Blepharoplasty (Blepharo- means “eyelid”, and –plasty means “change”) is the most commonly performed facial plastic surgery procedure. This is because the eyelids account for a large part of the expressiveness of the face. When you look at someone, you look at his or her eyes. If the eyelids are sagging, droopy, or puffy, the face will look fatigued, sad, and tired despite good health and adequate rest. If the eyes look bright and alert, an otherwise aging face will appear rejuvenated. Thus, blepharoplasty is a procedure that can rejuvenate the face as well as the eyes.
Blepharoplasty is tailored individually for each patient. The right combination of skin and fat removal, fat repositioning, and lid tightening is applied to achieve a more rejuvenated and youthful appearance in each individual patient. Sometimes, less is more.
Upper eyelid blepharoplasty is typically performed as a same day surgery under light sedation and local anesthesia. Excess skin is removed. Bulging orbital fat may be removed, sculpted or repositioned. Lateral sub-brow fat that contributes to upper lid fullness may be removed and/or sculpted. A brow support or brassiere may be used.
Lower eyelid blepharoplasty is performed to soften the puffiness of the lower eyelids caused by prolapsed orbital fat. Fat may be repositioned to improve a tear trough deformity. Excess skin is removed, if necessary. Lower lid laxity or droop may be simultaneously corrected. Blending of the lid-cheek junction is performed with lower eyelid tightening and a cheek lift.