Blepharoplasty

eyes-blueThe eyes are an integral part of our facial expression. Often times they reveal more about our thoughts and emotions than we realize. As we age, the soft tissue in the eyes will often sag or bunch up making us look tired, sad, or apathetic.

The aging process causes the eyelid skin to lose much of its elasticity creating an appearance of bunched up excess skin, bags under the eyes, and bulging in the upper and lower eyelids. The eyebrows will often droop over the eye exacerbating the problem.

Dr. Miller performs several procedures that restore the natural, rested, youthful look to the eyelids. Using very small incisions in the eyelid, the excess skin can be removed and the underlying fat can be sculpted. Bags in the lower eyelids can be managed using small incisions either on the outside of the eyelid or on the inner surface of the eyelid making the incisions almost undetectable. These procedures can be done under local anesthetic, conscious sedation, or general anesthetic.

Blepharoplasty can be combined with a brow lift, a facelift, or all three. Dr. Miller provides each patient with a detailed analysis and tailors the procedure to meet their specific needs.

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Candidates for Blepharoplasty

A good candidate for this procedure includes anyone who has excess upper or lower eyelid skin with bags or areas that appear to bulge. There is no specific or optimal age for the procedure.

Procedure

Blepharoplasty entails a tiny incision in the upper eyelid skin crease. A small amount of skin is removed and the fat pad is sculpted. The skin is then meticulously closed. On the lower eyelid there is the option to make the incision on the inside of the lid which makes it invisible. The procedure takes about 1-2 hours.

Anesthesia

Blepharoplasty can be done using local anesthetic, conscious sedation, or general anesthetic.

Recovery

Although patients have unique healing experiences and no specific timeline can be guaranteed, most patients require 3-5 days in order to experience improvement in swelling and bruising. Sutures are usually removed on post-op day 3 or 4. Patients can usually return to work after 3 days.

Upper Blepharoplasty FAQ’s

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Am I a candidate for an upper blepharoplasty?
Good candidates for an upper blepharoplasty include patients who have excess upper eyelid skin, bulging in the upper eyelids, sagging of the eyelid skin over the eye, or reduced peripheral vision due to sagging of the eyelid skin.

What is the optimal age for an upper blepharoplasty?
Like all cosmetic procedures, there is no optimal age. The eyes tend to age faster than other areas of the face so it is not uncommon for patients to present with concerns about aging around the eyes earlier than other areas of the face.

Do I also need a brow lift?
This is a very important question. Brow ptosis (droop) can be a major contributing factor to the appearance of excess upper eyelid skin, bagginess, and puffiness in the upper eyelid. Dr. Miller always addresses the upper eyelids and brows together during the consultation and then educates each patient on the interaction between the two. He then presents options for the patient with the expectations of what each option can accomplish. These options usually include a blepharoplasty alone, a blepharoplasty combined with a lateral brow (temple) lift, and a blepharoplasty with an endoscopic brow lift.

What is the recovery time for an upper blepharoplasty?
The upper eyelids typically heal in a very timely fashion. Patients can usually anticipate 2-5 days of down time, depending on how important it is for them to conceal the surgery and how exertional their work is.

How long does the procedure take?
An upper blepharoplasty usually takes about one hour to perform.

Will I have stitches?
Yes. Very fine sutures are used for closure of the incision which are usually removed between three and five days post-operatively.

What kind of anesthesia is used?
It’s very reasonable to expect that most patients can tolerate an upper blepharoplasty under local anesthetic. At the patient’s request, we can offer conscious sedation or general anesthesia.

Lower Blepharoplasty FAQs

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Am I a good candidate for a lower blepharoplasty?
If you have bulging lower eyelids, the appearance of bags under your eyes, or too much lower eyelid skin that makes you look tired then you may be a good candidate for a lower blepharoplasty.

Other considerations for a lower blepharoplasty include conditions such as chronic dry eyes, glaucoma, poor lower eyelid muscle tone, and a sagging lower eyelid. Dr. Miller does a thorough history and physical exam to ensure that you are an optimal candidate for a lower eyelid blepharoplasty.

What is the best age for a lower blepharoplasty?
There is no optimal age for a lower blepharoplasty. Everybody ages at their own pace. Patients typically range in age from their 40’s to their 70’s however, some may fall outside of this range.

How is this procedure performed?
Generally, there are two ways this procedure can be performed. The first option is through an incision on the inside of the lower eyelid that allows access to the fat underneath the skin on the eyelid. The second option is through an incision just underneath the eyelash on the skin of the lower eyelid. Dr. Miller will give each patient options on the surgical approach after doing a thorough history and physical exam.

What is the recovery time for a lower blepharoplasty?
Patients typically require 3-5 days to heal from a lower blepharoplasty procedure. It is possible to return to work within this time frame as well.

What type of anesthesia is used for this procedure?
A lower blepharoplasty can be done under local anesthetic, conscious sedation, or general anesthetic. Each patient is educated about the different typed of anesthetic and options are thoroughly discussed.

Meet Dr. Miller

Meet Our Surgeon - Dr. Todd Miller

What draws Dr. Miller specifically to Facial Plastic Surgery is being able to provide patients with a unique skill set involving the head and neck. He has performed a vast number of facial cosmetic procedures. He has authored articles for national publications and made numerous presentations at national and regional meetings. He is a board certified member of the American Academy of Otolaryngology/Head and Neck Surgery. More...

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