Doctor’s Thoughts on Blepharoplasty

Of all the features of the face, the eyes are the most prominent indicators of our mood, energy level, and age. Sagging, drooping, or tired-looking eyes can make us look older than we really feel. At Pacific Center Plastic Surgery in Newport Beach blepharoplasty, or eyelid rejuvenation is a procedure designed to improve the message our eyes send to those around us.

In addition to cosmetic concerns regarding aging around the eyes, sagging lids can also interfere with our vision. As a result, your field of vision may be reduced, especially in the upper and outer areas. An upper blepharoplasty is often chosen to address vision impairment. At Pacific Center Plastic Surgery, we offer both upper and lower blepharoplasty and can help you select the best treatment plan to achieve your goals.

Am I A Good Candidate for Blepharoplasty?

Patients who would benefit from a blepharoplasty in Newport Beach include those who experience:

  • Excessive sagging, or wrinkled upper or lower eyelid skin.
  • Excess upper eyelid skin that interferes with vision.
  • Loss of the natural upper eyelid crease.
  • Puffy pouches of fat in the upper or lower lids that create a tired or aged appearance.
  • Orbital Rim Show: visibility of the bone under the eye, sometimes contributing to a dark ring or shadowing.

Normally, everyone has a small amount of fat around the eyes. If the quantity of fat increases or the local tissues stretch and weaken, the fat may begin to bulge, producing “bags” around the eyes. It is important to note that occasionally this bulging is seen in young patients and is an inherited family trait and not a result of aging.

Regardless, this bulging and changes over time can have a profound impact, producing a tired or sad appearance. An attractive face with early signs of aging can affect your self-image, attitude, and sense of well-being.

What Will Be My Results?

At our plastic surgery practice in Newport Beach blepharoplasty is offered as a procedure designed to improve the appearance of the eyelid area. This may involve removing excess skin and if needed, tightening the surrounding muscle resulting in a more youthful, refreshed appearance. This procedure can treat both the upper and lower eyelids depending on the unique needs of the patient.

Blepharoplasty has a high patient satisfaction rate, and Pacific Center Plastic Surgery provides expert surgical care and beautiful results. Full results may take about six weeks to appear, at which time patients can expect their eyes to look lifted, rejuvenated, and rested.

Results are long-lasting, and may even last a lifetime for some patients. Others may require a subsequent blepharoplasty to maintain results, but sagging after a blepharoplasty typically takes an extremely long time (many years or decades) to appear.

Where are the Incisions?

The incision in the upper lid usually lies in the lid crease. The incision in the lower lid lies just below the eyelashes and parallel to the lid edge. Both incisions may extend for a short distance beyond the eyelids, toward the temple.

In certain cases, if any excess fat pads are the problem (often seen in younger patients), lower lid incisions may be made inside the lid (transconjunctival incision). Typically, a small triangle of muscle is removed in the upper eyelid by the outside corner of the lid to help elevate the brow, called the “California Lid Lift.” This is useful to remove excess fat and eliminate external skin incisions.

Excellent healing is characteristic of the eyelid skin, and incisions usually become quite inconspicuous. The outer part of the incision – the part extending toward the temple – is the slowest to mature, and is sometimes noticeably pink for a short time after the operation. The stitches used are almost always dissolvable so removal is not necessary.

Where is the Operation Done?

Blepharoplasty is usually performed in our Newport Beach office or at an outpatient surgical facility. A spouse, friend or relative should be available to take you home and stay with you for at least 24 hours after surgery.

What Kind of Anesthesia is Used?

Local anesthesia with oral sedation, intravenous sedation, or general anesthesia may be used depending on the patients’ health or personal preference. Our expert team explains the options and the benefits of each at the consultation appointment.

Preparing for Your Blepharoplasty

Before your blepharoplasty, you will be asked questions regarding your medical history, past surgeries, and any current medical conditions. You will also be asked about your desired outcome for your blepharoplasty.

A physical examination, as well as a visual examination, will be needed before your procedure. Photos of the eyelids will also be taken to aid in procedure planning as well as to document your healing progress after surgery.

You may be asked to temporarily discontinue the use of certain medications or supplements. Substances that can thin the blood should be avoided in the time leading up to your blepharoplasty. It is also important to refrain from smoking in the weeks leading up to your blepharoplasty as smoking can inhibit healing.

Recovery After Blepharoplasty

Immediately following your blepharoplasty, you will be closely monitored in a recovery room. Once you are cleared to leave, a close friend or family member may drive you home. Someone should be available to stay with you for the first 24 hours following surgery.

Following surgery, you may experience temporary symptoms such as discomfort, swelling, numbness, blurred vision, sensitivity to light, or watering eyes. A cold compress and medications may be used to reduce these symptoms. Eyelids should be cleaned gently, and any prescribed eye drops or ointments should be used as directed by your doctor.

Heavy lifting, swimming, and rigorous exercise should be avoided for one week following surgery. It is also important to avoid rubbing your eyes, and typically, contact lenses should not be used for two weeks after surgery. Sunglasses should be worn to protect your skin from the sun, as well as wind, and you will need to sleep with your head slightly elevated for several days.

Our expert team at Pacific Center Plastic Surgery will provide you with detailed post-op instructions to ensure that you are adequately prepared for recovery, follow-up appointments, and what to expect as you heal. In the days and weeks following surgery, our team will monitor your progress and closely work with you to help you achieve the best results.

Pacific Center Plastic Surgery Blepharoplasty

If you are interested in learning more about how blepharoplasty can rejuvenate your appearance, improve your vision, or enhance your interaction with the world around you, please contact our office during regular business hours to schedule a consultation.

Blepharoplasty FAQs

Can I receive other treatments at the same time as my blepharoplasty?
Yes. Blepharoplasty may be performed in conjunction with other surgical procedures such as a brow lift or facelift. Skin resurfacing treatments like laser treatments may also be performed alongside blepharoplasty.

What is the best age to receive blepharoplasty?
There is no age requirement for blepharoplasty, as it is performed based on individual needs or desires. However, many blepharoplasty patients are in their 30’s or older. It is generally recommended that patients wait until at least the age of 18 to receive blepharoplasty.

How painful is blepharoplasty?
Blepharoplasty is considered one of the least painful cosmetic procedures and offers a quick recovery. While blepharoplasty is a surgical procedure, it can often be performed in-office, under local anesthetic and in a short amount of time. Considering the life-changing benefits of blepharoplasty, many patients consider it quick and easy when all is said and done.