Surgery performed on the upper or lower eyelids to correct imperfections and enhance the shape. The operation usually involves tightening of the skin and manipulation of the fat within the orbit. Blepharoplasty is a finesse operation requiring sound judgement and a delicate approach.
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The Procedure
Upper eyelid blepharoplasty uses an incision hidden within the normal fold. Skin, muscle and fat layers are all modified to achieve the desired lid shape. Occasionally Dr. Frankel will also adjust the fold position if he thinks it is appropriate. The lower lids are usually handled by repositioning the orbital fat without the need for any skin incision. Sometimes it is necessary to place an incision immediately under the lashes to allow for smoothing out a superficial bulge or removing some excess lower eyelid skin. Such an incision is only performed when the lower lid demonstrates good support or when other measures are being taken to reinforce it.
Alternative to Surgery
As an alternative to surgery, a hyaluronic acid gel filler can be injected to fill in areas where volume loss is contributing to the problem. With this procedure there is no cutting involved and the outcome can be quite remarkable. The upper lids can benefit from filler as well as hollows that exist under the eyes. Dr. Frankel began doing this in procedure 1997 and over the years has become a leading expert at it. While there is always a chance for bruising and swelling, this will fade over time, with the results being extremely rejuvenating and natural looking.
DR. FRANKEL’S NOTES
“My approach to the upper and lower eyelids has changed dramatically from when I first began performing this surgery 22 years ago in Beverly Hills. At that time I was taught to remove as much excess fat, skin and muscle as possible in order to get rid of all the problematic ‘extra’ tissue.
Over the years it became clear that removing all the tissue surrounding the eye did not make things look younger or better: It made the eyes look older. Youthful eyes aren’t prominent and round and don’t have much visible lid or hollow sockets or the whites of the eyes showing on the lower lids. Youthful eyes are surrounded by skin that is taut and plump with fat.
Eyelid surgery, more than any other facial procedure, has the potential to alter the essence of someone’s appearance. Because of this, I strive to be conservative with the eyes and to ‘restructure’ rather than to remove the tissues.”
– Andrew Frankel, M.D.
Before and after
*Each patient is unique and individual results may vary.
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Preparation & Expectations
Preparation
Our office will provide a comprehensive plan for how to prepare for surgery and a list of and vitamins, herbs or medications to avoid in the days and weeks before your procedure.
Length of surgery
The length of surgery varies from person to person but is normally around two hours for the upper lids and one hour for the lower lids. Dr. Frankel will give you more detailed information during your consultation.
Recovery time
Your eyes might be irritated and light sensitive following the surgery. Most patients should be able to perform desk work within three days and be able to return to their daily routine within eight days, although bruising is unpredictable and might take more time to fully resolve.
After care
Thorough instructions for your specific blepharoplasty will be provided. As a rule, patients are encouraged to rest with their head elevated and ice intermittently for the first forty eight hours.
For more information about the surgical process, what to expect on the day and recovery information please visit Surgical Care.