Blepharoplasty (eyelid surgery) is a plastic surgery procedure for correcting sagging or drooping eyelids.  The eyelid is sometimes one of the first areas of the face to show signs of aging since its skin is significantly thinner than that of other sections of the face. Peripheral vision can be impacted by sagging or drooping eyelids, which can make daily tasks like driving more challenging. The muscles and tissue that support the eyelids may deteriorate due to aging, sun exposure, smoking, obesity, and other causes, necessitating Blepharoplasty.

Reasons for Blepharoplasty

Blepharoplasty tightens the muscles and tissue of the eyelids and eliminates extra fat and skin.  Blepharoplasty removes skin drooping into the visual field, significantly enhancing peripheral vision. It is also done for mainly cosmetic reasons.

Functional Blepharoplasty

A functional blepharoplasty may be required if the eyelids begin to sag into the field of vision. If the procedure is deemed medically essential, it may be reimbursed by insurance. The peripheral visual field is checked with an instrument called the Humphrey Visual Field (HVF) Analyzer to determine how much vision is impacted.

Cosmetic Blepharoplasty

For cosmetic reasons, blepharoplasty can be performed on either the upper or lower eyelid, or both. A transconjunctival blepharoplasty is used to remove fat rather than skin from the lower eyelid. Transconjunctival blepharoplasty involves making an incision inside the lower eyelid so that there are no visible scars and removing fat.

This process has no effect on vision but makes a person appear younger and more refreshed. Before undergoing cosmetic blepharoplasty, patients should have realistic expectations. Although the operation can improve attractiveness and self-confidence, it does not significantly transform the face.

The Blepharoplasty Procedure

Blepharoplasty is usually performed as an outpatient procedure that requires local anesthesia and sedation. General anesthesia may be used for anxious patients. Patients can choose to have this procedure for the upper or lower eyelid, or both. The procedure can take from 45 minutes to 2 hours, depending on whether the upper and lower eyelids are operated on. When operating on the upper eyelid, the incision is usually made along its natural fold.

Once the incision is made, fat deposits are repositioned or removed, muscles and tissue are tightened, and excess skin is removed. For the lower eyelid, an incision is usually made just below the lash line so that excess skin can be removed. After the procedure, the incisions are closed with sutures, tissue glue or surgical tape, and usually loosely covered with gauze so the area can heal.

Recovery after Blepharoplasty

After blepharoplasty Fairfield County patients may be advised to apply lubricating drops/ointment and cold compresses to aid in healing and minimize side effects. Most patients return to work within a few days to a week, but should avoid exercise and strenuous activities for at least 2 weeks.

Stitches are usually removed after 3 or 4 days. Most swelling and other side effects typically subside within 2 weeks. Contact lenses and eye makeup may not be worn for 2 weeks after surgery. Connecticut blepharoplasty patients are typically advised to wear dark sunglasses outside or in bright light for 2 weeks to protect their eyes from sun and wind.

Risks of Blepharoplasty

Although there may be swelling and bruising around the surgical site, they will subside on their own, and the eyelids will improve in appearance for up to a year. Uncommon side effects include infection, reaction to anesthesia, and double or blurred vision.

Eyes may be irritated and dry due to a temporary change in tear distribution. Side effects such as uneven healing and permanent scarring are rare but, if they occur, may require surgical correction. The scars from blepharoplasty are well-concealed, and usually fade with time until they are virtually undetectable. Although the eyelids are still subject to aging, blepharoplasty produces long-lasting results.

Candidates for Blepharoplasty

The best candidates for blepharoplasty are those who are in good overall health, do not smoke, do not have any serious eye conditions, and have healthy facial tissue and muscle. People with eye disease, including glaucoma or retinal detachment, thyroid disorders, diabetes, cardiovascular disease or high blood pressure are not good candidates for blepharoplasty. Contact our board-certified Connecticut plastic surgeons to learn more.

Schedule a Consultation

If you are considering plastic surgery in Darien or anywhere in Connecticut, contact us to schedule a one-on-one consultation.

722 Post Road, Suite 202, Darien, CT 06820