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Blepharoplasty – Eyelid Surgery

Time can take its toll on the eyes. Wrinkles, excess skin and puffiness around the eyes are common aging concerns, and ones that can create a false projection of how you really feel or how old you really are. Blepharoplasty, or eyelid surgery, is one of the most highly sought after eyelid plastic surgery procedures in the United States. This is largely due to the fact that it can produce dramatic results with hidden incisions and minimal downtime. At Forever Faces Plastic Surgery, we are known for our superior technique, patient-centered care and beautiful results in blepharoplasty. Dr. Spence is an experienced facial plastic surgeon who understands how to successfully restore the eyes to their most youthful and natural-looking appearance. Addressing the delicate concerns of the upper and lower eyelids requires a level of dedicated precision, trained skill and talented artistry that Dr. Spence proudly offers.

Blepharoplasty is a procedure that targets the signs of aging on the upper eyelids, lower eyelids or both. This can include patients who have sagging upper eyelid skin (or “hooding”), excessive fine lines and wrinkles around the eyes as well as those that have bags or puffiness under the eyes. Blepharoplasty can include lifting the eyelid skin, repositioning lower eyelid fat or removing excess tissue, skin or fat to create a more refreshed appearance. Regardless of your specific needs, you can trust that Dr. Spence uses dedicated techniques to eliminate visible scarring, which may include incisions within the natural creases of your eyes or inside the corner of your eye (transconjunctival blepharoplasty).

Upper and Lower Eyelid Surgery For a Youthful, Well-Rested Appearance

If wrinkles, sagging or puffiness around your eyes are causing you to look old and tired, we can help. Dr. Spence offers a wide variety of eyelid surgery techniques tailored to your specific concerns. He carefully considers your aging patterns, skin tone and overall facial structure when performing blepharoplasty.

Many patients choose to have upper and lower blepharoplasty done at the same time to reduce downtime and gain a more balanced and overall rejuvenated look. In addition, your blepharoplasty results can be maximized with a resurfacing procedure, such as a chemical peel, or in combination with a brow or forehead lift. Dr. Spence will discuss your specific options during a scheduled consultation.

To learn more about Blepharoplasty from a renowned facial plastic surgeon in Raleigh, please contact our office today. Your decision to choose Forever Faces Plastic Surgery for your eyelid surgery is deeply valued. Facial plastic surgery should be a highly rewarding experience; therefore, your needs will be met with the highest standard of care at all times.

Eyelid Surgery FAQ

Can eyelid surgery improve some of the signs of aging?
It has been said that the eyes are the windows to the soul. Sometimes those windows reveal more years than you would like as both upper and lower eyelids can be affected by the aging process. Upper eyelids may have wrinkled skin, bulging fat pads or droopy, excess skin. Lower eyelids may have excess skin or dark circles under the eyes. Aging skin around the eyes may show too much white area or just give you a fatigued appearance. Fortunately eyelid surgery can be performed on both upper and/or lower eyelids to improve your look.

Must I have surgery to correct issues with my aging eyelids?
There are non-surgical treatments that can be used to address the different issues regarding the aging process of the eyelids. There are dermal fillers that can be used to take care of deep troughs beneath the eyelids. Products such as Restylane®, JUVÉDERM®, or Perlane® work well in this case. Laser resurfacing or chemical peels can be used to remove wrinkles on the eyelids. When the dark circles under the eyes are caused by pigment, I often treat them with topical skin care.

Can you remove all the excess skin from my lower eyelids?
Consult with a plastic surgeon skilled in eyelid surgery for an evaluation. The delicately balanced structure of the lower eyelids presents some challenges. Removing too much loose eyelid skin may cause ectropion. This is a condition in which the eyelids turn out causing too much white to show. A well-qualified plastic surgeon will advise you on how much loose eyelid skin can safely be removed.

Can my eyelid surgery be done under local anesthesia?
When considering eyelid surgery, I recommend consulting with a plastic surgeon that specializes in blepharoplasty. The surgeon will determine if general or local anesthesia will be best for your situation.

Can I have the bags under my eyes removed if I am only 25 years old?
Eyelid surgery can correct this situation. Bulging fat under the eyes can be seen at a very young age for some people. Since the outer eyelid skin is tight, I can remove the excess fat through a tiny incision inside the eyelid. This will avoid external scarring.

How long do I have to take off work for laser resurfacing to the eyelids?
It has been my experience the people who undergo fractional laser resurfacing can return to work around four to seven days after the procedure. Use of a small amount of camouflage makeup helps.

Will a facelift remove the small wrinkles called crow's feet from the sides of my eyes?
In my practice I use BOTOX® Cosmetic injections. With laser resurfacing, it's been my experience that this procedure is significantly more effective than surgery for crow's feet.

Is there a way to correct the heaviness of my upper eyelids?
Excessive amounts of fat in the eyelids can cause that heavy look. This is easily addressed with upper eyelid surgery. Excess skin can also cause eyelids to look heavy. Surgical removal of this skin will improve your look.

My right eyelid looks higher than the left one. Can this be corrected?
Yes, ptosis repair is the name of the corrective procedure for this condition.

Will my brows need lifting if I have eyelid surgery?
When you have your evaluation your plastic surgeon will advise you on whether or not you will benefit from a brow lift. Not all patients require this procedure; however, removal of upper eyelid skin will cause already low eyebrows to go lower.

How long will it take me to recover from upper eyelid surgery?
You can expect to return to work within a few days of surgery if your procedure is done under local anesthesia.

I would like a crease added in my upper eyelid. Is this possible?
Yes, a crease can be created in your upper eyelid. This procedure can be done under local or general anesthesia.

I have a lot of white showing, but I had a lot of skin removed years ago with eyelid surgery. Can I have eyelid surgery again?
Yes, your lower eyelids can be raised producing a more youthful look. This reconstructive surgery should be performed by a plastic surgeon skilled in revisionary eyelid surgery.

Will severe "dry eye" prevent me from getting cosmetic eyelid surgery?
Lower eyelid surgery can make dry eye worse for patients with that condition.

How soon can I have lower eyelid surgery if I just had the LASIK procedure done?
My preference for LASIK patients is to wait at least several weeks up to several months before doing any eyelid surgery.

What is the best way to prepare for eyelid surgery?
Make sure your facial plastic surgeon is informed of all pre-existing conditions associated with your eyes. If you have had LASIK performed, or have any history of dry eye, thyroid problems, or you are taking hormones, be sure to let your surgeon know.

Revision Blepharoplasty FAQ

I had Blepharoplasty one year ago and it changed the shape of my eyes. Can this be fixed?
Yes, this can be fixed. Patients may have different concerns with respect to eye shape. Some of these concerns can be as follows:

  • A beady eyed appearance where the eyes appear smaller than they usually are.
  • A stark appearance where too much whites of the eyes are showing.
  • Rounding of the corners of the eyes.

Each of these is addressed with a canthopexy or canthoplasty to address eyelid height and restore the natural appearance and to restore the naturally sharp angle at the corner of the eye.

I had a Blepharoplasty and my eyelid is pulled away from my eyeball.
This can occur with even the most experienced Blepharoplasty surgeon. The lid may be pulled away that is, lid retraction or pulled downward from the eyeball, ectropion. This occurs for several reasons- lax tone of the lower eyelid sling that holds it up. Skin shortage or scarring from surgery on the inside of the eyelid.

How can ectropion be fixed?
When this is detected early, massage, steroid injections, taping the eyelid, are all early interventions that can potentially reverse the process. When ectropion is detected late, surgery is performed by a revision surgery specialist at Forever Faces Plastic Surgery. This may range from tightening the lower eyelid to placement of spacer grafts in the lower eyelid to cheek lifts to recruit more skin. Correction of this process can take multiple operations. It is important to see someone that is versed in these techniques.

I had a Blepharoplasty and was told I needed a skin graft because I couldn't close my eyes. Is there any way to avoid this?
There are times when a skin graft can be avoided by lifting the cheek and mid face to recruit skin into the lower eyelid. See Dr. Spence, a revision surgery specialist, at Forever Faces Plastic Surgery.

I have a raised thick scar extending into my nose from my Blepharoplasty 6 months ago.
This can happen when Blepharoplasty scars are extended into the side of the nose the nasal sidewall skin is much thicker and has a tendency to form raised thick scars. This can be corrected with a z-plasty or w-plasty.

One of my eyelids are lower after Blepharoplasty. Is this normal?
Swelling after surgery can certainly cause the eyelid to be lower than is normal. Once the swelling has subsided it is important to undergo evaluation to determine the cause of the droopy lower eyelid – called lid ptosis. This may have been present before surgery and may have gone unnoticed or be due to a medical problem with the lid which can be remedied with surgery.