The eyes are one of the main focal points of the face. Unfortunately, they are the first structures to show obvious signs of aging.
Most patients describe themselves as looking “tired”, or “unhappy” due to sagging of the eyebrow and skin of the upper-lids, as well as heavy bags under the eyes. If you are experiencing similar concerns, eyelid surgery might be the right option for you.
DR. CILENTO HAS EXTENSIVE EXPERIENCE IN BOTH UPPER AND LOWER EYELID REJUVENATION. DURING YOUR CONSULTATION, HE WILL DISCUSS ALL TREATMENT OPTIONS TO HELP YOU RESTORE A MORE YOUTHFUL APPEARANCE.
Upper lid blepharoplasty is a fairly straightforward procedure involving removal of skin, muscle and variable amounts of fat from the upper eyelid. It is performed alone or in combination with a forehead lift to help rejuvenate the upper eyelid/brow complex.
Lower lid blepharoplasty is a more delicate operation and has many variations and nuances. Dr. Cilento performs both transconjunctival blepharoplasty (no external skin incision) and skin muscle flap (small external incision) for lower lid blepharoplasty depending on the patient’s anatomy and degree of aging.
Eyelid Surgery Before and After
How long does Eyelid Surgery take?
Most eyelid surgery procedures are performed in an operating room that takes place in an outpatient surgery center or hospital. Light intravenous sedation and local anesthesia are used in most cases for patient comfort. The procedure generally takes 1-2 hours depending on the complexity of the problem.
Eyelid Surgery Recovery
Detailed postoperative instructions are given. Usually, a patient feels “recovered” after a week. By this time the patient has had their first postoperative visit and has had sutures removed and a great deal of the swelling has resolved, bruising, if present, can linger in a mild form for 10 days to two weeks depending on the patient’s skin type. Discomfort is minimal and is typically easily controlled.
For lower lids, taping is sometimes required for one to two weeks following suture removal but this is rare. The wounds generally reach the height of redness at around 4 weeks but this generally fades fully my 2 months or so.
Combining Blepharoplasty with other procedures
Dr. Cilento takes careful consideration before performing blepharoplasty or eyelid lift to ensure he can help restore a more youthful appearance. In some cases, he performs eyelid surgery alone or in combination with a facelift or neck lift to further enhance the overall appearance. Also, oftentimes some of the drooping or sagging in the upper lid area is attributable to the eyebrows drooping in conjunction with eyelid skin. For this reason, Dr. Cilento often recommends a forehead lift to select patients in combination with their blepharoplasty. During the consultation, this will be something he discusses in more detail.
Alternatives to Eyelid Surgery
Signs of aging, such as fine lines and crows feet, can be addressed with non-surgical treatments. If surgery isn’t for you, Dr. Cilento offers a few other options.
Botox or Dysport injections can lessen and prevent crows feet. Dermal fillers can treat deep grooves and dark circles under the eyes. Crepe-like changes in the lower lids can be treated with fractional laser. Dr. Cilento performs dermal fillers and botox injections, but highly recommends that you seek the services of participating MedSpa’s for laser procedures.
Will insurance cover surgery?
In some patients who have obstructed vision from excess upper eyelid skin, eyelid surgery may be reimbursable by third-party payers. If this appears to be the case, our staff will arrange a visit to an ophthalmologist for the testing necessary to document any obstruction.
Also, oftentimes some of the drooping or sagging in the upper lid area is attributable to the eyebrows drooping in conjunction with eyelid skin. For this reason, I often recommend a forehead lift in select patients in combination with their blepharoplasty.