Blepharoplasty is the medical term for eyelid surgery done to improve the cosmetic appearance of the eyes and give a more youthful look. This can be performed on both the upper and lower eyelids and also combined with other surgical techniques such as a facelift or browlift.
Am I a candidate?
Patients seeking blepharoplasty typically do so for either cosmetic or functional reasons. As we age, the skin on the upper eyelid and above it can begin to loosen, wrinkle and sag. The skin of the lower eyelid can also begin to wrinkle and sag, and bags can form under the eyes giving a very tired look to the patient. In some patients, the upper eyelid sagging is so bad it can affect their visual field. These patients can sometimes get insurance approval for the procedure if an eye doctor determines their visual field is affected. More often than not patients seek out this procedure for cosmetic reasons as they are unhappy with their appearance and having people always ask them if the are “tired.”
During your consultation, you will meet with Dr. Arslanian and his staff and have the opportunity to discuss your individual situation as well as your concerns and aesthetic goals. Dr. Arslanian will will take a detailed history and perform a complete examination of your face and nose. Photos will be taken to help Dr. Arslanian point out certain things and explain his approach to blepharoplasty. If you are deemed a good candidate, he will discuss the various options for blepharoplasty and make sure you are happy with your decision. He will also show you photos of other patients before and afters to help determine what you are looking to achieve. After answering all your questions, you will then sit down with the surgical coordinator to discuss timing, pricing, and any other questions you might have.
The face can be broken up into three main areas: the brow and eyes, the mid face, and the lower face/neck. In most patients, these areas all age simultaneously. Oftentimes patients may be seeking a eyelift, but do not want to treat their face or their neck. This can then lead to a disharmony in the face as one area is rejuvenated while other areas are not. In many patients, a consideration must be taken treat all three areas to create the most natural looking total facial rejuvenation possible. Dr. Arslanian may discuss treatments with you such as: upper or lower blepharoplasty, a brow lift, neck liposuction, facelift, laser, peels or other ancillary procedures.
Prior to surgery you will be given instructions on the day, time and location of your procedure. You will be given your prescriptions that Dr. Arslanian prescribes, and all of your paperwork including consent forms will be signed. In some cases you may need to obtain medical clearance from your physician or specialist, and possibly meet with the anesthesiologist and undergo additional lab work depending on your medical issues and personal situation.
The procedure will be performed as an outpatient in an accredited surgery center with a board certified anesthesiologist in the safest conditions possible. The surgery will be performed under general anesthesia. Pre-operative markings will typically be made the morning of surgery.
Upper Lid Blepharoplasty
With an upper lid procedure an incision will be made in the eyelid crease and a predetermined amount of skin will be removed along the length of the lid. A small strip of muscle is typically removed as well. Depending on your anatomy, Dr. Arslanian may need to remove some of the fat in the pockets around the eye to alleviate any bulges that might be protruding. The same procedure will then be performed on the other eye. He will then close the incision and you will wake up and head to recovery.
Lower Lid Blepharoplasty
With a lower lid procedure an incision will either be made under the eyelash margin, or sometimes on the inside of the lid, or in some cases both. Dr. Arslanian will then remove any fat bulges that are causing the bags under the eyes and then make a decision about how much excess skin to remove. Depending on your circumstance, a lid tightening procedure might also need to be performed to minimize the change of post-operative complications such as lid droop. The same procedure will then be performed on the other side and you will then awake and head to recovery.
You will go home the same day of surgery and rest. You will be given pain medicine to help with the first week. You will likely be swollen and have some black and blue bruising around and under the eyes. You will ice on and off to help with the swelling. Your stitches will come out around 5-7 days. Your swelling should resolve within a couple weeks but can sometimes persist a little longer.
Patients can expect their eyelids to get back to normal and look much more youthful within 1 month. The results can last for 5-10 years and in some cases may last much longer.
The cost of your procedure/treatment will vary depending on the extent of your individual case and whether you choose to add any additional procedures. We would be more than happy to give you a detailed customized quote when you schedule a consultation with Dr. Arslanian.