Eyelid Surgery (Blepharoplasty)
What is Eyelid Surgery (Blepharoplasty)?
Eyelid surgery, technically called blepharoplasty, is the cosmetic procedure Dr. Roberto Garcia performs to improve the appearance of the aging eyes. Blepharoplasty tightens the eyelid muscles and tissue and removes excess fat and skin. This is one of the most straight forward and least invasive procedures available today.
Dr. Roberto Garcia can perform upper blepharoplasty, lower blepharoplasty, or both. Eyelid surgery can rejuvenate the area surrounding your eyes, whether you want to improve your appearance or are experiencing functional problems with your eyelids.
The popularity of this procedure reflects the importance of the eyes in complementing the patient’s overall appearance. If the appearance of the eyes causes a patient to be unhappy, they may want to consider lower eyelid blepharoplasty to improve their look and boost their confidence through a safe procedure with minimal downtime. Dr. Roberto Garcia has been performing blepharoplasty for years and performs roughly 4-5 eyelid surgeries a week with phenomenal results.
What can Eyelid Surgery treat?
- Eyelid Hooding (Dermatochalasis)
- Loose or sagging skin that creates folds on the upper eyelid, sometimes impairing vision
- Fatty deposits that appear as puffiness in the eyelids
- Bags under the eyes
- Drooping lower eyelids
- Excess skin and fine wrinkles of the lower eyelid
Eyelid Hooding / Dermatochalasis
The medical condition eyelid hooding or dermatochalasis is when there is an excess of droopy skin primarily of the upper eyelid. Eyelid hooding is more prevalent in individuals 40 or older, but can occur at any age. This change to the upper eyelids results from the loss of elasticity and gradual weakening of connective tissues in the skin that come with aging. Although it tends to run in families, it can be a secondary effect of certain systematic diseases, trauma or prior surgery.
Candidates for Eyelid Surgery
Good candidates for eyelid surgery are those individuals who meet the following conditions:
- Are in good overall health
- Do not have any serious eye conditions
- Have healthy facial tissue and muscle
- Are not on any blood thinning agents
Preparing for Your Eyelid Surgery
Before eyelid surgery, we may request lab tests to complement the medical evaluation conducted in our office. Certain medications may need to be stopped, including herbal supplements, anti-inflammatory drugs, and aspirin, which can increase bleeding and bruising. It is also advantageous to quit smoking several weeks before surgery and to limit alcohol consumption for the few days before (and after) surgery to further minimize bleeding and bruising risks.
Eyelid Surgery Procedure
Dr. Roberto Garcia usually performs his eyelid surgery procedures on an outpatient basis, either in a surgery center or in the office surgical suite. In the office, a local anesthetic numbs the tissue around the eyes while a mild sedative supports emotional comfort. Blepharoplasty may also be performed using general anesthesia in specific scenarios. The type of anesthesia and other details of the procedure can be determined and discussed during your initial consultation.
After observing the eyelids, Dr. Roberto Garcia makes incisions that follow the natural curve and crease of the eyelid. For lower blepharoplasty, incisions may be made on the inside of the eyelid where scars will be hidden. Through these incisions, fatty deposits may be removed or repositioned, and muscle may be tightened. Excess skin is removed before incisions are closed with appropriate sutures. The procedure typically takes 45 minutes to 1 hour to complete.
Some patients undergo skin rejuvenation such as laser therapy to reduce the appearance of the fine lines that develop around the eyes.
Types of Eyelid Surgery
- Lower blepharoplasty focuses on the tissue below the eyes, which can become saggy and puffy due to genetics and aging. This procedure can reposition or remove fat pads that are protruding forward and lift the overlying skin to appear smoother and younger.
- Upper blepharoplasty may be performed to address signs of aging or ptosis. Ptosis repair is slightly different than cosmetic blepharoplasty because it must correct the muscle that is responsible for the natural position of the upper eyelid. This muscle repair often coincides with blepharoplasty to achieve the best possible outcome. Upper eyelid blepharoplasty may also be functionally necessary when the skin has fallen over the lash line and is obstructing the field of vision.
- Double blepharoplasty is is a technique that may also be referred to as Asian blepharoplasty. This procedure creates a crease in the upper eyelid to make the eyes appear larger and wider.
If a patient has loose, sagging skin or puffy bags beneath their eyes, lower eyelid surgery can help reduce these unwanted effects and leave the eyes looking young and refreshed.
It is essential for patients to have realistic expectations before undergoing lower eyelid surgery. While the procedure can enhance their appearance and may improve self-confidence, it can’t alter a patient’s entire appearance or change the structure of their face.
Lower Blepharoplasty Before and After
How is Lower Blepharoplasty Performed?
Lower blepharoplasty may be corrected with an incision just below the lower lash line. Through this incision, excess skin or fat in the lower eyelid is removed. Several different surgical approaches that can be used in a lower blepharoplasty. They are as follows:
- Transconjunctival lower blepharoplasty: This is the preferred approach of Dr. Roberto Garcia. He has performed thousands of these with outstanding results. Often chosen when minimal skin needs to be removed, a transconjunctival lower lid blepharoplasty creates an incision on the inside of the lower eyelid, leaving no visible scar or other evidence of the surgery. If there is slight remaining skin to the lower eyelid, Dr. Garcia will perform a very conservative skin pinch with a light chemical peel.
- Transcutaneous lower blepharoplasty: A transcutaneous lower lid blepharoplasty is performed with a sub ciliary incision, also known as a pinch technique, to remove protruding fat and excess skin.
If the skin on the upper eyelids is loose and saggy, upper blepharoplasty may be performed to accentuate the natural curve of the eyes. Removing excess tissue from the upper eyelids can restore a more energetic, youthful appearance.
Blepharoplasty Before and After
*Individual Results May Vary
Before & After Gallery
The gallery of images contains photographs illustrating patients’ appearances before and after surgery.
Combining Eyelid Surgery with a Brow Lift
Collagen loss can affect the upper regions of the face in various ways. The tissue on the forehead may begin to droop, leading to eyebrow hooding. When the eyebrows drop below the upper orbital rim, the eyelids themselves then appear to be hooded as well. Subsequently, the upper forehead tries to compensate for the downward pull on the brows by lifting the muscles. This creates forehead lines that eventually become permanently embedded on the skin.
A brow lift may be able to correct each of these problems and is conducted independently when possible. For some patients, a combination brow lift and upper blepharoplasty is necessary to achieve the desired rejuvenation. The appropriate approach is determined during a thorough consultation and assessment of the skin around the eyes and forehead.
Learn more about combining eyelid surgery with a brow lift.
Most patients are very pleased with the results of their blepharoplasty after all residual swelling has healed. This can take several months. During this time, it is not uncommon to feel as though the eyelids are asymmetrical. This side effect usually goes away once the healing process is complete. If, after healing has taken place, the patient is dissatisfied with the outcome of surgery, a consultation for revision blepharoplasty may be scheduled.
Reasons for Eyelid Revision Surgery
- Lower eyelid retraction
- Discomfort or pain
- Blurry vision
- Lack of symmetry
Dr. Roberto Garcia takes an individualized and detailed approach to every consult. He assures and provides the patient with a candid and upfront analysis.
Every patient and each case are different. In cases of overcorrection, in which too much tissue was removed, the remaining eyelid skin can often be redistributed to improve the result. When an under correction is the problem and not enough tissue was removed, another blepharoplasty procedure may need to be performed to achieve the patient’s desired appearance.
During the first week to 10 days after blepharoplasty, patients may notice:
- Dry eyes
Lubricated eye drops, ointment, and cold compresses may be used to support a comfortable recovery period.
Patients can return to work within a few days but should avoid exercise or strenuous activities for at least two weeks. Stitches are removed 5-7 days after surgery. Research suggests that keeping the eyes free of makeup and contact lenses promotes faster healing, so we encourage patients to avoid these products for ten days after their surgery. Swelling and other side effects usually subside within two weeks after surgery. Roberto Garcia MD sees all of his patients personally and will instruct them on how to care for their eyes post-procedure.
Things You Should Know When Considering Eyelid Surgery
Undergoing eyelid surgery is an important decision that can have a positive impact on your life. Critical points to consider include:
- How to get the outcome you are looking for. The most desirable outcome from cosmetic procedures look authentic. Eyelid rejuvenation is a very safe procedure, but it is a delicate one. Extreme care must be taken to observe the eyelid at all angles and positions so the eyes still close appropriately and so the eyes also look years younger without looking “done.” How can you get the best results from eyelid surgery? Choose your surgeon carefully. Dr. Roberto Garcia is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery as well as the American Board of Otolaryngology/Head and Neck Surgery. He is also a Fellow of the American College of Surgeons. He has been performing blepharoplasty for years and performs roughly 4-5 eyelid surgeries a week with phenomenal results.
- Details of your procedure. Different eyelid lift techniques may be selected. A thorough consultation with a board-certified surgeon can identify which type of blepharoplasty is right for you.
- Possible side effects. Blepharoplasty is a surgical procedure with inherent risks for infection, extended swelling, scarring, and prolonged dry eye. Dr. Roberto Garcia discusses all side effects in depth before you schedule your surgery.
The Eyelid Surgery Consultation
Contoura Facial Plastic Surgery offers the Vectra 3D, a state of the art imaging system that allows patients to preview their potential result before undergoing a procedure.
During your consultation, Dr. Roberto Garcia will take photographs of your face. Using the VECTRA simulator, he created a 3D digital replication that allows him to preview the various surgical/nonsurgical options that may be appropriate for you.
Learn more about the Vectra 3D.
*Individual Results May Vary
Schedule a Blepharoplasty consultation
Find out if you are a candidate for eyelid surgery. Call (904) 686-8020 to schedule a consultation with Dr. Roberto Garcia at Contoura Facial Plastic Surgery in Ponte Vedra Beach or St. Augustine, FL. Our practice also treats patients from the Jacksonville area.