In my NYC facial plastic surgery practice, blepharoplasty is a popular surgical option for patients seeking to improve the appearance of the eyes and achieve lasting, long-term rejuvenating effect. Because the effects of blepharoplasty procedure are so versatile, it can be difficult to precisely recommend the age at which one should start thinking about eyelid rejuvenation.
Typically, good candidates for surgery are bothered by eyes that look puffy, droopy, or tired — even after getting a good night sleep. During your consultation, I will examine your face and the eyes in order to determine what type of procedure would be the most effective in achieving the best results. I invite you to take a look at my before-and-after gallery to learn more about your potential results.
In prospective blepharoplasty patients, I always look at both the upper and lower eyelids. Some will only need one or the other, but we can certainly transform both during the same procedure.
- Upper eyelid concerns: The natural effects of aging, as well as a lifetime of cumulative sun damage, can cause the upper eyelids to appear droopy. Excessive skin on the upper lids can make it difficult to apply makeup. It can also make the eyes appear smaller — and in more advanced cases, it can begin to obstruct vision. During surgery, I remove excess skin, redundant muscle, and protruding fat if it creates a “puffy” appearance.
- Lower eyelid concerns: Lower eyelid “bags” are a common concern and a common manifestation of the facial aging process. Bags can create a shadow effect that exacerbates dark circles beneath the eyes. To remedy this, I remove the bags through a very small incision on the undersurface of the lower eyelid. This approach leaves behind no visible scar. In more significant cases (i.e., when I also need to tighten skin), I make the incision in the crease just beneath the lower lashes. The incision is hiding well, and the resulting scar is quite discreet.
The recovery process can vary a bit from patient to patient, depending on the individual anatomic variations and the extent of the procedure. However, most people can easily return to work and other light daily activities within 3 to 7 days. Some residual bruising may still be present by this point, but it is usually easy to cover with glasses or makeup.