Eyelid Surgery

“Open your eyes to a more youthful, energetic you.”

The eyes can make you look old and tired no matter how youthful and invigorated the rest of you appears. Board-certified plastic surgeon Dr. Roxanne J. Guy performs eyelid surgery to rejuvenate and refresh the appearance. Eyelid surgery (blepharoplasty) can correct puffy bags below your eyes and drooping upper eyelids by removing excess fat, skin, and even muscle from the upper and lower eyelids. This procedure erases many wrinkles and corrects sagging upper eyelids that may interfere with your vision. If desired, eyelid surgery can be performed with a facelift, brow lift, or other facial rejuvenation procedures.

Consultation & Preparation

At your initial consultation, Dr. Guy will evaluate your medical history and health history. The two of you will discuss your allergies, use of vitamins and supplements, use of medications and other drugs, smoking habits, eye conditions, and relevant information from your ophthalmologist. Dr. Guy will also examine your eyelids and determine whether you are a candidate for eyelid surgery. Candidates should be physically healthy, psychologically stable, and realistic in their expectations. Most are 35 or older, but some may qualify at a younger age. Certain conditions can make eyelid surgery riskier or disqualify you if they are not well controlled by medication or other means; these include certain thyroid problems (e.g., untreated hypothyroidism or Graves’ disease), dry eyes, high blood pressure, circulatory disorders, diabetes, cardiovascular disease, glaucoma, a detached retina, or other issues.

Also during the consultation, you and Dr. Guy will discuss your goals and determine a treatment plan. Dr. Guy will provide all information regarding surgical techniques, anesthesia, surgery location, risks, and the costs involved. She will also give you detailed instructions on how to prepare for the surgery. You will need to have someone drive you home after your surgery and to your first follow-up appointment.

The Procedure

Eyelid surgery is usually performed as an outpatient procedure and lasts between one and three hours. It is sometimes performed under local anesthesia using oral or intravenous sedatives, though Dr. Guy frequently uses general anesthesia as well. The type of anesthesia varies depending on which areas are being operated on (for instance, upper eyelid surgery may be performed with local anesthesia, but surgery on both the upper and lower eyelids is performed under general anesthesia). In a typical procedure, Dr. Guy makes incisions along the upper eyelid creases and/or below the lash line of the lower lids. Through the incisions, Dr. Guy removes excess fat and often trims away sagging skin and muscle. If all you require is the removal of fat pockets beneath your lower lids, Dr. Guy may perform a transconjunctival eyelid surgery through an incision inside your lower eyelids. Dr. Guy may also perform laser resurfacing to minimize eyelid wrinkles and tighten the lower lid cartilage to prevent ectropion.

Recovery & Results

After the surgery, you may experience temporary side effects such as dryness, excessive tearing, burning, itching, tightness, swelling, bruising, blurred or double vision, and sensitivity to light. Lubricating ointment, cool compresses, and prescribed pain medication may be used to improve comfort. Keep your head elevated for several days, limit your activities, and follow all instructions on how to clean your eyes. Toward the end of the first week, you may be able to read or watch television. Most people are ready to go out in public within one to two weeks, at which point bruising and swelling will be mostly gone. Makeup can be worn to hide any lingering bruising. Contacts may be worn two weeks after surgery, but they may feel uncomfortable for a while. Wear sunglasses and the recommended eyelid sunblock for several weeks, and avoid strenuous activities and alcohol for three weeks. Scars may be slightly pink for six months or more but will eventually fade to a thin, nearly invisible white line. The results of your eyelid surgery are likely to be dramatic and long lasting. In some cases, the results are permanent. Blepharoplasty can significantly rejuvenate the appearance of your eyes and even your entire face, and it can give you a more rested and youthful appearance.

Board-certified plastic surgeon Dr. Roxanne Guy is experienced in performing eyelid surgery and other rejuvenation procedures. To request your personal consultation with Dr. Guy, call (321) 727-1600 or complete our online contact form today.