What is Eyelid Surgery (Blepharoplasty)?

The appearance of our eyes is often thought to reflect our own physical, mental, or emotional state. Eyelid bags are associated with being tired or sleep deprived. Aging often first manifests in the eyes with the development of loose, crepey skin, heavy upper eyelids, puffy lower eyelid bags, or skin discoloration. Surgical eyelid rejuvenation (blepharoplasty) has advanced significantly in recent years and allows Dr. Sailon to refresh your eyes in a natural, harmonious manner.

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Dr. Sailon brings meticulous attention to detail, an artistic eye, experience, and extensive training to create the best possible results for you.

Candidates for Eyelid Rejuvenation

Eyelid rejuvenation (Blepharoplasty) is not limited to any age group. Genetics, aging, sun exposure, and anatomical characteristics all play important roles in the appearance of your eyes. Enhancing your eyes can be done via surgical or non-surgical means depending on your particular needs.

Eyelid rejuvenation can address many problems including:

Heavy, sagging upper eyelids – loose skin can fold on itself and give the eyes an aged appearance. If skin folds over the eyelid margin, it can potentially obstruct vision.

Puffy under eye bags – secondary to herniating fat or a loose support mechanism, these issues can be addressed

Tear trough – a groove in the inner portion (towards the nose) of the junction between the lower eyelid and the cheek. This problem can often be addressed by surgical or non-surgical means.

Crepey, loose skin – can be found in the upper and lower eyelids. Numerous effective treatments are available.

Crows feet – lines at the corner of the eyelids that are more pronounced with smiling. Wrinkle relaxers such as Botox can soften their appearance. Ectropion or entropion – when the lower eyelid is pulled down and rolls either in or out. Surgical correction is typically required.

What treatments are available for eyelid rejuvenation?

There are many various surgical and non-surgical options available to improve the appearance of your eyes. Dr. Sailon will develop a customized treatment based on your anatomy and concerns.

Non-surgical techniques can enhance the skin as well as the deeper structures around the eye. Lasers or a chemical peel function to tighten and resurface the skin. Injectable fillers can help blend the lid-cheek junction and reduce a tear trough of the lower eyelids. Botox or other neuromodulators can relax some of the fine creases that form in the corner of the eye.

Surgical techniques allow for the removal of excess skin, repositioning or removal of herniating fat, and tightening of the lid support system. This can reshape and rejuvenate the eyes while still providing a natural looking result. Dr. Sailon performs lower eyelid blepharoplasty through both external (subciliary) or internal (transconjunctival) approaches as necessary. Fat grafting can be a useful adjunct to address volume loss of the cheek or eyelids.

What role do fillers (Restylane or Juvederm) play in eyelid rejuvenation?

Fillers serve to fill areas of natural hollowness or counter the effects of aging-related volume loss. They are particularly useful in the tear trough (where the lower eyelid and cheek meet), the cheek, and the upper eyelids. Dr. Sailon often uses a cannula technique, where a hollow, blunt needle is passed under the skin to safely inject this region. A cannula also has the added benefit of reducing post-injection bruising and swelling.

The effect of fillers can be limited depending on your anatomy. During your consultation, Dr. Sailon will examine you and recommend that which is most appropriate.

What is recovery like from Eyelid Surgery (BLEPHAROPLASTY)?

Upper eyelid surgery only can be performed in the office with a local anesthetic (numbing medicine). For surgery involving the lower eyelids, Dr. Sailon recommends undergoing your procedure in an operating room for your comfort and safety. Surgery is performed only at fully accredited operating rooms with board-certified anesthesiologists to ensure your safety. You will be able to go home shortly after your procedure.

After surgery, you will be encouraged to use gentle cool compresses around your eyes to reduce swelling. Blepharoplasty (Eyelid surgery) is generally a quick recovery with minimal discomfort. A week off from work is recommended, but many will be able to return sooner. Swelling and bruising can be visible for 1-2 weeks. Exercise can be resumed 2 weeks after plastic surgery typically.

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