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Eyelid Surgery (Blepharoplasty)
Every year, 100,000 men and women in the United States choose blepharoplasty, or eye lift surgery, to improve the way they look. Droopy eyelids can make you look older and can also impair vision. Blepharoplasty corrects these problems and also removes puffiness and bags under the eyes that make you look worn and tired.
- Is Blepharoplasty for You?
- Making the Decision for Blepharoplasty
- What to Expect After Blepharoplasty Surgery
- Follow-up Care
- Request an Appointment
Eyelid surgery is one of the surgeries where I see remarkable and instantaneous results for treatment of the aging face.
- Dr. Lisa Ishii
At the Johns Hopkins Center for Facial Plastic and Reconstructive Surgery, our physicians approach the aging face in a holistic manner. By analyzing where volume has been lost and gravity has caused pulling or sagging, our surgeons can correct the aging face by replacing volume and gently pulling specific areas. This is very individualized-volume restoration, with lower eyelid rejuvenation.
Though blepharoplasty is often performed as a single procedure, your surgeon may also recommend a browlift, facelift, or laser skin rejuvenation to achieve the best results. Our physicians are also strong proponents of excellent skin care in combination with surgery to treat the aging face.
Note: This procedure cannot alter dark circles, fine lines and wrinkles around the eyes, nor can it change sagging eyebrows.
The goal of blepharoplasty is to remove the excess fat, muscle, and skin from both upper and lower lids. The results can be a refreshed appearance, with a younger, firmer eye area.
Important factors to be discussed with your surgeon include:
- Any issues with circulatory, ophthalmological or serious medical conditions
- Skin type
- Ethnic background
Your surgeon might recommend planning a simultaneous forehead lift to correct a drooping brow and smooth the forehead, or skin resurfacing to remove the fine line wrinkling in the eye area.
What you should expect:
- During the preliminary consultation, your surgeon will take a thorough medical history, as well as assess the patient's mental and emotional attitudes toward the surgery. Because a realistic attitude is crucial to the success of the surgery, the surgical procedure and realistic expectations will be discussed.
- You will also be asked questions concerning vision, tear production, use of lenses, and your general eye and vision health.
- Photographs will be taken so the surgeon can study your face and eyes.
- Individual risks will also be examined, especially those related to medical situations such as high blood pressure, a tendency to scar, smoking, and any deficiency in blood clotting.
- After the decision to proceed with a eyelift is made jointly by you and your surgeon, the surgeon will describe:
a. The technique indicated
b. Type of anesthesia recommended
c. The surgical facility
d. Any additional surgery
e. Possible complications
f. Costs of the procedure
Note: These are general guidelines. Please ask your doctor to fully explain what your expectations should be post surgery.
- Immediately after the surgery has been completed, your surgeon may apply tiny sterile bandages. This is not done for transconjunctival blepharoplasty.
- It is not crucial that the eyes be covered. However, an ointment to prevent dryness of the eye area may be used.
- A certain degree of swelling and bruising is normal. Cold compresses, as well as head elevation when lying down, will enhance healing and relieve discomfort. Your surgeon will prescribe medication for discomfort.
- For a week and a half following blepharoplasty, you will clean the eye area (the eyes may feel sticky, dry, and itchy). Eye drops may be recommended.
- Your surgeon will also list activities and environments to avoid in the weeks immediately following surgery. Permanent stitches will be removed in three to five days after surgery. Self-absorbing stitches will dissolve on their own.
Follow-up care is vital for this procedure to monitor healing. Obviously, anything unusual should be reported to your surgeon immediately. It is essential that you keep your follow-up appointments with your surgeon.
Read more about what you should do before and after your procedure.
Eyelid Surgery: What You Need to Know from a Johns Hopkins Expert
Learn about upper and lower eyelid surgery from Lisa Ishii, a Johns Hopkins facial plastic and reconstructive surgeon, including treatment options for puffy eyes, how eyelid surgery is performed, expected results and recovery time.
To request an appointment or to get more information about the Johns Hopkins Center for Facial Plastic and Reconstructive Surgery, please call 877-546-4530.
*Illustrations courtesy of the American Academy of Facial Plastic and Reconstructive Surgery