Blepharoplasty Surgery in Los Angeles
Blepharoplasty can be performed on the upper eyelids, lower eyelids or both, depending on the needs of the patient. You may benefit from having a blepharoplasty procedure if you:
- Are in overall good health
- Have no serious eye conditions or diseases
- Have drooping upper eyelids
- Have puffy, baggy lower eyelids
- Have wrinkles or excess skin around the eyelids
In an upper blepharoplasty procedure, excess fat is removed, as required, from the upper eyelids. The amount of fat removed is tailored to each person’s anatomic requirements. During this procedure, we do not excise or remove the orbicularis oculi muscle, which is used to close the eyelids. Preserving this muscle maintains the strength of closing and blinking and helps maintain fullness in the upper eyelid for a natural appearance that doesn’t look like it has been surgically altered. The one exception to this is in Asian eyelid surgery, where a thin strip of muscle is excised to help form the eyelid crease.
An upper blepharoplasty procedure is appropriate for both women and men, yet must be planned differently for each gender. For men, the incision is usually marked lower on the upper eyelid than for women, and a much more conservative removal of fat is recommended in order to avoid giving the eyes a feminized look.
In Asian blepharoplasty, a “single” eyelid (an upper eyelid without a crease) is changed to a “double fold” eyelid (with the crease). This procedure is performed with a careful technique that creates a subtle difference without significantly altering a patient’s appearance or identity. During the procedure, skin and fat and also a small strip of the orbicularis muscle is excised from the upper eyelid. The incision is then closed with sutures in a technique called “supratarsal fixation,” which helps to create a natural-looking eyelid crease and fold that doesn’t look surgically altered.
Rejuvenating the lower eyelid with a lower blepharoplasty procedure involves the removal of fat and/or skin from the lower eyelid. Eyesthetica doctors use a technique called transconjunctival lower blepharoplasty, which involves excising or repositioning the fatty compartments of the lower eyelid through a hidden incision inside the lid. This approach provides a natural look that also preserves the structure and function of the orbicularis muscles in the lower eyelid.
For a lower blepharoplasty procedure, there are many different surgical methods that may be used, whether standalone or in conjunction with the standard procedure, based on the patient’s anatomy and desires. A “skin pinch” is used in which only a small amount of skin is removed from the lower lid. Volume augmentation through the use of fillers such as Restylane is used to reduce the “hollowing” effect under the eyes. Laser skin resurfacing may be used to tighten or smooth the skin of the lower eyelid. Lateral canthopexy tightens and elevates the position of the lower lid, correcting drooping or sagging lower eyelids. Canthoplasty (the detachment of the canthal tendon from the orbital bone to reinforce lower eyelid support) or a full-thickness lower eye lid tightening procedure (the removal of a small portion of the lower eyelid, with the edges then sewn together) is used for patients with significant lower eyelid laxity, which causes the eyelid to turn inward or outward.
Blepharoplasty is an outpatient surgery that allows you to return home after surgery. After surgery, eyelids may feel tight and sore. The head should be elevated for several days, with cold compresses used for bruising and swelling. For the first few weeks, there may temporary changes in your eyesight, sensitivity to light and excessive tearing, but normal activities can be resumed within a few days of surgery.