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Eyelids - Blepharoplasty

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Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat--usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won't remove crow's feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift.


The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age.

A few medical conditions make blepharoplasty more risky. They include thyroid problems such as hypothyroidism and Graves' disease, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease, and diabetes. A detached retina or glaucoma is also reason for caution; check with your ophthalmologist before you have surgery.

Preparing for your surgery

Dr. Fisher will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins, and medications.

Be sure to inform Dr. Fisher if you have any allergies; if you're taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke. You should also provide any relevant information from your ophthalmologist or the record of your most recent eye exam. If you wear glasses or contact lenses, be sure to bring them along.

If you smoke, plan to quit at least two weeks before your surgery and not to resume for at least four weeks after your surgery. Avoid overexposure to the sun before surgery,  and do not go on a stringent diet, as both can inhibit your ability to heal.

The surgery

Blepharoplasty usually takes one to two hours, depending on the extent of the surgery. Dr. Fisher makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow's feet or laugh lines at the outer corners of your eyes. Working through these incisions, Dr. Fisher separates the skin from underlying fatty tissue and muscle, removes excess fat, and may trim sagging skin and muscle. The incisions are then closed with very fine sutures.

After your surgery

After you have recovered from the anesthesia, you will be ready to go home. Dr. Fisher will provide you with specific instructions and give you a instruction sheet to follow. You will be instructed to keep your head elevated for several days, and to use cold compresses to reduce swelling and bruising. (Bruising varies from person to person: it reaches its peak during the first few days, and generally lasts anywhere from 3-7 days.) Your sutures are generally removed between 5 and 7 days following your surgery.

Getting back to normal

Most people feel ready to go out in public (and back to work) in about 5-7 days. You should keep your activities to a minimum for three to five days, and to avoid more strenuous activities for about two weeks. It's especially important to avoid activities that raise your blood pressure, including bending, lifting, and rigorous sports. You should also avoid alcohol, since it causes fluid retention.

Patient Testimonials

When I started noticing excessive skin above my eyelids and puffiness under my eyes, I know it was time to have my eyelids enhanced. I decided to have a consultation regarding and eyelid procedure, and during my initial visit I learned everything I needed to know to make the right decision. I look so much better now and I enjoy wearing makeup and receiving compliments about my appearance. Gina P.

I used to be asked constantly if I was tired, but worse than that, people started thinking that I was much older than my age. I decided it was time to have both my upper and lower eyelids done, and now my eyes look more open and refreshed. Having the procedure really helped take that tired look away. The puffiness has disappeared. Iím so e I that I had the courage to have my eyelashes enhanced. Sarah F.