Blepharoplasty, or eyelid lift surgery, can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin, and muscle from the upper and lower eyelids. It may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient’s field of vision. Blepharoplasty, performed on either the upper or lower eyelids, is intended to provide a more youthful, vibrant appearance as well as to improve your sight.
As we age, the skin on our faces loses its elasticity. Facial skin often ages quicker than the skin on other parts of the body as it is constantly exposed to environmental elements; being the thinnest skin on the face, eyelid skin is the first to show signs of deterioration.
As skin loses elasticity it stretches. For upper lids, this results in droopy eyelids. In the case of the lower lids, the thinner skin cannot effectively hold back the fat behind it – allowing it to bulge forward and thus creating the appearance of bags. This doesn’t mean there is necessarily ‘excess fat’; it just means the lower lid can no longer hold it in place as it once would have.
At Milan Eye Center, our oculoplastic surgeons perform blepharoplasty for two distinct reasons:
During a pre-operative consultation, our Milan Eye Center blepharoplasty specialists in Atlanta will thoroughly evaluate the area around your eyes, including your eyelids, to determine whether a surgery for your upper eyelid, lower eyelid, or both eyelids is beneficial.
In addition, they will explain what can be expected during the surgery and throughout the recovery process. If eyelid surgery is not the right option for your unique situation, the doctors at Milan Eye Center, will help you determine the best options for you.
Blepharoplasty surgery is an outpatient procedure. After a general anesthesia, incisions are made along the eyelids in inconspicuous places (in the creases of the upper eyelids and just below the lashes on the lower eyelids). Dr. Sajja and Dr. Patel then remove excess tissue through these incisions and stitch them closed with fine sutures.
In the case that no skin needs to be removed, they will likely perform a transconjunctival blepharoplasty, where the incision is made inside the lower eyelid and there are no visible scars.
Over time the skin of the upper eyelids stretches. Under the influence of gravity, this skin can cause ‘hooding’ – otherwise known as droopy eyelids. During surgery, this excess skin is removed.
When performing upper eyelid surgery (which is also known as upper blepharoplasty), our eye specialists hide the majority of the incision within the natural fold of the upper eyelid. The blepharoplasty incision can extend slightly beyond the outside corner of the eye. The incision typically heals well because it follows the natural contour of the upper eyelid. After making the incision, your excess skin, muscle, and fatty tissue are removed.
When it comes to the lower eyelid, stretching is caused by the fat behind it, resulting in the appearance of bags. Therefore, to reduce the appearance of these bags, excess fat is removed during surgery.
As mentioned above, lower eyelid surgery generally involves an inconspicuous incision below the lower lash line. If no excess skin is being removed, the incision is made on the inside of the lower lid – therefore leaving no visible scarring.
The surgery itself is usually a day procedure performed under a local anesthesia and sedation.
Following surgery, you will be instructed to rest, keep your head elevated, and apply ice to the affected area to keep swelling and bruising to a minimum. While recovery time from upper blepharoplasty can vary for individual patients, the skin of the upper eyelid does heal quickly, and most patients can return to moderate activities within 3 or 4 days. Although the final results of the eyelid procedure will take several months to appear, the results of your eyelid lift surgery and rejuvenation will provide you with a more youthful, rested appearance.
Upper eyelid blepharoplasty is covered by insurance if it is considered necessary under medical advice. If your insurance company denies the procedure as a medical necessity, there are cosmetic options available as well. In order to determine if you qualify for the upper blepharoplasty surgery, we will need to submit the clinical and photos to your insurance company and allow 3 – 4 weeks for the pre-authorization process.
Since lower lid surgery is generally a cosmetic procedure to reduce the appearance of bags beneath the eyes, it is rarely covered by insurance.
To make quality care accessible to everyone in our Atlanta offices. Milan Eye Center offers zero-down financing options with approved credit through Wells Fargo, CareCredit, and Alphaeon. We also accept all FSA/HSA plans.
If your vision is being affected by your eyelids or you would like to learn more about correcting your eyelids for cosmetic reasons, make an appointment today at one of our seven convenient Atlanta-area locations.
Or call 678-381-2020