Blepharoplasty (Eyelid Surgery)
There is medical truth to saying "the eyes are a window to the soul." Human eyes are able to express a myriad of emotions and project the slightest change in our feelings because the muscles around the eyes are constantly active. Unfortunately this very muscle activity can significantly contribute to the aging of our eyelids. Blepharoplasty, often called eyelid surgery, is a procedure NYC facial plastic surgeon Dr. Konstantin performs at his Manhattan practice to restore the youthful appearance of the eyes by rejuvenating upper and lower eyelids.
If you're interested in rejuvenating your face with eyelid surgery at Dr. Konstantin's New York City practice, contact us online for a consultation, or call
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Speaking from Experience
"Patients tend to be surprised at what a big difference this relatively small procedure can make. The scars are practically invisible, the recovery is quick, and patients get a much brighter, more open look."
How the Eyelids Age
Beautiful, youthful eyes are one of the most attractive features of our faces and rightly deserve a great deal of attention. Unfortunately, over time our eyes tend to lose their youthful, radiant quality and begin to look aged. The delicate skin around the eyes lacks the support of underlying fat and is quite susceptible to aging changes, easily stretching and developing bags and wrinkles. All this can obscure the eyes' innate beauty and make them look dull and tired.
Upper Eyelid Concerns
As we age, the skin of upper eyelids often starts to appear droopy. Excess skin can cover a part or even the whole eyelid, sometimes extending as far as the eyelashes. This extra skin makes it difficult to apply makeup and causes the eyes to appear smaller. In advanced cases of eyelid aging, the excess skin can interfere with vision, making it difficult for a patient to look upward.
In some people, the aging changes are more prominent on the outer corners of the eyelids, causing a downward slant of the eyes that makes the face look sad and tired.
Another change that can often cause the eyes to appear aged is the loss of volume around the upper eyelid and the temple. This often makes the eyes look hollow and causes the bone of the orbital rim to appear more prominent. These volume changes can further contribute to an aged look.
Lower Eyelid Concerns
Lower eyelids can often develop "bags" as the part of the aging process. The bags create a permanent shadow under the eyes and make someone look tired and lacking in sleep. Oftentimes, in addition to the bags, the skin of the lower eyelids become droopy and many lines and deep grooves develop.
All these aging changes around the eyes can cause a tired and aged look even in otherwise young and attractive face.
Who Is a Good Candidate?
Droopy skin covering upper eyelids and puffiness under the eyes are 2 of the most common complaints that Dr. Konstantin can resolve with blepharoplasty. People with puffy eyes and those whose eyes look tired with sagging skin can all be good candidates for this procedure.
Dr. Konstantin performs a thorough evaluation of your eye area during your consultation to determine whether you are a good candidate for surgery on your upper or lower eyelids, or both.
Blepharoplasty is a small and quite delicate surgical procedure. Oftentimes, Dr. Konstantin performs it using local anesthesia and mild sedation. The eyes are first numbed with a topical anesthetic, and then additional anesthesia is given by injection. Dr. Konstantin then removes excess skin and reduces puffiness, hiding the incisions in the natural skin creases and lines around the eyes to make them inconspicuous.
Upper Eyelid Procedure
In upper blepharoplasty, Dr. Konstantin removes the excess skin, redundant muscle, and protruding fat to restore a youthful eyelid shape and "open up" the eyes.
Lower Eyelid Procedure
Lower blepharoplasty is primarily concerned with removal of excess fat under the eyes. Dr. Konstantin can perform this procedure through a small incision on the inner surface of the eyelid, thus avoiding any external scars (transconjuctival blepharoplasty). In more advanced cases of eyelid aging, when in addition to removing the fat the skin needs to be tightened, he can place the incision in the crease right under the eyelashes. Once he removes excess fat and sagging skin and achieves a smooth and natural contour of the eyelids, he closes the incisions with small sutures and places cold compresses over the eyelids.
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What to Expect After Blepharoplasty
The time needed for healing after blepharoplasty varies from patient to patient and in large part depends on the type and the extent of the procedure. On average, it takes from 3 to 7 days for someone to feel comfortable to go back to work and resume their normal daily activities. Some help from glasses or a touch of makeup to cover the occasional bruise might be necessary to hide the residual signs of surgery.
Cost of Blepharoplasty
As you might imagine, the cost of eyelid surgery varies quite a bit from patient to patient. Dr. Konstantin customizes your surgical plan after the consultation, taking into account your physical examination and your cosmetic goals.
Blepharoplasty performed by Dr. Konstantin usually ranges from $3,000 to $6,000. The procedure costs more for patients who have both upper and lower eyelid surgery, and the price increases beyond this range for patients who combine blepharoplasty with other procedures. That said, it can be cost-effective to have multiple procedures performed at the same time (rather than separately) because you can save money by only paying once for things like the operating room fee and anesthesia fee.
A few other procedures can significantly complement the results of a blepharoplasty. A brow lift could be a great way to "frame" the eyes by improving the shape and position of the brows. Fat grafting can restore the volume and the shape of the upper cheek and the periorbital area to further enhance the rejuvenating effect of blepharoplasty. The skin of the eyelids can be further smoothed out by a non-surgical treatment such as a laser peel, BOTOX® Cosmetic or temporary dermal fillers.
Dr. Konstantin is happy to recommend any procedures that might help you reach your best possible results during your consultation.
Your Common Questions
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- I wear contacts. Will I be able to use them after surgery?
- Yes, but you will need to wait until the initial recuperation period is over. Wearing contact lenses before your incisions are fully closed can lead to discomfort and even infection. To allow your eyes to heal undisturbed, Dr. Konstantin advises blepharoplasty patients to wait at least 10 days after surgery to begin wearing contacts again. In the interim, you are permitted to wear regular eyeglasses. If you require corrective lenses and don’t own eyeglasses, it’s important to plan ahead and be sure you have a pair of glasses on hand to use after your surgery.
- How long will the results of my blepharoplasty last?
- The longevity of your results depends on the details of the surgery. Certain techniques tend to create longer lasting results than others. During your consultation, Dr. Vasyukevich gives you a more specific idea of the type of results you can anticipate. Generally, the most minimally invasive blepharoplasty creates results that last for at least 5 years. More significant surgeries that require the removal of excess skin can yield results that last for more than a decade. It’s important to understand that blepharoplasty, like any other facial rejuvenation surgery, does not stop the aging process, but, instead, resets the clock.
- What will my scars look like?
- Patients are drawn to blepharoplasty partly because it doesn’t create significant scarring. Very often, the incisions are made so expertly within the natural creases of the eyelids that resulting scars are nearly invisible.