than any other facial feature, your eyes reveal
the most about how you feel. When your eyes
are bright and alert, you appear energized,
well-rested, and in control. However, if you
have lower eyelid puffiness, dark circles
or drooping upper lids, other may assume that
you are fatigued angry or unhappy.
you believe that your eyes are making you look
tired, sad, or older than you really feel, cosmetic
eyelid surgery (also called blepharoplasty)
may be the right choice for you. Eyelid surgery
can remove the excess fat and drooping skin
of the upper eyelid, minimize bags under the
eyes and tighten the lower eyelid skin. The
result is a more alert and rested appearance.
find basic information about eyelid surgery
in this brochure. However, the best way to get
complete answers to specific questions that
relate to your individual needs is to have a
personal consultation with a plastic surgeon
certified by the American Board of plastic surgery.
cosmetic eyelid surgery right for me ?
surgery is performed on men and women of all
ages who wants to improve their self-image.
Most people have eyelid surgery to minimize
the effects of aging. However, many people in
their 20s or 30s may also benefit from the procedure.
may be a good candidate foe eyelid surgery if
you have any of the following conditions :
excess skin that hides the natural fold of the
• loose skin that hangs down from the
• puffiness in the upper eyelids that
creates a tired look.
Eyelid puffiness, drooping upper lids or fine
wrinkles around the eyelid can make people appear
tired, sad, older then they feel.
skin and fine wrinkles of the lower eyelids
* puffy “bags” and, in some cases,
surgery needs to be approached with extra caution
if you have any of the following medical conditions
Thyroid problems, such as hypothyroidism or
• Lower eyelids that droop significantly
and reveal the white beneath the iris ( the
eye’s colored portion)
• Eye problems, such as “dry eye,”
a detached retina or glaucoma
• High blood pressure or other circulatory
• Cardiovascular disease
important to let your plastic surgeon know if
you have any of these problems.
What should I expect from the consultation ?
personal consultation is the first step for
every patient considering eyelid surgery. During
this meeting, your plastic surgeon will assess
your physical and emotional health and discuss
your specific cosmetic goals for surgery.
should arrive at the consultation prepared to
provide complete information about :
• past and current medical conditions
• medications you are taking, including
herbal remedies and nutritional supplements
• allergies, especially those that affect
part of the consultation, your surgeon will
assess the amount of excess fat and skin in
your eyelid areas, the position of your eyebrows,
and the condition of the muscles around your
plastic surgeon may suggest other cosmetic treatment
to meet your appearance goals. For example :
A sagging brow can be tightened and smoothed
with a forehead lift
• Crow’s feet near the eyes can
be minimized with a chemical peel or laser resurfacing
• Dark circles beneath the eyes that can’t
be helped by blepharoplasty can be treated with
a bleaching medication, chemical peel or laser
• Lower-eyelid muscle tone can be improves
with additional eyelid surgery.
is cosmetic eyelid surgery performed ?
specific method used for your eyelid surgery
will be determined by your features and your
the incision is concealed just below the lower
lashes. Though this incision excess skin, muscle
and fat are removed. Your surgeon may also make
special adjustments. For example, the fat beneath
the eye can be redistributed to eliminate puffiness
or bulges. In some patients, the underlying
muscle will be tightened.
surgeon may decide that the best approach for
removing fat from the lower eyelid is with a
transconjunctival blepharoplasty. In this procedure,
an incision is placed inside the lower eyelid.
This technique requires no external incision,
but it cannot be used to remove excess skin.
Laser resurfacing or chemical peel is sometimes
used in conjunction with this procedure to minimize
fine wrinkles near the eyes.
typically, incision are made following your
eye area’s natural lines and creases and
will be well camoufkaged when healed.
c) Excess fat is removed or redistributed
d) After surgery, eyelids no longer droop and
the skin under the eyes smooth and firm
How will I learn about the safety of cosmetic
eyelid surgery ?
year, thousand of people undergo cosmetic eyelid
surgery and experience no major complications.however,
you must fully understand the risks as well
as the benefits of the procedure.
of the most important parts of your consultation
is the discussion that you and your surgeon
will have about the possible complications of
eyelids surgery. In addition to listening carefully
to what your surgeon tells you, be sure to raise
any question or concerns that you may have about
the safety of the procedure.
carefully following your surgeon’s advice
and instructions- both before and after surgery
– you can do your part to minimize some
of the risks.
can I do prepare for my surgery ?
the date for your procedure has been set, your
plastic surgeon will provide you with specific
instructions for the days immediately before
and after surgery. A number of points may be
covered, including :
avoiding certain medications that may complicate
surgery or recovery
• stopping smoking for a period of time
before and after surgery’
• arranging for help and special care
will I be cared for on the day of my surgery
eyelid surgery may be performed in a hospital,
an outpatient surgery center or an office based
Frequently, local anesthesia and intravenous
sedation are used for patients undergoing eyelid
surgery. However, for some patients, general
anesthesia may be the best choice. With either
type, you’ll remain very comfortable throughout
the procedure. Your plastic surgeon will monitor
your physical status throughout the operation
and during your recovery.
will I look and feel after surgery ?
surgery is complete, you will be taken to a
recovery area. You may experience any of the
vision – This temporary condition is caused
by the ointment that may have been applied to
lubricate and protect the eyes.
around the eyes – This sensation will
diminish once the swelling goes down
– some discomfort is common after any
type of operation it can be controlled with
pain medication prescribed by your physician
and swelling – the amount and duration
of swelling and bruising varies greatly among
Although everyone heals at a different rate,
you can expect that your recovery will follow
this general time line :\
• in this earliest stage of healing, it’s
important to rest with your head elevated.
• Cold compresses on the eyes reduce swelling
the first week
Bruising around the eyes will reach its peak
and then begins to fade
• Healing may be accompanied by mildly
blurred vision, excess tearing or dryness, light
sensitivity or itching.
• You can begin to use makeup to conceal
• Stitches will dissolve or be removed.
• You may resume most of your normal (nonstrenuous
Most of the swelling will subside and you’ll
begin to see the final result
• Any vision related symptoms will disappear.
• You may resume vigorous exercise, including
bending and lifting.
• You may resume wearing contact lenses.
should I know about my result ?
you’re like most people who have the procedure
you’ll very pleased with your new refreshed
and alert appearance. You may find that you
feel more confident in business and social situations.
Friends and colleagues may tell you that you
appear happier or more rested, without realizing
that you had eyelid surgery.