Blepharoplasty

What is Blepharoplasty?

Blepharoplasty, or eyelid surgery, in Boston and Worcester, Massachusetts, is performed to improve the issue of excess sagging skin on the upper or lower eyelids. Under-eye puffiness and bags may also be addressed, which can often lead to patients looking older or more tired than they are. For most patients wishing to correct irregularities surrounding their eyes, blepharoplasty may be the ideal solution.

Am I a good candidate for Blepharoplasty?

Eyelid surgery is suitable for both men and women who are physically healthy, psychologically stable and realistic in their expectations of the procedure. Typically, patients opting to undergo eyelid surgery are thirty five years or older, although for patients with sagging eyelids that are hereditary it may be performed at an earlier age. It should be noted that individuals with serious eye conditions or that smoke may not be candidates for eyelid surgery.

Brow Lift/Blepharoplasty – Patient 121
A woman in her early 60’s who is bothered by a tired appearance. She does not like the hooded appearance of her eyes and upper face. On questioning she has problems with chronic headaches which may be related to chronic strain of the forehead muscles working to hold the eyebrows up. As we age we lose volume in the face which leads to dropping of the eyebrows. She has had lower eyelid blepharoplasty elsewhere nearly 20 years ago. She is shown before and again, 6 weeks after bilateral upper eyelid blepharoplasty and a coronal brow lift. A brow lift is a “face lift” of the upper face with the incisions hidden in the hairline. The forehead lines diminish because she is no longer working to hold her brows up with the muscles. The brows have been lifted to a natural level and she no longer has a tired appearance.
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Brow Lift/Blepharoplasty – Patient 120
A woman in her late 50’s who is bothered by drooping of her eyebrows and an aged appearance of her eyes. She has prominent “tear trough” deformities and under eye “bags”. She is shown before and again, 4 ½ months after an open brow lift, upper lid blepharoplasty and lower eyelid blepharoplasty with fat pad transposition into the tear trough area. She holds her left brow slightly lower before and after her surgery. She is thrilled with the more youthful but still natural appearance after surgery.
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Blepharoplasty – Patient 119
A woman in her early 60’s who is bothered by an aged appearance of her upper eyelids. She is shown before and again, 2 months after bilateral upper eyelid blepharoplasty combined with a lateral browpexy under local anesthesia in the office. She has also had Botox and Restylane for treatment of her frown line.
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Blepharoplasty – Patient 118
A woman in her early 40’s who “sees her eyelashes” when she looks up and has skin blocking her vision. She is shown before and again, 6 ½ months after a bilateral upper eyelid blepharoplasty combined with a browpexy procedure. She has also had Juvederm Voluma to her cheeks at a later time. She no longer has obstruction of her vision and is pleased by her more youthful appearance.
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Blepharoplasty – Patient 118
A nurse in her early 50’s who had some visual field obstruction from her upper eyelid skin and brow ptosis. She is shown before and again, 7 weeks after bilateral upper eyelid blepharoplasty combined with a brow-pexy procedure. The brow pexy stabilizes the lateral eyebrows and prevents them from dropping further. It can be helpful in cases where a patient has brow ptosis ( drooping of the eyebrows) but does not want a formal brow lift.
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How is Blepharoplasty done?

Blepharoplasty is completed in about an hour with the help of a local anesthetic. During surgery, any unwanted excess skin will be removed. Incisions are closed with removable sutures, skin adhesives, or surgical tape.

Will I have any scars?

Eyelid surgery incisions are generally placed in a location where the scars will be concealed within the natural configuration of the eyelid. Therefore, scars from eyelid surgery are not regularly visible.

What should I expect during recovery?

During eyelid surgery recovery, patients may experience light bruising, swelling, or irritation to the eyes. Any discomfort is aided with pain medication, ointment, or cold compresses. Recovery time will vary, but everyday activities can normally be resumed after 10 days. It is also imperative that patients avoid direct sunlight to the eye area until the healing process is complete. Dr. Hall will provide you with specific instructions to ensure a safe and quick recovery.

How long will results last?

Results from both upper and lower blepharoplasty are long lasting. Once fat and excess skin are removed from the lower eyelid or under the eye, it will not regenerate.

“I saw 3 surgeons before meeting with Dr. Hall and by far he and his staff was the most compassionate, thorough, professional and helpful. Can’t say how pleased and comfortable he and his staff made me feel.”

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