Upper Eyelid Blepharoplasty

Upper Eyelid Blepharoplasty

Upper Eyelid Blepharoplasty is a surgical procedure utilized to remove excess skin and fatty tissue from the upper eyelids. It improves drooping skin and can help improve peripheral vision in some older individuals. Although eyelid surgery does not stop the aging process, it does create a more youthful look. It can also help create an upper eyelid crease in Oriental individuals, and does not eliminate a patient’s racial or ethnic heritage. Blepharoplasty does not eliminate crows feet, dark circles under the eyes, or lowered eyebrows.

Because all humans are different, the procedure needs to be individualized to fit the needs of each patient. Very often the procedure is performed in conjunction with other surgical procedures such as lower eyelid blepharoplasty, facelift or forehead lift, as well as fillers and neurotoxins such as Botox®.  Good candidates for this procedure include people who have excess skin that hides the natural fold of the upper eyelid, people with loose excess skin in the upper eyelid obstructing the peripheral vision, and people who have a puffy appearance in the upper eyelids that makes them look tired.

Prior to the surgical procedure you will be advised to abstain from tobacco use because nicotine is a vasoconstrictor and can negatively affect the blood circulation that is necessary for good wound healing. You will also be advised to abstain from alcohol use immediately before and after surgery because alcohol is a vasodilator and can increase bleeding and bruising.  Certain foods and medications can also affect bleeding by preventing the adhesion of platelets, and therefore increasing intra-operative and postoperative bleeding. These include Aspirin, Ibuprofen, Vitamin E, garlic, broccoli, cauliflower, and some other leafy vegetables.

The procedure is performed under local or intravenous sedation anesthesia and is usually performed in an office setting (although, on occasion it is performed in an institutional setting). It takes approximately 30-60 minutes depending on the surgeon’s skill and experience. The incisions are made on the crease of the upper eyelid and may extend laterally for approximately half an inch. After the procedure the patient may go home the same day, but we recommend to keep company for the first 24 hours in case you need help.  The sutures are usually removed within 3-5 days. In the beginning you  should expect some swelling and bruising. This will usually subside within 7-14 days, depending on many factors such as activity and diet. While wearing sunglasses, you may resume some activities such as grocery shopping within three days of the surgical procedure.  You might feel a tightness in the area during the immediate postoperative period. The eyelid might also look droopy with the swelling.  This is all normal and will subside with time. Immediately after surgery, you should avoid strenuous exercise, straining, bending or heavy lifting in order to prevent bleeding and other possible complications. Your surgeon will advise you of when to return to your normal, daily activities.

There are some possible but uncommon complications of the upper eyelid blepharoplasty procedure. Some of the complications are basic, in that they may occur after any surgical procedure. They include bleeding, infection, and anesthesia risks. You will be advised to abstain from certain foods and medications with respect to infection prevention, and the surgeon may prescribe a prophylactic antibiotic. Other possible risks and complications that may occur include scarring, dry eyes, asymmetry, allergic reaction, or delayed healing, among others.

The fee for this procedure varies depending on the geographic location of your surgeon, the reputation of the surgeon, and the complexity of the individual surgical procedure. Our fees for the procedure range from $5,000-$7,000.  You may incur other fees such as anesthesia or operating room fees.

If you are interested in blepharoplasty and would like more information or a personal consultation, please contact us.