Blepharoplasty (Eyelid Rejuvenation)

Every year, one hundred thousand men and women choose blepharoplasty to improve the way they look. It is the most common facial cosmetic procedure performed today. Drooping, heavy eyelids can make you look older and can also impair vision. The results are a refreshed appearance, with a younger appearing, firmer eye and surrounding area. Blepharoplasty corrects these problems and also removes the puffy bags under the eyes that make you look tired. Though blepharoplasty is often performed as a single procedure, Dr. Meier may also recommend other procedures to achieve the best results.

During a one-on-one consultation with Dr. Meier, you will be examined in areas concerning your vision, tear production, use of contact lenses, and your expectations for surgery. Dr. Meier will discuss the benefits of surgery including what you can expect from blepharoplasty. He will take the time to make sure all of your questions and concerns are answered so that you feel comfortable with the process. Insurance does not generally cover surgery that is done purely for cosmetic reasons.

About The Surgery

Blepharoplasty can address the upper eyelid, lower eyelid, or both. In upper lid surgery, Dr. Meier first marks the individual crease of the lid in order to keep the scars as invisible as possible along this natural fold. Local anesthesia (like novocaine) with or without sedation is then applied. The incision is made and excess fat, muscle, and loose skin are removed. Very fine sutures are used to close the incisions, thereby minimizing the visibility of any scar. Upper eyelid surgery can also be used to create a natural fold or crease in the Asian eyelid, if desired.

In lower eyelid surgery, Dr. Meier makes the incision on the inside of the lower lid so as to avoid any apparent scar. This is called a transconjunctival lower lid blepharoplasty. In rare cases, Dr. Meier may make a small incision just below the lashes in order to remove excess skin. Excess fat, muscle, and/or skin are then removed as needed in order to freshen the appearance and address under eye bags. No sutures are usually needed for closing the incision in the lower lid when the transconjunctival approach is used. In most cases, blepharoplasty can take from one to two hours and can be performed in the office or surgery center.

After The Surgery

Immediately after the surgery has been completed, Dr. Meier will apply tiny sterile tape to the sutures. This is not done for lower lid transconjunctival blepharoplasty. However, an ointment to prevent dryness of the eye area may be used. Some swelling and bruising occurs around the eyes. Ice packs, as well as head elevation when lying down, will enhance healing and relieve discomfort. Most patients experience very little discomfort, if any, with blepharoplasty. Dr. Meier will prescribe pain medication to be used if needed. Dr. Meier will give you detailed instructions regarding care after surgery including what to avoid in the weeks immediately following surgery. Sutures (stitches) will be removed in three to five days after surgery. Follow-care is important so Dr. Meier can monitor the healing process.

Further information on blepharoplasty can be obtained by contacting our office and setting up a consultation.

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