Although a bit cliche, the phrase "The eyes are the windows to the soul" is pretty accurate. Our eyes are the most important feature on our face. They are the feature we focus on when we communicate to one another. Eyes also inform our view of the world and ourselves. As our eyes begin to age, we look and feel more tired. The delicate skin around our eyes can begin to sag, wrinkle, and lose its youthful elasticity. The fat surrounding the eye can swell outward causing a puffy appearance and casting shadows (or dark circles). There are many ways that we can care for our eyes to slow down or reverse this process. Sometimes, this includes a surgical procedure called blepharoplasty, commonly known as eyelid lift. Dr. Mary Lynn Moran, a double board certified expert in Facial Plastic Surgery, offers her insights on this transformative procedure.
What is Blepharoplasty?
Blepharoplasty is a surgical procedure designed to improve the appearance of the eyelids by removing excess skin and/or fat from the upper and lower eyelids. The goal is to create a more youthful and alert appearance, improving aesthetics and functionality for those who may have vision impairments due to sagging eyelids.
Why Choose Blepharoplasty?
Patients often seek blepharoplasty for a variety of reasons, including:
- Aging: The natural aging process leads to skin laxity, which can affect both the upper and lower eyelids.
- Genetics: Some individuals inherit features that cause drooping eyelids or bags under the eyes.
- Tired appearance: Puffiness and dark circles can make one appear tired, even with adequate rest.
Dr. Moran emphasizes that while blepharoplasty can greatly enhance appearance, candidates must have realistic expectations about the outcomes. Dr. Moran explains, "I use computer imaging to show patients what they might expect surgery to accomplish for them given their specific anatomy. It's a great communication tool because a picture speaks a thousand words."
The Procedure
The procedure typically involves the following elements:
1. Consultation: A thorough evaluation is conducted to discuss the patient’s goals and assess their eye anatomy. If the patient is deemed a potential candidate for blepharoplasty and wishes to pursue surgery, a thorough health history is taken that includes any medical conditions, previous surgery, and medications. Lab tests and an eye examination, as well as any other relevant medical tests, are ordered.
2. Surgery: Surgery is scheduled, and a preoperative visit is set to thoroughly review the procedure, including any potential risks, precautions, and all instructions prior to and following surgery.
3 Anesthesia: Local anesthesia can be used for straightforward upper lid surgery or with sedation or general anesthesia for lower lids or more complicated and combined procedures.
3. Incisions: Incisions are made along natural creases to minimize visible scarring. For upper eyelids, this usually occurs in the fold; for lower eyelids, incisions may be made just below the lash line. Dr. Moran uses a technique that preserves the lower lid position and shape.
Recovery and Results
Post-operative recovery usually involves minimal discomfort as well as mild swelling and bruising, which can last for a week or two. Patients are encouraged to keep their heads elevated and apply cold compresses to minimize swelling. Most individuals return to light daily activities at around a week, though full recovery may take a few weeks. The results of blepharoplasty can be long-lasting, often providing a refreshed appearance for years.
Dr. Moran highlights the importance of choosing a qualified surgeon for this delicate procedure. “Experience and skill are crucial. A board-certified trained professional optimizes the goal of providing a more refreshed natural appearance while maintaining the function and health of the eye."
Dr. Mary Lynn Moran enjoys educating patients about the best options to enable them to project a more confident, refreshed self-image.
