An upper blepharoplasty is typically carried under local anesthetic.
A lower blepharoplasty can be done under local or general anesthetic depending on the needs of the patient. If only a skin pinch procedure is required, then a lower blepharoplasty can be done under local anesthetic. If fat redraping or fat grafting to the cheeks is required, then general anesthetic is required.
Sometimes upper eyelid skin appears worse, as a result of a low brow position. Your surgeon will be able to inform you if a brow lift will need to be performed with your blepharoplasty at your consultation.
Double eyelid surgery is also a type of blepharoplasty in which a crease is made in the upper eyelid, to create a wider and larger-looking eye. Sometimes this surgery can also be combined with a canthoplasty to achieve the appearance of larger eyes.
The decision to have plastic surgery is extremely personal, and you’ll have to decide if the benefits of the surgery outweigh the risks and potential complications of surgery.
You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks. It is important that you address all your questions directly with your surgeon.
In the case of an upper blepharoplasty an incision is made within the natural crease of the eyelid allowing for removal of fat deposits, tightening of upper eyelid muscle and/or removal of the excess skin. Your surgeon will use non-dissolvable sutures to close the incisions.
For a lower blepharoplasty an incision is made just below the lash line allowing for the removal of fat deposits, tightening of muscles and/or removal of the excess skin. Your surgeon will use non-dissolvable sutures to close the incisions. If fat redraping is performed, there will be a small bolster dressing applied to the cheek. The cheek dressing will be removed in 5-7 days along with your non-dissolvable sutures.
Blepharoplasty surgery is not intended to correct vision impairments unrelated to excess eyelid skin. A consultation with an ophthalmologist would be recommended prior to surgery if there are concerns regarding vision impairment unrelated to excess skin.
Blepharoplasty surgery can temporarily worsen dry eyes. Sometimes it can take up to months before the symptoms are resolved.
A good candidate for surgery is a patient who is relatively healthy and has realistic expectations for post-operative outcomes. It is also strongly advised that you be a non-smoker at the time of surgery. If you are a smoker we recommend you quit smoking at least 3 months prior to surgery as nicotine can interfere with blood supply and potentially cause complications with healing after surgery.