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One of the most common cosmetic and functional eyelid surgeries is blepharoplasty. Typically, blepharoplasty is done to improve both visual function and cosmetic appearance. Excessive upper eyelid tissue can block the upper field of vision. The removal of overhanging skin folds can improve the upper eyelid function and a patient’s peripheral, or side, vision. Blepharoplasty can even be performed to improve a sagging, tired appearance.
In addition to changes in appearance and a limited field of vision, excess eyelid tissue can also cause physical discomfort. The weight of the excess eyelid tissue may cause brow ache and fatigue. In some cases, excess skin may cause the eyelashes to turn in and irritate the eye.
During the blepharoplasty procedure, excess skin and fatty tissue are removed from around the eyes. Upper and lower incision lines are made along the natural skin folds of the eyelids. These fine incisions are hidden in the natural skin folds or lash lines of the eyelids and are almost invisible during healing. In some cases, with surgery of the lower eyelids, an incision is made on the underside of the eyelid so it is completely invisible during healing.
Excess eyelid tissue can be caused by a variety of factors: heredity, the sun, diet, gravity, and time. This procedure may restore a youthful and refreshed appearance to your eyes.
| Before Surgery | After Surgery |
| The skin below the eyebrow sags, causing a loss in the definition of the eyelid and a tired look. | After the removal of the excess tissue, the eyelids regain their definition, resulting in a younger, more energetic look. |
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Before Surgery |
After Surgery |
| Notice how the skin above the eyelashes sags and hangs over the eyelids. The excess weight causes the eyelids to partially cover the pupil, interfering with vision, and making the person look tired. |
Removal of the excess upper eyelid tissue allows the eyes to open wider. Both the patient's vision and appearance are restored. |
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The best candidates for blepharoplasty are at least 35 years old, physically healthy, emotionally stable and well-informed about the procedure. Candidates may be excluded if they have any of the following conditions: dry eyes, high blood pressure, hypothyroidism, cardiovascular disease, diabetes, glaucoma, or Graves' disease. Your anatomy, including bone and supporting structure, may also affect your candidacy.
Following the procedure, ice is applied and the patient is given written post operative instructions. If sutures are used, they are removed in 4-7 days. Everyone experiences some amount of bruising, but most have little bruising by a week after surgery. The results of the procedure will continue to improve over the first few months as the last subtle amounts of swelling fully resolve.
Doctor Perlman will discuss your options at your consultative evaluation. Call our office today to schedule your exam.