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Eyelid Surgery

Blepharoplasty – Eyelid Surgery

Natural and Beautiful Results

Eyes are often regarded as the mirror of the soul.  Beautiful, youthful eyes convey an image of a friendly personality, while tired-looking eyes can create an image of a withdrawn individual. Although the appearance of the eyes is largely determined by mood and emotions, genetic factors and the process of aging also play an important role. Thus, many people in their 40s and 50s notice that their eyes have lost their youthful appearance due excess skin, winkles, and fat and or muscle on the upper and lower eyelids.   Both upper and lower eye lid surgeries can be operated on separately or in combination.

Good Candidates for Eyelid Surgery

  • May have drooping upper or lower eyelids
  • May have puffy bags under the eyes
  • May have excess skin over the upper eye lid
  • Have no serious eye conditions

Eyelid Surgery Procedure

The choice of anesthesia used during the procedure depends on patient preference as well as on the extent of the surgery. An upper eyelid lift can be performed under local anesthesia, whereas lower eyelid surgery may require general anesthesia. Depending on the facial characteristics and aesthetic desires of each patient, Dr. Nadelson creates small incisions in the creases of the upper eyelids and usually inside the lower eyelid. He then carefully repositions and removes excess fat and skin. The upper eyelid incision is closed with tiny sutures and no sutures are placed inside the lower eyelid, unless excess skin in the lower eyelid area is removed.  Additionally, wrinkled skin, may be treated with laser resurfacing or a chemical peel. The entire procedure takes between 45 minutes and two hours, depending on whether the upper or lower eyelids, or both, are being treated, and the amount of skin and fat being removed.

When performing lower eyelid surgery, the doctor may not only remove the fat from the lower lid (for patients with good skin tone) but may also reposition it to the “tear trough” groove located between the eyelid and the cheek. Repositioning the fat to this area prevents the eyes from having a “hollowed out” look and creates a smoother, younger look for the mid-face. Once the fat is put into position, it will remain there and not dissolve the way injected fat will, since it will remain attached to its blood supply.

Upper eye lid surgery may be combined with a brow lift to address a heavy or sagging brow line, deep furrows in the forehead and lines between the eyebrows. Since falling eyebrows can also affect the upper eyelids, causing them to have a “hooded” look, many people seek to correct this problem with a brow lift or a brow lift in combination with eyelid surgery. If there is drooping of the upper or lower eyelids without a sagging brow line, eyelid surgery alone may be recommended. During your personal consultation with Dr. Nadelson, he will be able to suggest whether one or both of these procedures would be right for you.

The price of eyelid surgery will fluctuate based on factors including whether the upper or lower eyelids, or both, will be treated during the procedure. In your consultation with Dr. Nadelson, he will provide you with a price estimate that is based on this and other factors specific to you as a patient. During your consultation, you may also wish to ask about the financing options available, which create an affordable monthly payment method with low to zero interest. To schedule a consultation with Dr. Nadelson, contact his office at (212)-500-2163.

Recovering from Eyelid Surgery

There may be some bruising and swelling in the eye and cheek area, following surgery, however this will usually subside within one to two weeks. Patients will be instructed to apply a cold compress to the eye area and sleep with their head elevated by two or three pillows in order to reduce swelling. A soft eye patch may also be provided to be worn at night.  Mild discomfort during this time can be alleviated with over-the-counter pain medications, but avoid ibuprofen and aspirin products as they may increase bleeding.  Strenuous activity is avoided for two weeks post-surgery. Eyeglasses can be worn immediately after surgery, but contact lenses should not be worn for about two weeks. Most patients are able to return to work within four days, and exercise by two weeks.

Do you have older or aging upper eye lids with excess drooping upper eye lid skin? Are you tired of looking tired due to the puffy under-eye bags? Eyelid surgery restores a youthful expression to your face, making you look years younger. Find out more about eyelid surgery by scheduling a consultation with Dr. Nadelson today. Contact his office at (212)-500-2163.

Adam Nadelson MD

Cosmetic Surgeon