The eyes account for a large part of the expression of the human face; they project an array of emotions including happiness, sorrow and fear. Wrinkles and deep lines as well as puffiness of the lids may begin to develop with the passage of time. Exposure to the sun and genetic predisposition can also be contributing factors. The result can be marked changes in expression causing a tired and/or older appearance. These physical changes can produce anxiety and actual visual impairment.

Cosmetic eyelid surgery (Blepharoplasty) can correct sagging eyelids, pouches beneath the eyes and excess folds around the eyes. This surgical procedure involves the removal of excess skin and fat on upper and lower eyelids and is often done in conjunction with other surgical procedures including facelift, eyebrow and forehead lift.

Before Surgery

Prior to surgery, a complete medical history is taken in order to evaluate the general health of the patient. A thorough examination of the eyes and face is made to determine the most effective surgical approach. The amount, distribution and type of excess skin to be removed is carefully noted. An examination by an Ophthalmologist or Optometrist may be recommended to determine visual acuity and any interference of upper eyelid skin with vision. A preoperative health screening is performed to make sure that the patient is healthy before any procedure. Photographs are taken before and after surgery in order to evaluate the final results.

The Procedure

The surgery is performed in Dr. Galoob's AAAHC accredited office surgical suite. Anesthesia in the office consists of IV Sedation and local anesthetic injections. A licensed nurse is specifically assigned to constantly monitor vital signs and give medications under the Doctor's direction. Patients are kept at a twilight level of consciousness that allows them to relax and rest and the surgery to be easily performed. Most patients have no recollection of the surgical procedure, or if any does occur, it is not unpleasant. In some cases, only injections of local anesthetic are used and the patient is given a mild sedative by mouth prior to the procedure. Occasionally the patient may go to an outpatient surgical facility depending on patient needs and health concerns.

Blepharoplasty surgical procedure

Dr. Galoob will make delicate incisions from the inner to the outer edge of the eyelid. In selected cases, incisions can be made inside the eyelid. The upper eyelid incision is made in the fold of the lid. On the lower eyelid, the incision is made directly below the eyelash or in the conjunctiva (the pink lining of the inner eyelid). Excess fat and skin are then removed from the underlying compartments. The amount of fat excised is determined by the degree of protrusion of fat when pressure is gently applied to the area. Suspension of the eyelid and surrounding muscles may be performed using sutures. Small sutures are used to close the incision and special ointments and dressings may be applied. The procedure can take from one to two hours, depending upon the extent of the surgery.

Another procedure, transconjunctival blepharoplasty, may be performed for patients that have fat deposits below their lower eyelid but do not need skin removed. An incision is made inside the lower eyelid and the fat is then removed. Small sutures are used to close the incision and no visible scar is left. The procedure is usually performed on patients with more elastic skin.

Following eyelid (blepharoplasty) surgery

Antibiotics may be continued for several days following eyelid surgery. Sutures are removed within a week. Some swelling and bruising occurs but subsides in a few days. The physician may prescribe ice compresses and/or eye exercises to reduce swelling and regain mobility. Women may be allowed to use eye makeup ten days to two weeks after surgery and are cautioned to cleanse the area thoroughly after each use. The physician determines when normal activities can be resumed; however, strenuous exercise must be avoided for several weeks following surgery. Final evaluation is usually not possible for several months following surgery.

Questions and Answers

Will insurance pay for this surgery? Some insurance companies will pay part or all of the costs of surgery if it is performed as a result of visual impairment. Each insurance carrier is different, and it is recommended that individuals check with their own agents to determine if there is coverage.

When can I apply eye makeup?

Eye makeup can usually be applied after 6-7 days.

How long will I be bruised?

Bruising usually lasts for 10-14 days. The amount of bruising varies for each individual and with the type and extent of procedure performed.

Will the eyelid surgery affect my vision?

All patients experience some blurring of vision because of swelling for the first few days. Rarely, some change in the vision can occur permanently after surgery. There have been a few reports of loss of vision when complications of excess bleeding and swelling occurred after eyelid surgery.

Each year thousands of cosmetic eyelid surgeries are successfully performed. Complications connected with this surgery are rare, however, there are certain inherent risks connected with every surgical procedure which should be discussed with the physician prior to surgery. Patients can minimize complications by carefully following directions given by the physician.

What can I expect my eyes to feel like after surgery?

After blepharoplasty, drying of eyes can occur. This is often manifested as excessive watering of the eyes and irritation. This condition can be alleviated with medication and the use of artificial tears. There may be sensitivity to bright light and wind in which case the use of dark glasses is indicated. Sensory changes such as numbness and itching may occur during the healing process.

Contact us

If you are interested in learning more about cosmetic eyelid surgery, call or email our office or leave your name and address on this web page and we will be happy to answer your questions.