What is Blepharoplasty?

Blepharoplasty or “eyelid lift” is a surgical procedure designed to improve the eyes by changing the anatomy of the surrounding tissues, primarily the eyelids and under-eye tissues. This procedure has usually cosmetic changes in mind but blepharoplasty can also be performed for functional reasons, mainly to restore peripheral vision. Blepharoplasty can be performed on both the upper and lower lids. If the upper lids are treated, excess skin and often some muscle and fat are removed in order to restore upper eyelid definition. Sometimes, upper eyelid lifts are performed on rather young people to change a genetically pre-determined feature for improved aesthetics. These “changing” eyelid lift procedures are most commonly performed on people of Asian descent (“Asian Blepharoplasty”).

Who will benefit from Eyelid Lift Procedure?

People with upper lids that appear droopy because of excess skin can benefit from upper blepharoplasty. Often, there is also some puffiness present at the inner corner which may be due to excess fat. When severe skin excess exists in the upper eyelids, this redundant skin may interfere with normal vision, usually most noticeable when looking upwards or to the sides. In some cases, this eyelid skin may even cover the eyelashes and cause a heavy feeling of the lids. In extreme cases, it may even be difficult to keep the eyes wide open. These vision restrictions on gazing up and to the sides may be noted most when driving a car or trying to look over the rims of glasses. For these problems, upper blepharoplasty is performed to improve daily functioning of a person and to maximize quality of life.

Lower lid blepharoplasty is performed to improve puffiness of the under-eye area (“eyelid bags”) and reduce excess skin. Supporting the lower eyelid tissues is important to avoid complications after the blepharoplasty.

What does the perfect Eyelids look like?

As with any facial plastic procedure, blepharoplasty surgery should result in natural-appearing eyes and eyelids that are in keeping with the overall facial aesthetics of the person. The eyes should appear awake and alert giving the face a youthful glow. Unsightly scars and hollowness should be avoided.

Which surgeons are best qualified to perform blepharoplasty surgery?

Eyelid lids are performed by surgeons of various specialties including general plastic surgeons, facial plastic surgeons and eye surgeons (ophthalmologists). Rarely, doctors of other backgrounds perform this procedure including dermatologists, oral-maxillary surgeons and general surgeons. As with other cosmetic plastic procedures, the surgeon’s training, eye for detail, delicate technique and experience with blepharoplasty are of utmost importance. When considering the right surgeon, it may be more important to find somebody who has performed hundreds of blepharoplasty procedures than looking for simply a “plastic surgeon” or eye doctor.

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