Aging of the eyes usually precedes gravitational aging in the face. It is not unusual for someone to have their “eyes done” before a facelift. Eyelid aging usually begins in the third decade of life and is caused by excess skin and fat. Excess skin in the eyelids causes wrinkling of the skin and makes the eyes less visible. In extreme cases, this excess skin can even obstruct the vision when looking up. Eyelids also lose some of their structural support causing fat to bulge giving one the appearance of having “bags” under the eyes. 

This visible fat causes a sharp transition at the nose and cheek which appears as a deep “tear trough.” Well-done eyelid surgery increases the visibility of the eye, decreases wrinkles around the eye, and eliminates the fat, which causes bags. The result makes the patient appear more rested and youthful. Before considering eyelid surgery, all patients should have an ophthalmology evaluation to check the vision and ability of the eye to make tears. Patients who have dry eyes should be careful as this procedure can worsen this problem. 

 

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Patient Focus 1

Procedures: Upper and Lower Eyelid Rejuvenation (Blepharoplasty)

Patient Focus 2

Procedures:  Upper and Lower Eyelid Rejuvenation, Facelift and Necklift

Patient Focus 3

Procedures: Upper and Lower Eyelid Rejuvenation (Blepharoplasty)

Expectations

Length: 1 - 2 hours

Anesthesia: General (occasionally local with sedation for smaller procedures)

In/Outpatient: Outpatient

Side Effects: Temporary swelling, bruising, some pain, blurred vision, dry eyes

Risks: Pain, bleeding, infection, rare damage to nerves or eye muscles, incomplete improvement, eyelid malposition, dry eyes

Recovery: Back to work with makeup: 1 week More strenuous activity: 2 weeks

Final Appearance: 1-2 months for swelling to completely resolve

Duration of Results: About 10 years

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