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Eyelid Surgery (Blepharoplasty)

Top New York plastic surgeon Dr. Darrick Antell is board certified in plastic surgery, emphasizing aesthetic cosmetic surgery. One of the plastic surgery procedures he performs is plastic surgery of the eyelids, also known as blepharoplasty.

Blepharoplasty is designed to remove the excess fat, skin, and muscle from the upper and lower eyelids. If you are considering Blepharoplasty, this page will give you a basic understanding of the procedure.

What are the goals of Eyelid Plastic Surgery?

A properly performed blepharoplasty procedure will brighten the face and restore a more youthful appearance. In some patients the procedure will improve vision by removing the excessive skin of the upper eyelids which can hang down and interfere with peripheral vision.

What is a Blepharoplasty?

Blepharoplasty refers to eyelid surgery and is designed to remove the excess fat, skin and muscle from the upper and lower eyelids. It is the second most common aesthetic procedure performed by plastic surgeons in the United States.

Are there scars from Eyelid Plastic Surgery?

Scars are a result of any surgical procedure. The incisions made to accomplish the goals of a blepharoplasty are barely visible after several months as they are placed within the normal creases and folds of the upper and lower eyelids. In patients who only need removal of fat from the lower eyelids, the incision can be made on the inside of the eyelid, and will therefore result in an inconspicuous scar.

How is Eyelid Surgery Performed?

Eyelid surgery is usually performed under local anesthesia and light intravenous sedation. It is commonly done in a doctor’s office, outpatient surgical center or, in some cases, a hospital. The procedure is most often performed on an outpatient basis. Dr. Antell performs blepharoplasties in his accredited state-of-the-art surgical facility in New York.

What are the risks involved with Plastic Surgery of the Eyelids?

Fortunately, when performed by a competent plastic surgeon, complications are infrequent and minor. All patients will experience some bruising and swelling for a few days after the surgery. In addition, a temporary problem with closure of the eyelids is usually seen. Some may have temporary blurring of their vision, usually due to the ointments applied to the incisions post operatively. In rare instances, the lower eyelid may be pulled down causing an ectropion. If this does not resolve on its own, further surgery may be necessary. The theoretical complications of any surgical procedure, such as bleeding, infection, wound disruption and heavy scarring are also possible, but rare.

Will the fine wrinkles around my eyes go away after Eyelid Surgery? 

The Blepharoplasty procedure will not eradicate the wrinkles around the eyes (crow’s feet) nor will it elevate a droopy eyebrow. There are other procedures designed for these purposes. Dark circles under the eyes may improve a bit if this is related to large bags, but most often the dark appearance of the lower eyelid skin remains.

Can anyone have Plastic Surgery of the Eyelids?

The best patients are those who are healthy, psychologically stable, and well-motivated. Some medical conditions may increase the risk of Blepharoplasty surgery such as thyroid disease, high blood pressure, and patients who do not make sufficient tears to keep their eyes well lubricated.

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