Blepharoplasty, or eyelid surgery, is a procedure that is performed to improve the appearance of the eyelids or in some cases, to resolve functional problems caused by drooping eyelids. It can be performed on either the upper lids or the lower ones, and is very often performed on both during the same surgical session.

Conditions Blepharoplasty Can Treat

Blepharoplasty removes excess skin and/or fat on upper and lower eyelids. It is commonly done for cosmetic reasons with the goal of providing a rejuvenated, more youthful appearance, or for functional ones, to improve eyelid problems that cause vision impairment or chronic eye irritation. Among the conditions commonly treated with blepharoplasty are:

  • Loose or sagging upper eyelid skin that ages the eye area, making eyes look droopy and tired
  • Loose skin in lower eyelids that creates lines and wrinkles
  • Excess fat in the eyelids that causes chronic puffiness in one or both eyelids
  • Chronic bags under the eyes, caused by excessive fat deposits and skin laxity
  • Sagging upper eyelid skin that inhibits complete opening of the eyes or impairs peripheral vision
  • Drooping in lower eyelids that may cause white to show under the iris, as well as eye dryness and irritation

Of course, both treatment goals and results vary from one patient to another, but the general effect of blepharoplasty is to create a tighter, brighter, smoother and more youthful appearance in the eye area, whether surgery is done primarily for cosmetic reasons or for functional ones.

How Blepharoplasty Is Done

To create the desired improvements in the eyelids, Dr. Arroyo will trace the natural lines and creases of the eye area, making fine incisions from the inner edge of the eyelid to the outer one. On the upper eyelid, which is addressed first if both upper and lower eyelid surgery will be done, the incision is made in the fold of the eyelid. For lower eyelids, the incision is made just under the eyelash line if excess skin is to be removed, or inside the lid if the goal is to remove only fat.

Once Dr. Arroyo has made the desired changes to the eyelids, the incisions will closed with tiny sutures, and specialized ointments and dressings may be applied. This procedure can be expected to take up to 2 hours to complete. Immediate after affects of surgery may include drying of the eyes, which can be alleviated with medication, and sensitivity to bright light and wind. Patients may also experience some numbness and itching as eyelid incisions heal.


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