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What is upper and lower eyelid surgery?

My eyes are looking old and tired.   Can you tell me what’s involved with an eye lid tuck or eyelid surgery?

It would be difficult for me to tell you specifics without seeing you in person, but I can give you some generalities about such procedures, which we call upper and lower eyelid blepharoplasties.

A blepharoplasty or eyelid surgery in Orange County, California, is designed to remove excess skin or bagginess around the eyes to give the eyes a more youthful appearance.  As people age some develop lower eye lid "bags" or "dark circles" and excess upper lid skin which drapes down over the lashes.   These signs of aging can be reversed by a plastic surgeon by removing excess skin and repositioning or removing some of the lower lid fat. Wrinkles around the eyes which are etched into the skin cannot be removed by a blepharoplasty procedure alone, without the addition of a skin wrinkle treatment such as a laser resurfacing or a chemical peel.   Likewise, a brow lift is frequently recommended to complete the rejuvenation of the eye area.  Frequently such rejuvenation procedures are combined with tightening of the neck skin or elevation of the brows to give the face a more youthful harmony.

The operation is performed using local anesthetics with intravenous sedation, or under a light general anesthetic, to make you comfortable throughout the procedure. The anesthesiologist will administer the medications and monitor you to ensure your safety and comfort.

For an upper lid blepahroplasty also known as an upper eye lift in Orange County, the incisions are placed in the normal skin folds of the upper lids. For lower lid procedures, the incisions are placed just beneath the eyelash lines or, if fat has to be addressed but there is little or no skin excess, a hidden incision can be used just inside the lower eyelid. Excess skin is removed and the bulges caused by hereditary fat pockets are corrected by repositioning the fat or removing the excess. The incisions are closed with very fine sutures that will be removed approximately five days later. Within weeks, the incision will be very difficult to see. The approximate operating time for upper and lower eyelid blepharoplasties is two hours.

There is very little pain associated with a blepharoplasty and most patients do not require pain medication. What will limit your activities in the immediate post-operative period is the presence of significant bruising and swelling. Our post-operative instructions ask the patient to avoid much in the way of physical activity for the first two days, to sit and rest with your head elevated, and to apply ice packs to your eyes continuously except when getting up to eat or going to the bathroom. Ice does not help much after the first 48 hours and patients are free to do whatever they are comfortable doing. For example, most patients can walk as many miles as they wish, but in the first week, running would be uncomfortable. By the end of the first or second week, all bruising should be gone and the patient should have resumed normal activity.

As the years go, the skin will continue to thin and wrinkle but the fatty excess that was removed does not grow back. We expect your eyes to look better than they would have without the procedure for the rest of your life.

If you have any specific questions about cosmetic procedures, your best bet would be to see a qualified plastic surgeon to review your options. Please feel free to contact our office at 949-888-9700 to set up an appointment with Dr. Bunkis. You may also check out our web site at www.orangecountyplasticsurgery.com to learn more about our practice and eyelid surgery in particular.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.