Back to Cosmetic Services

Eyelid Surgery (Blepharoplasty)

blepharoplasty in denver co | eyelid surgery

Every year, 100,000 men and women choose cosmetic eyelid surgery to improve the way they look. Why? The eyes are the first place people look at us and also the first place to show aging.  People considering eyelid enhancement want to improve:

  • Droopy, puffy eyelids
  • Sagging skin that weighs on the eyelashes
  • Bags under the eyes
  • A tired appearance

These problems can make you look older, and droopy eyelids can sometimes impair vision. Eyelid surgery improves them, so that you look less worn and tired.  The surgery, called blepharoplasty, can be performed on the upper eyelids or the lower eyelids or both together.

What can eyelid surgery treat?

Eyelid surgery may improve but does not completely correct:

  • Dark circles
  • Fine lines and wrinkles around the eyes
  • Droopy eyebrows

Blepharoplasty can remove bags under the eyes and correct droopiness and puffiness of the eyelids, but it doesn’t remove crows’ feet or replace the skin’s elasticity lost because of sun damage or aging. Dark circles under the eyes can be due to under-eye bags, in which case they’ll be improved when the bags are removed. But a general darkness of skin color under the eyes isn’t always removed by blepharoplasty.

In addition some people have eyelid surgery to correct inherited characteristics.  For example, many Asian women have surgery to create a “double eyelid” or well-defined upper crease.

Who is the ideal candidate for blepharoplasty?

Anyone who’s over 18, healthy and willing to have a reasonable expectations. Certain conditions affect the details of eyelid surgery and should be discussed with Dr. Fante to optimize your outcome:

  • Thyroid disease
  • High blood pressure
  • Dry eyes

Will blepharoplasty affect my eyesight?

Harm to the eyes is extremely uncommon.  You may find in the first weeks after the surgery that your eyes:

  • May tear up more than usual
  • Be more light-sensitive
  • Have some trouble focusing, especially if your upper eyelids were very droopy beforehand
  • Feel a bit itchy or burning

Can blepharoplasty be done on both upper and lower lids at the same time?

Yes, certainly. This is a good way to do it so that you need only go through one recovery period.

Can eyelid surgery be combined with any other procedures?

For your most refreshed, most youthful appearance, Dr. Fante might also advise undergoing other procedures.  The choice will always be yours, but Dr. Fante might recommend:

  • Botox, fillers, and/or microfat transfer to finish off your best appearance
  • Forehead lift to improve a drooping brow and smooth the forehead
  • Skin resurfacing to improve the fine lines in the eye area
  • Endoscopic midface or cheek lift to efface the intensity of dark circles and improve the contours of the cheeks
  • Proper treatment for any issues that might affect the health of your eyes

Upper eyelid surgery is often done in conjunction with a brow lift, which mildly raises the eyebrows, to give the eyes a more open, rested look.  Lower eyelid surgery is often performed together with an endoscopic mid face lift.  Another common combination is for people to have cosmetic surgery on both the eyes and the neck at the same time.

How can I prepare for eyelid surgery?

As with all facial plastic surgery, good health and realistic expectations are desirable.

  • A complete medical history will be taken. Be sure to tell Dr. Fante if you have any allergies.
  • Your vision will be tested and tear production assessed.
  • With Dr. Fante, you’ll decide whether all four eyelids should be done, or just the upper lids, or just the lower lids.  You’ll have a chance to discuss other options as appropriate for your face and your goals.
  • Dr. Fante will explain the techniques he’ll use, and the anesthesia, and the risks involved.
  • Dr. Fante and his staff will give you guidelines on eating and drinking, as well as smoking, and any vitamins, herbs, and medications you should take or avoid.

What can I expect during eyelid surgery?

In general, procedures will take from about 30 minutes to 90 minutes, using local anesthetic combined with some form of sedative. Depending on your exact situation, surgery may be appropriately performed in our office or in an ambulatory surgery center.

There are many procedures to choose from, and yours will be customized by Dr. Fante for your unique face. Some of the possibilities are:

  • Removing puffiness from upper and/or lower eyelids (prolapsed fat that accumulates with age)
  • Removing excess skin from upper eyelids (that droops, sometimes interfering with vision)
  • Correcting weakness of eyelid muscles and tendons
  • Smoothing the area below the eyes (with laser resurfacing, Botox, or surgical removal of skin)
Dr. Fante uses a laser for many procedures. When incision must be made, they’re always very tiny, and strategically placed so that they heal to near invisibility.

Click the disclaimer to see Dr.Fante perform a upper and lower blepharoplasty


 

How is blepharoplasty done on Asian eyes?

Blepharoplasty is sometimes done on Asian eyes for a different reason than it’s done on Occidental eyes.

For Occidental eyes, the surgery is usually to correct droopiness caused by age. This is sometimes also the reason for eyelid surgery on Asians.

For Asians who have a “single” eyelid, it’s also often done to soften or westernize the look of the eyes and is often called “double eyelid surgery”.  A “double eyelid” has skin visible between the eyelashes and the skin fold – a place where many women like to wear make up.

There’s also a thing called the epicanthal fold, a piece of tissue which drapes over the inner part of the eye. In most Occidentals, it’s barely visible, whereas in most Asians, it’s quite evident.

When it’s adjusted surgically, a new crease is formed which gives the eyes a different look, and also causes the eyelashes to turn upwards, instead of being pushed downwards by that epicanthal fold.

Will I have any scars after my eyelid surgery?

All incisions leave scars. These incisions are very tiny, and are either placed strategically inside existing creases, so the resulting scars will be virtually invisible, or alternatively are hidden completely inside the eyelid. When rarely needed, there are cosmetics that will camouflage these little scars very well.

What can I expect during recovery?

Afterwards, you can go home, though you’ll need someone to drive you.

  • There’ll be antibiotic ointment temporarily blurring your vision
  • You’ll have a prescription for an oral pain reliever
  • Dr. Fante will give you written instructions for self-care
  • There’ll be some swelling and bruising which you can minimize with an ice pack. Herbal and homeopathic medicines can sometimes also help with bruising and you will be given information on which ones to consider.
  • Sutures will be removed after about a week
After a week or so you’ll be able to return to work, exercise, and normal routines. Some bruising may persist into the second week after surgery.  Since we live in the Rocky Mountain climate, you will probably want to use artificial tears for a little while to offset the dry air. Most people are “back to normal” by two weeks after surgery, but healing continues and isn’t really complete until a year or more after surgery (scars can continue to improve throughout your life).

You can speed your healing time by taking rest seriously. Prop yourself up in bed with pillows and watch TV, do social media, or read to pass the time. Let yourself doze off as much as you want, so long as you stay on your back. A comfortable recliner is great for this, too.

Schedule a consultation

You’ll be very pleased with your new, refreshed look. Dr. Fante is always available to answer questions and provide support. If you think Blepharoplasty is right for you, call (303) 839-1616 to schedule a consultation today!

Read More About Eyelid Surgery