Eyelid surgery can address fine lines around the eyes, as well as drooping eyelids and under-eye bags. It is no secret that your eyes are among your most recognizable attributes; they are often the first feature people notice about you. However, the eye area is also one of the first to show the signs of aging. Crow’s feet, puffiness, sagging tissues, dark circles, and excess skin can obscure your eyes and take away from a youthful-looking expression. If you want brighter eyes that are not hidden by extra skin and fat, Dr. Killingsworth, Dr. Farber, and their surgical team recommend eyelid surgery.
Having extra skin and fat in the natural fold of your upper eyelid is a good indication that you may need eyelid surgery. Puffy upper and lower eyelids not only make you look older and tired, but the condition can also interfere with your eyesight.
If you notice puffiness and other signs of aging around your eyes, or if you notice that you struggle to keep your eyes open when you are well-rested, you may benefit from blepharoplasty (eyelid surgery). Dr. Killingsworth, Dr. Farber, and their plastic surgery team offer eyelid surgery to patients who want to correct eye imperfections to create a refreshed and youthful appearance. Based on your individual signs of aging and facial anatomy, our Atlanta blepharoplasty surgeons may recommend surgery on the upper or lower eyelids.
Both upper and lower eyelid surgery is offered at Astra Plastic Surgery. The goals of blepharoplasty differ slightly based on where correction is needed.
Dr. Killingsworth, Dr. Farber, and their plastic surgery team can determine if eyelid surgery is right for you during your consultation at our Atlanta office. You should come to your first visit prepared to discuss your medical history, current health status, and your medication regimen (including all of the medicines and supplements you take on a daily basis).
It is important that you also mention any past eye or vision problems and whether or not you have had LASIK surgery. You will be asked to look in the mirror and point out what you wish to change about your eyes and eyelids. Our eyelid surgeons will examine your facial anatomy before making a recommendation about what type of blepharoplasty surgery would work best for you.
Two common techniques for blepharoplasty include:
In the past, many surgeons performed the same eyelid operation on every patient: removing skin, fat, and sometimes muscle from the upper and lower eyelids. Fortunately, eyelid surgeons today know that genetics and sun exposure can also contribute to how your eyelids age. For that reason, Dr. Killingsworth, Dr. Farber, and their plastic surgery team will customize your blepharoplasty surgery to address your specific needs.
This means we may suggest surgery on all four eyelids or just the upper or lower eyelids, depending on your condition. Aesthetic eyelid surgery itself can correct many eye problems, and various techniques can be used on one eyelid or another. However, in some cases, combining additional treatments may be necessary to achieve the most aesthetically-pleasing outcome.* Aging can cause excess fat around the lower eyes to protrude, resulting in under-eye bags and dark shadows. A lower lid blepharoplasty will tighten the fat and membrane holding the orbital septum and / or remove the excess fat. The appearance of the lower eyelid can also be significantly affected by the loss of soft tissue volume (mostly fat) of the inner cheek – near the nose and just under the lower eyelid; this flatness tends to give an elongated, washed-out appearance.
For decades, a lower lid blepharoplasty always included the removal of fat, but since people lose volume as they age, the techniques used today preserve volume for patients who have lost fat by moving (not removing) the fat pads. In patients with a loss of volume in the lower eyelid that causes a hollow appearance or a deep “tear trough”, lower eyelid blepharoplasty is designed to restore the slight youthful convexity by adding volume. Common techniques including moving part of the fat pad into the tear trough (fat transposition) or moving upper cheek fat into the horizontal hollow of the lower eyelid.*
Often, an upper eyelid blepharoplasty consists of a conservative removal of excess skin to recreate the upper eyelid crease. In some cases, a small amount of fat and muscle may also be removed. Lost volume is a major factor in aging and continues after eyelid surgery, so instead of removing upper eyelid fat, our blepharoplasty surgeons will sometimes tighten the membrane that holds the fat in place. This repositions the fat so that it no longer protrudes. If your brow has become much lower, and your eyebrows are sagging from age, instead of only removing tissue from the upper eyelids, your upper eyelid blepharoplasty may be combined with a brow lift at the same time to achieve the best results. For some people, smoothing out crow’s feet can be accomplished with BOTOX®. Although BOTOX® treatment is temporary, it can accentuate the results of your eyelid surgery.*
As you can see, there are many options available to correct the cosmetic problems that have changed your eyes. During your consultation, our eyelid surgeons will provide information on any and all of the cosmetic procedures available that would be the most beneficial to your circumstances. For most patients, eyelid surgery is performed as an outpatient procedure using a local anesthetic and intravenous (IV) sedation, but general anesthesia may also be an option. Blepharoplasty usually takes thirty to ninety minutes to perform. If you are having both upper and lower blepharoplasty performed, your surgery will usually take longer.*
It is important to understand that the amount of time it takes for recovery from eye surgery varies greatly from patient-to-patient. For the first few days after your surgery, you should rest quietly with your head elevated and you may be instructed to apply cold compresses to your eyelids. Initially, you may feel a tight sensation around the eyes and any discomfort can be controlled with medication. During the first forty-eight hours following surgery, most patients experience varying degrees of swelling and bruising; for some, the mild swelling may persist for several weeks, while for others the swelling subsides in as little as one week. Your vision may be somewhat blurry for a few days and your eyes will be temporarily sensitive to light so you may want to wear dark sunglasses to protect your eyes from wind and sun irritation. Straining, bending, and lifting should be avoided during the early postoperative period. Most patients resume normal activities within ten days or less.*
Since the healing process for blepharoplasty is gradual, you should expect to wait at least several weeks to appreciate the final outcome of your aesthetic eyelid surgery. Blepharoplasty results are usually long-lasting, although as your skin continues to age, skin laxity and wrinkling of the eyelid area may at some point return. Even though eyelid surgery cannot stop the aging process, undergoing a blepharoplasty procedure at Astra Plastic Surgerycan restore a refreshed and rejuvenated expression.*
In some cases, eyelid sagging can interfere with sight, so the procedure may be covered by your medical insurance. We will be able to advise you as to the medical necessity of your blepharoplasty surgery after your consultation. If the procedure is not covered by insurance, you are responsible for the full cost versus a portion under insurance. We accept payment by cash, personal check, credit card, CareCredit®, and Alphaeon® Credit financing.
Dr. Christopher Killingsworth, Dr. Stephanie Farber and their staff of plastic surgery professionals would be happy to help you set up a personal consultation to discuss blepharoplasty surgery in more detail. Contact our Atlanta office at (678) 208-6008, our Cumming, GA office at (678) 400-0302, our Canton, GA office at (678) 918-3361, or request an appointment online today.
At Astra Plastic Surgery in Atlanta, we believe plastic surgery can achieve beautiful yet subtle results that accentuate your natural contours. Whether you opt for surgical treatments or non-invasive procedures, your cosmetic surgeon should possess a thorough understanding of the body's symmetry and proportions to ensure the best possible outcomes.*
Schedule a consultation today to learn how Astra Plastic Surgery can empower you to take control of your look.