Eyelid Lift Pensacola, FL

Upper Eyelid Blepharoplasty

Drooping eyelids tend to make patients look older than they are.  Usually done in the office, an upper eyelid blepharoplasty is very common with both women and men.  Often times, patients find that this relatively simple surgery is all they need to take years off the look of their face.

Eyelid Lift

Loading the player…

Typical Timing/Age

For patients between the ages of 51 and 64 years old, blepharoplasty was the most commonly performed cosmetic surgery procedure.*

Problem

Excess upper eyelid skin, atrophy of tissue around the eye and deflation of the upper eyelid sulcus.

Procedure

Excess upper eyelid skin is removed from the upper eyelid leaving a scar hidden in the upper eyelid crease.   The scar is generally not visible when the eyes are open.  Moreover, thin skin under minimal tension creates the finest scars.  Since eyelid skin is the thinnest in the body and will be under minimal tension – scars after blepharoplasty are usually inconspicuous.  Some patients may benefit from fat grafting, the addition of fat to the orbital rim region to treat an atrophic, “hollowed out” appearance.

Goal

To improve the function and appearance of the eyes by removing excess upper eyelid skin.

Facility

Office/Clinic, Surgery Center or Hospital

Preparation

Patients should wait at least 6 months after LASIK vision surgery.  Patients should also have any dry eye symptoms treated prior to undergoing elective cosmetic eyelid surgery.

Anesthesia

Local anesthesia in the office/clinic. Or if you prefer we can also perform the procedure under IV sedation at a Surgery Center or Hospital; or general anesthesia at a surgery center or hospital.

Hospital stay

Most patients go home after surgery and do not require a night in the hospital.

Positioning

After a blepharoplasty you should sleep with your head elevated above your heart for a few days to help reduce the swelling.

Assistance

You will be able to walk around, feed and bathe yourself.  Depending on your pain medication requirements, you may not be able to drive or care for others.

Walking

You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.

Showering

You may shower immediately following surgery.

Exercise

1 week for light exercise.  2 weeks for regular exercise.

Sex

Wait 1 week because you don’t want to increase your blood pressure during the early healing period.

Work

You may be bruised for 1-2 weeks. If you have a desk job you can return to work as soon as you are comfortable doing so.  Most people take 1-2 weeks off of work.

Swelling

Usually greatest around 3 days after surgery from which time it starts to subside.  Some patients remain a little swollen for 2 months.

Bruising

Usually subsides by 1 week.

Follow-up Appointments

1-3 days after surgery, 7-10 days, 3 weeks, 6 months, 1 year.

Risks & Complications

Dry eyes, Lagophthalmos (inability to fully close your eye), asymmetry, bleeding, infection, prolonged swelling, need for revision, complications related to anesthesia.

Performed by: Dr. Butler, Dr. Leveque, Dr. Patterson

tear
internal

LOWER EYELID BLEPHAROPLASTY (EYELID LIFT)

Typical Timing/Age

For patients between the ages of 51 and 64 years old, blepharoplasty was the most commonly performed cosmetic surgery procedure in 2013.*

Problem

The primary deformity in most patients seeking lower eyelid blepharoplasty is the presence of a “tear trough” or “orbital-malar sulcus” which creates the appearance of lower eyelid bags and a tired appearance. This is usually caused by a ligament that tethers the skin to the bone of the inferior orbital rim (see image below). Skin laxity, wrinkles and pigment changes are other reasons patients seek lower eyelid rejuvenation.

Procedure

The “tear trough” or “orbital-malar sulcus” is usually treated by lysing (disrupting) the orbital-malar (tear-trough) ligament and draping the orbital fat down into that area to smooth out the sulcus. This technique “takes” from the fullness above and “gives” to the emptiness below. This may be done through an incision inside your lower eyelid or through an incision on your lower eyelid millimeters below your eyelashes. Lower eyelid blepharoplasty takes approximately 2 hours. Some less severe “tear trough” or “orbital-malar” creases can be temporarily masked with dermal fillers.

Goal

To improve the appearance of the eyes by effacing the orbital-malar sulcus and smoothing out the lower eyelid skin.

Facility

Office, Surgery Center or Hospital

Preparation

Patients should wait at least 6 months after LASIK vision surgery. Patients should also have any dry eye symptoms treated prior to undergoing elective cosmetic eyelid surgery.

Anesthesia

Local anesthesia if performed in the office; or general anesthesia in a surgery center or hospital.

Hospital stay

No hospital stay is required.

Positioning

After a blepharoplasty you should sleep with your head elevated above your heart for a few days to help reduce the swelling.

Assistance

You will be able to walk around, feed and bathe yourself. Depending on your pain medication requirements, you may not be able to drive or care for others.

Walking

You are encouraged to walk around as much as possible to help reduce the risk of DVT and thromboembolism.

Showering

You may shower immediately following surgery.

Exercise

1 week for light exercise.  2 weeks for regular exercise.

Sex

Wait 1 week because you don’t want to increase your blood pressure during the early healing period.

Work

You may be bruised for 1-2 weeks. If you have a desk job you can return to work as soon as you are comfortable doing so.  Most people take 1-2 weeks off of work.

Swelling

Usually greatest around 3 days after surgery from which time it starts to subside.  Some patients remain a little swollen for 2 months.

Bruising

Usually subsides by 1 week.

Risks & Complications

Lower eyelid malposition, dry eyes, chemosis, asymmetry, bleeding, infection, prolonged swelling, need for revision, complications related to anesthesia.

Performed by: Dr. Butler, Dr. Leveque, Dr. Patterson

 

*Cosmetic Surgery National Data Bank: Statistics 2013. (2014). Aesthetic Surgery Journal / the American Society for Aesthetic Plastic Surgery, 34(1 suppl), 1S-22S.doi:10.1177/1090820X14542571

Gulf Coast Plastic Surgery is the only plastic surgery office in the area offering Canfield Vectra 3-D Imaging and Breast Sculptor software.