Blepharoplasty is performed in the office under local anesthesia. After the eyelids have been marked, a small amount of local anesthetic is injected into each upper lid. Then a small incision is made, usually in the eyelid crease, and the excess skin and any excess muscle are removed. Next, any excess fat, which could cause bulging, is removed from the underlying tissue. Finally the skin and muscle are sewn together, using very fine suture material.
After the surgery there is always some swelling and bruising, usually mild. These can be reduced using cool compresses the day of surgery. Beyond the swelling and bruising, there is nothing that should restrict you from performing your usual daily activities, with the exception of vigorous athletic activity. Pain should be minimal to nonexistent.
The stitches are removed one week after surgery and generally most of the swelling and bruising are gone by that time.
Some people who have drooping eyelid skin do not have much extra skin but rather have eyebrows that are too low, again due either to heredity or changes brought about by aging. If only the eyelid skin is removed, under these circumstances, there may be too little skin remaining between the eyelid crease and the eyebrow.
The best way to learn if you are a good candidate for this procedure is to make an appointment for a consultation.
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