What is an Eyelid Lift?
An eyelid lift, or blepharoplasty, is a cosmetic surgery that removes excess skin present on the upper or lower eyelid. A blepharoplasty can be done to open the eye to reveal a more awake and youthful appearance or to improve a patient’s field of vision. It is often the single most dramatic change to make someone appear youthful and less tired. The removal of excess skin on the upper eyelid can eliminate the appearance of hooded eyes, while a lower eyelid lift can eliminate “under eye bags” that often make us look more tired and older than we really are.
Who is a Candidate?
Candidates can choose to undergo this procedure for both functional and cosmetic reasons. A good candidate for an eyelid lift should be in good overall health and have a realistic outlook on the results of the procedure.
A candidate for an upper eyelid lift may have:
- Excess skin on the upper lid that droops past the natural crease of the eyelid. This can make the eye look more closed, and in some cases, can obscure one’s vision. If there is medical evidence of visual obstruction due to excess upper eyelid skin, an eyelid lift is often covered by insurance (individual insurance coverage varies)
- The excess skin may also cause the skin to wrinkle and fold. Wrinkles and folds that result from excessive skin can only be corrected with surgical treatment such as an eyelid lift.
A candidate for a lower eyelid lift may have:
- Excess skin that is thin and crepey that creates lower lid wrinkles.
- The excess skin and prolapsed fat deposits create under eye bags the make one look more tired and sometimes older than they are.
Eyelid surgery can be performed on the upper lid, lower lid or both. This procedure is performed on an outpatient basis, under either local or general anesthesia depending on what Dr. Fichadia sees fit for your specific condition. Based on your initial consultation and your pre-operative appointment, Dr. Fichadia will mark the areas you would like to have excess skin removed.
For upper eyelid surgery, Dr. Fichadia will make incisions within the natural lines and creases of your upper eyelid in order to provide the most inconspicuous scars. Through these incisions, Dr. Fichadia will remove excess skin, muscles and fat to improve the appearance of the upper eyelid area. This is often done as an office procedure under local anesthesia, leading to a quicker recovery and lower cost.
There are two main methods for correcting excess skin or under eye bags. These two techniques differ with the type of incision used. For excess skin, Dr. Fichadia will place the incision just below the lower lash line, the excess skin will be trimmed and repositioned to a tighter position. For lower eye bags or puffiness, Dr. Fichadia will make the incision from inside the eyelid. This allows Dr. Fichadia to remove excess fat without removing excess skin. Sometimes a combination of incisions is needed for full correction.
Results and Recovery
For surgery under general anesthesia, you will be released the same day as the procedure, with your designated friend or family member that will be helping you get home and situated. The first few days after the procedure you will need to rest at home and use a cold compress to help minimize any swelling or discomfort. Bruising takes about 2-3 weeks to completely resolve. Dr. Fichadia will provide you with specific aftercare instructions before you are sent you home. In general, most people won’t be able to tell what you’ve had done; rather, you will look noticeably younger and more rested.
If you are interested in learning more about eyelid surgery, contact Dr. Fichadia’s office today to schedule a consultation.