Cosmetic eyelid surgery or Blepharoplasty is done to improve the appearance of upper or lower eyelids, or both. The goal of upper eyelid surgery is primarily to remove the excess skin with some fat, whereas the goal of lower eyelid surgery is to remove mostly fat with some excess skin. The fat in the lower eyelids is a genetic trait and is referred by many as puffiness.
Typically, patients will say that they look older than they feel when they look in the mirror. Dark discoloration, fine lines, and crow's feet will not be removed by a Blepharoplasty. Upper and lower eyelid surgery can be performed alone or in conjunction with additional cosmetic surgery such as a facelift or nasal surgery. Eyelid surgery enhances one's appearance and gives a look of being well rested. With the aging process, the skin tends to relax and become redundant, the muscles tend to weaken on the upper eyelids, and the fat around the lower eye tends to protrude and accumulate around the eyes, resulting in a puffy appearance.
The incision for an upper Blepharoplasty procedure is made following the natural eyelid crease. After the precise measurement of fat and excess skin is removed, the incision is closed with dissolvable sutures. The lower eyelid incision is on the inside of the lower eyelids. Three fat pads are removed from this incision.
If patients have excess skin on the outside portion of their lower eyelids, a small pinch is removed beneath the eyelash line. This is typically closed with a tissue glue adhesive. The incision is nearly imperceptible at three to four weeks in the postoperative healing period.