Tired eyes, baggy eyes and loosening of the skin of the eyes is a common complaint. The effect of gravity takes toll on the eyelids and a small change in the eyes can make a remarkable difference to a person?s looks. The eyelid skin stretches, muscles weaken and fat pockets become more prominent as they bulge. This may be a hereditary condition that runs in one?s family.
Cosmetically, such conditions may detract from the overall attractiveness of your eyes and face and cause a tired or older appearance.
When to Consider Eyelid Surgery?
- If you have excess, hanging skin covering the natural fold of the upper eyelids
- If you have loose skin hanging down from the upper eyelids over the eyelashes
- If your upper and lower eyelids appear puffy, making your eyes look tired and aged
- If you have deep grooves under your eyes
You should tell your cosmetic surgeon if you have any of the following medical conditions:
- Eye disease, such as glaucoma, dry eye or a detached retina
- Thyroid disorders, such as Graves? disease and under or overactive thyroid
- Cardiovascular disease, high blood pressure or other circulatory disorders
How is eyelid surgery (blepharoplasty) performed?
Eyelid surgery can involve the upper eyelids, lower eyelids, or both eyelids depending upon the goals of the surgery and recommendations of your surgeon:
Upper eyelid surgery
involves the placement of incisions in the natural crease of the upper lid, making them well hidden when the eyes are open. The excess skin and protruding fat are removed and the incision is closed.
An entire upper eyelid surgery can be completed in approximately 45 minutes to one hour. Cleveland Clinic Cosmetic & Plastic Surgery Center surgeons may combine upper eyelid surgery with an eyebrow lift to achieve optimal rejuvenation results if the eyebrows are too low.
Lower eyelid surgery
can correct conditions with an incision just below the lower lash line. Excess skin in the lower eyelid is removed through this incision. Your cosmetic surgeon may also use an incision hidden inside the lower eyelid, or a transconjunctival incision, as an alternative technique to correct lower eyelid conditions and redistribute or remove excess fat.
If the transconjunctival approach is used, there is no visible incision. If the lower eyelids are lax, as they are in many middle-aged individuals, your surgeon may recommend tightening the lower lids in addition to removing skin and/or fat (canthopexy or canthoplasty).
Eyelid surgery usually takes about two hours to complete if both upper and lower eyelids are completed at the same time. Typically, a local anesthesia is combined with conscious sedation (also known as ?twilight sleep?).
What results can I expect?
The final results of your eyelid surgery will appear within several weeks. While eyelid surgery will not stop your eyes from aging, the procedure is typically very long lasting. The effects of upper eyelid surgery can last many years to an entire lifetime, while lower eyelid surgery rarely needs to be repeated.
Eyelid surgery is usually performed as an outpatient procedure. Initial healing throughout the first one to two weeks following your eyelid surgery may include:
- Irritation or dry eyes
- Irritation at the incision sites.
It is important that you practice careful sun protection, including using darkly tinted sunglasses until the healing process is fully complete.
Is eyelid surgery (blepharoplasty) safe?
All surgical procedures carry some risk. Although rare, possible complications from eyelid surgery include:
- Dry eyes
- Abnormal discoloration of the skin of the eyelids