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For the most part, upper eyelid surgery involves removing excess skin. In female patients, excess skin obscures the eyelids and makes it difficult to apply makeup. Sometimes excess skin is the result of a droopy brow that pushes normal skin down, which is why it is important to assess the forehead simultaneously. Such patients may be candidates for a forehead lift instead or both a forehead lift and an eyelift.
The procedure itself is very quick – approximately 20 minutes per eyelid – and is performed under local anesthetic. The incision is concealed within the eyelid crease and heals very quickly. Eventually it is not noticeable even to the trained eye. Recovery usually takes about 7 days. Wearing sunglasses will accelerate by a few days the return to non-strenuous social activity.
*Results May Vary
Limited Time Offer $4500
The technical name for eyelid surgery, also referred to as an eyelift, is blepharoplasty. Blepharoplasty is used to treat any sagging, puffy or loose skin of the eyelids that becomes increasingly apparent as we age. But it can also correct factors not associated with aging, such as dark circles underneath your eyes.
Eyelid surgery is used to treat these conditions by removing the excess skin and fat cells on the upper and lower eyelids. The procedure is an extremely effective and minimally invasive way to improve the appearance of most men and women. Thousands of these cosmetic eyelid procedures are performed every year, with the recipients enjoying a more vibrant and youthful appearance.
Patients span the entire adult age spectrum and seek eyelid surgery to address
Changes in the eyelids occur slowly over time and are not immediately noticeable. An example, which also demonstrates how facial features are interrelated, is the development of excess skin in the upper eyelid. As the skin begins to stretch, most patients compensate by lifting their brows. This strains the forehead muscles and can accelerate development of deep forehead wrinkles. Eventually, overcompensation by the brows is not enough to lift the extra skin, and patients may complain of heavy eyelids or even loss of their upper field of vision.
Plastic surgeons like to divide the face into thirds. The upper third consists of the forehead. The middle third includes the nose and eyes – the “mid-face.” The lower third comprises the lips and jaw line. All of the parts must be assessed collectively for a harmonious result. This holds most true for the mid-face because it is the bridge between the upper and lower face. A surgery performed without considering all of the facial features together may produce an unnatural and imbalanced look.
It is for this reason, that a preoperative assessment of the upper eyes is incomplete if the forehead is not considered. Similarly, for the lower eyelids the cheeks and grooves between the lids and cheeks must also be evaluated. Dr. Khoury addresses all of these issues, and will discuss all of your options during your complimentary consultation.
*Results May Vary
The benefits of eyelid surgery are immediately apparent to patients. They often receive comments like, “You look well rested,” “You look fresh,” or “You don’t look sleepy anymore.” Eyelid procedures are quick, safe and effective. They can drastically improve a patient’s appearance.
Lower eyelid procedures range from very simple to complex, as described below. They are also quick with the same recovery period as for upper eyelids.
Laser resurfacing to the lower eyelid skin may be enough to tighten and smooth the skin. Laser may also be combined with other lower eyelid procedures.
Skin Pinch and Skin-Flap Only Blepharoplasty
Excision of excess skin is referred to as a “skin pinch.” It is a quick and safe method of removing excess lower eyelid skin. The incision is concealed in the crease below the eyelashes. A similar but slightly more extensive variation is a skin-flap only blepharoplasty
*Results May Vary
This is a more sophisticated procedure that involves the removal of excess skin and of the protruding fat that causes bags under the eyes. It is performed through an incision in the crease below the eyelashes. Protruding fat also produces most dark circles under the eyes, which are also improved with this procedure. They are due to a shadow cast by light falling on the fat bulge, which acts like a shelf (skin pigmentation is a less common cause of dark circles under the eyes).
This is the preferred method of rejuvenating the lower eyes. It involves the removal of excess fat through an internal eyelid incision. Although it may sound startling, it is one of the safest methods. Dr. Khoury is able to anesthetize the area without the patient feeling it. Occasionally, there is some excess skin left after the removal of fat, which can be eliminated with a skin pinch.
*Results May Vary
Transconjunctival Blepharoplasty with Fat Repositioning
This is one of the most advanced methods to rejuvenate the lower eyelids. Very few plastic surgeons are skilled in this technique. It is similar to a regular transconjunctival blepharoplasty, but instead of removing the fat, the fat is re-draped over the cheek bone. This allows for a smooth transition between the lower eyelid and the cheek, softening the groove that separates the two. Many patients who routinely have fillers placed into the crease under the eyelid will not need them after this surgery.
A facial rejuvenation procedure can be a life-changing experience, improving the way that you feel about yourself and giving you a sense of confidence and well being. Dr. Khoury is an expert in facial rejuvenation techniques and will work with you to determine the procedures that will be best for you. It is important to recognize that for all medical procedures, including the procedures performed by Dr. Khoury, individual results and experiences may vary. Schedule a complimentary consultation with Dr. Khoury today!