Upper Eyelid Blepharoplasty

Upper eye lid Blepharoplasty

Upper Eyelid Surgery – Blepharoplasty

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Droopy upper eyelid skin is a common occurrence with aging. The bone of the forehead, the brow bone, and the orbit resorb leading to drooping of both the brow and the upper eyelid. The skin also thins with age, exacerbating the wrinkles and folds. Excess upper lid skin gives one a tired and older appearance. Bony resorption and laxity of supporting tissues within the lid may also lead to deeper orbital fat herniating out.

Depending on the patient, upper eyelid surgery may involve removing only excess skin or deeper orbital fat may be removed, as well. During upper lid blepharoplasty, the thin muscle of the eyelid (orbicularis oculi) is preserved with careful dissection. This retains volume, improves healing and minimizes scarring. Not all surgeons take the time to preserve all the muscle during Upper Eyelid Blepharoplasty.

At Rejuvent upper eyelid surgery is performed under local anesthesia, with optional IV sedation. Recovery time is minimal.


 What is Blepharoplasty (eyelid surgery)?

It is a surgical procedure to improve the appearance of the upper eyelids, lower eyelids, or both. Excess skin of the upper eyelid can create an aged appearance, and in some cases, inhibit vision. Youthful rejuvenation is restored to the area surrounding the eyes, giving a more alert and rested appearance.  Dr. Bomer and Dr. Bouzoukis always consider your unique features and what you desire to improve before creating recommendations for your procedure.

Blepharoplasty Surgery can:

  • Remove loose or sagging skin that creates folds on the upper eyelids, giving a more alert, youthful appearance to the eyes
  • Remove excess skin of the lower eyelid, improving the appearance of fine wrinkles
  • Remove excess fat from upper or lower eyelid (less common than excess skin)

Details of Blepharoplasty Surgery:

The blepharoplasty procedure is performed as an outpatient in our accredited Surgery Center. Most patients choose local anesthesia, but oral sedation is an option. If fat is being removed sedation is more common. After administering local anesthesia, an incision is made along the natural fold of the upper eyelid. Excess skin (fat if necessary) is removed. The incision is closed with tiny stitches that leave a nearly invisible scar.

If skin is removed from the lower lid, a skin pinch procedure is performed (lower eyelid blepharoplasty). There is no dissection or cautery performed. Sutures are placed 2mm below the lash line, resulting in a nearly invisible scar. This technique also prevents the downward retraction of the lower lid which leads to a rounded eye. By not dissecting the skin or muscle of the lower lid, scar tissue does not form during healing within the muscle, which can contract and pull down the lower lid.

If fat removal is recommended for the lower lid, the incision is made on the inside of the lower eyelid (trans conjunctival). No sutures are required and there is no visible scar.

The blepharoplasty procedure is completed in less than two hours, depending on the amount and location of tissue being removed. Once the surgery is complete, patients spend time in the recovery room, before going home.

It is normal to experience soreness, bruising, swelling, tightness and some degree of pain for the first few days following surgery. These conditions will lessen each day. Following blepharoplasty, lubricating eye drops will be prescribed to prevent dryness and protect your eyes. Excessive tearing, sensitivity to light and double vision may be experienced immediately following the procedure. Incisions will be red and visible at first, and eyelids may be puffy and may feel numb for several days. Ice packs or cold compresses applied to your eyes can help reduce swelling. Pain is minimal, and stitches will be removed after one week. Skin colored medical tape is then applied over the lateral aspect of the upper blepharoplasty incisions to support the incision for another week.

Click here to request a cosmetic consultation, or call (480) 889-8880 to schedule a consultation. We will be happy to answer any questions you may have while considering a blepharoplasty procedure. Dr. Bomer and Dr. Bouzoukis welcome patients from all over Arizona, as well as other states and countries. The Rejuvent Medical Spa and Surgery facility serves Scottsdale, Phoenix and Paradise Valley, Arizona.