Eyelid Surgery (Blepharoplasty)

image eyelids Eyelid Surgery (Blepharoplasty)If you are considering eyelid surgery to improve the look of tired, puffy or droopy eyelids, you’ve probably already tried over-the-counter products and creams to no avail. The truth is that for many people, blepharoplasty is the one option that will achieve the more youthful and rested look they really want. Dr. David M. Alessi is a facial plastic surgeon and eyelid surgery specialist in Beverly Hills who performs blepharoplasty for men and women like you who want to refresh the appearance of their eyes.

For more information about eyelid surgery and a personal evaluation of your cosmetic concerns, please contact us now online or call us today at 310-657-2253.

Candidates for Eyelid Surgery in Beverly Hills
At the Alessi Institute for Facial Plastic Surgery, we see people from all walks of life who are considering a blepharoplasty procedure. Many people considering eyelid surgery have had friends or family members remark that they constantly look tired despite having a good night’s sleep.

Over time, the upper eyelid skin begins to stretch, resulting in excess folds and wrinkles along with crepey skin that may droop over the eye and even limit a person’s field of vision. On the lower eyelids, wrinkles may be prominent and pockets of fat around the eye itself can create a puffy or bulging appearance.

Although these conditions are usually associated with aging skin, some may be genetic and seen at an earlier age. Patients in their thirties and well into their seventies have chosen to undergo eyelid surgery to address various aesthetic conditions and to maintain a more youthful appearance.

Surgery Overview
A properly performed blepharoplasty procedure will provide a rested appearance to the face and restore a more alert and youthful look. Upper and lower eyelids can be done at the same time or separately. As with most facial plastic surgery procedures, every millimeter counts, which is why it is critical for you to find a skilled and experienced surgeon such as Dr. Alessi for your eyelid surgery.

Upper Eyelid Surgery
With upper eyelids, the incision is made in the natural crease or fold that occurs one centimeter above the eyelashes. The incision may extend into the crow’s feet or laugh lines at the outer corners of the eyes. Surgery for the upper eyelid is designed to remove excess skin and fat while retightening the muscle as needed. After making the incision, the excess skin and muscle is trimmed from the upper eyelid together with any fat present. The incisions are then closed with very fine sutures.

Lower Eyelid Surgery
On the lower eyelids, the technique very much depends on the patient’s individual circumstance and requirements. If the problem is mainly prominent bags with excessively loose skin, an incision is made inside the lower eyelid, leaving no visible scar. Alternately, when loose skin needs to be trimmed, the incision starts at the lower lash line, underneath the eyelashes and extends to one centimeter or so outward into the crow’s feet area. The overlapping skin is then removed and gently tightened to create the most natural-looking result. Dr. Alessi can also improve the “hollowness” some patients have in their lower eyelids by grafting the patient’s own natural tissues to fill the hollow areas. or by using a dermal filler.

Eyelid surgery can be performed under sedation or general anesthesia in one to two hours, depending on the extent of the surgery. Dr. Alessi instructs his patients to keep their head elevated for several days and use cold compresses to reduce swelling and bruising. Bruising varies with each individual patient but generally improves within two weeks.

Many patients choose to return to work within seven to ten days but strenuous activity should be avoided for three to four weeks. Most patients return to work within 7-10 days but strenuous acitivity should be avoided for 2-3 weeks. Dr. Alessi will provide you with additional post-operative recovery instructions to help you achieve the most optimal result from your blepharoplasty procedure.

Related Procedures
Although eyelid surgery can correct drooping upper lids and puffy bags below, the procedure cannot remove all eyelid creases or crow’s feet (fine lines or wrinkles often seen on the outer corners of the eyes caused by laughing or squinting). Any attempt to do so would invariably require excess tensioning of the skin, resulting in eyelids that look too pulled and that reveal too much of the whites of the eyes.

To address some wrinkles around the eyes, Dr. Alessi may recommend laser skin resurfacing or BOTOX® Cosmetic. Eyelid surgery also will not improve or lift sagging eyebrows, which can give the appearance of a scowl or an angry look. A brow lift is designed to elevate eyebrows that have drooped, and smooth out frown lines and the deep wrinkles that can appear in the forehead over time.