Eyelid rejuvenation is most commonly performed through surgery. Eyelid surgery, or blepharoplasty, is a surgical procedure that can be performed on the upper lids, lower lids or both.
Surgery can remove loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision. Fatty deposits that appear as puffiness in the upper eyelids can be removed. Surgery on the upper lid is performed using local anesthesia in the clinic setting. Bags, excess skin and fine wrinkles can be removed from the lower lid. Surgery on the lower lid is performed in the operating room under general anesthesia.
Good candidates for eyelid surgery include healthy individuals who are non-smokers and have realistic goals. Patients with pre-existing serious eye conditions may not be candidates for surgery. Remember that the eyelids are only one part of the face. The appearance of a drooping upper lid may also be due to relaxation of the forehead skin and eyebrows. This is addressed with a different surgical procedure. Sometimes stretching out of the upper eyelid muscle may cause a drooping upper eyelid. This is called eyelid ptosis and requires another surgical treatment. During your surgical consultation, a recommended course of action is determined.
Surgery is nearly painless and narcotic pain medicine is usually required for only a day or two following surgery. It is important for patients to comply with head elevation and repeating icing of the area for two days after the procedure. Full resolution of bruising caused by the surgical procedure generally takes one to two weeks. Final results are judged at approximately three months afterward.