision being well hidden, its appearance will be unnoticeable once healed.

4. The incision is closed.

Lower Eyelids

1. General anesthesia is administered for a lower eyelid lift. However, if only a bit of skin is removed, local anesthesia may be sufficient.

2. An incision is made just below the lower lid and may extend into the crows feet.

3. If fat is removed, Dr. Gartner will use a transconjunctival incision (an incision placed on the inside of the lower eyelid), eliminating any visible scarring.

4. The incision is closed.

Your recovery

The final part of your transformation is your recovery.

The first stage of your recovery

You may experience mild discomfort and a tight feeling around the eyes at the beginning of your recovery. Discomfort can be controlled with prescribed medication. Swelling and bruising are common and should go away within a few weeks, although most of it will be gone in a couple of weeks depending on your rate of recovery. Keep your head slightly elevated while resting to reduce swelling.

Other sensations you may have that will go away as you progress in your recovery include eye dryness and blurred vision.

After a week, you can start wearing makeup in order to cover any bruising or other discoloration and the steri-strips will be removed after one week.

Avoid wearing contact lenses for two to three weeks after surgery.

When you can go back to work

You’ll most likely be able to return to desk work in about a week.

When you can get back to the gym

Strenuous exercise can be resumed in about three weeks.

Your results

Blepharoplasty will reclaim the bright, refreshed appearance that you once had in your youth. You’ll notice that you won’t look so tired or worn out anymore.

Complications and risks associated with eyelid lift surgery

The risks associated with blepharoplasty include the following:

  • Prolonged bruising
  • Excessive bleeding
  • Numbness
  • Infection
  • Prolonged pain
  • An inability to close your eyes all the way
  • Prominent scarring
  • Delayed wound healing

These are rare. You can have a safer surgery and faster recovery by following the care instructions given to you by Dr. Gartner. These instructions were designed to protect your safety and improve your surgical outcome.

Disclaimers :

  • No guarantees of any kind unless they are money-back guarantees
  • No claims of permanent results
  • No "Miracle cures" for medical ailments

Copyright © 2015 Gartner Plastic Surgery and Laser Center
All rights reserved. Any subsequent further processing, publication or permanent storage for commercial or other purposes without the explicit prior permission of Think Basis Inc. is prohibited.

Article credits

  • Reviewed By:Dr.MichaelGartner
  • Place:3 Winslow Pl, Paramus, NJ, US, 07652
  • Created: 10 May 2015
  • Published: 10 May 2015
  • Last Modified: 26 Sep 2015
  • Reviewed: 19 May 2015

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