Blepharoplasty in Los Angeles
Eye lid surgery procedures, also known as blepharplasty, totaled close to 245,000 for women and men in 2007, according to the American Society for Aesthetic Plastic Surgery. In fact, eye lid surgery has become more common for women and men of different ethnicities over recent years. There may also be functional reasons why people seek eye lid surgery such as poor vision from excessive skin located above the eye and below a drooping brow.
Eye lid surgery may be performed as an adjunct to treatment for face lift patients as well. At Dr. Kapoor’s practice in Beverly Hills, California, we focus on the delicacy of technique and precise accuracy in skill to fully compliment aesthetic features of the eyes. There may also be functional reasons why people seek eye lid surgery such as poor vision from an excessive skin from above the eye and a dropping brow.
Exploring Eye Lid Surgery?
Both women and men request blepharplasty to improve the appearance of the eyes for one of many possible reasons, including:
- Puffiness above the eyes
- Saggy skin above the eyes
- Under eye bags
- A line that falls from the top inner corner of the lower eye lid across the rim of the cheek bone
- Droopy lower eye lids
- Fine wrinkles on the upper or lower eyelid
- Dysfunctional eye lids that impair vision
Eye lid surgery may be performed at any age above the full development of the eyes. There are several considerations that will be reviewed at the time of an initial consultation to decide on the best approach to the blepharplasty procedure, including:
- Patient medical and ophthalmic history
- Patient goals
- Patient age
- Degree of excessive sagginess and puffiness above or below the eyes
- Amount of excess skin
- Type of fine lines above or below the eyes
- Eye shape
- Other unique characteristics of the eyes
- Positioning of the eyes in relation to the forehead and cheekbone
- Quality of vision
- Review applicable alternatives such as injectibles and forehead lift combinations. In some other cases, a forehead lift alone
- Medical conditions of the eyes such as dry eye syndrome, ptosis, or herniated orbital fat.
- Medical necessity should the eye lid surgery be requested for functional reasons. Insurance may absorb all or a portion of the costs as a result of medical necessity.
Eye Lid Surgery: The Procedure
Eye lid surgery is usually performed under general anesthesia but may be performed under local anesthesia and sedation. Local anesthesia requires an injection of anesthetic medication into the surgical site and sedation that provides for a semi conscious state. The procedure may be performed at our state of the art facility or an affiliated hospital. The procedure requires one to three hours of time. Eye lid surgery may involve the upper eye lids, lower eye lids or both. The procedure may be performed simultaneously with a face lift or body plastic surgery procedure, but it is usually recommended to perform a forehead lift at a separate time.
During a blepharplasty procedure, tiny incisions are made along the natural lines surrounding the eyes such as the line at the lashes of the lower lid. Then, the surgeon will separate underlying fat, tissue to remove an excess that contributes to the displeasing aesthetics or dysfunction of the eyes. The muscle surrounding the eyes may be tightening during surgery. There is another technique called transconjunctival blepharplasty which involves the removal of excess fat and muscle through an incision that is made on the underside at the rim of the lower eyelid. After surgery, the incisions are closed. Patients return home on the day of surgery within a few hours time.
Eyelid Surgery Recovery
Eye lid surgery patients are usually feeling pretty well within a few days after surgery at which time stitches can be removed, if necessary. Patients usually return to work within five to ten days of the procedure. For the first few days after surgery, you will be directed to follow post operative instructions which may include, but not be limited to:
- Keep the head in an elevated position
- Refrain from activities that put pressure on the eyes such as bending over and exercise
- Refrain from using the eyes as much as possible, including: TV, computers, reading, etc.
- Soak gauze pads in ice chips and apply soaked gauze pads regularly to the eyes
- Use a medication to keep the eyes moist
- Do not go in the sun, use SPF 15 sunscreen thereafter
- Wear sunglasses when outdoors for the first few months.
- Contacts may be used two weeks following the procedure
Eye lid surgery has a particularly low complication rate. Complications that may result can be treated and easily resolved, providing complications are reported to the plastic surgeon in a timely fashion. Complications may include infection, scarring that fades over time, droopiness of the eyes, asymmetry, inability to fully close the eyes, and bleeding that, if left untreated, can contribute to vision impairment. Touch up blepharplasty procedures can be performed, when necessary.
It may be incomprehensible to imagine the wealth of benefits that can result from eye lid surgery. Yet, when you come in for an initial consultation, you will have the opportunity to view before and after photographs of eye lid patients with common anatomical features to yours. These photos will help set reasonable expectations for your procedure through a highly skilled board certified plastic surgeon that focuses on blepharplasty.