Upper blepharoplasty typically takes approximately 30 minutes. Lower blepharoplasty can take from 30 to 60 minutes, depending on the specifics of the procedure.
The tissues around the eyes are thin and delicate, so a bit of postoperative swelling and bruising is normal.
Postoperative pain is typically mild, and the average patient will require narcotic pain medication for 2 to 3 days. Most people take 1 to 2 weeks off from work. This is more from a "social downtime" perspective rather than a pain level, as there can be residual bruising and swelling around the eyes for several weeks after the pain subsides.
Scars start as fine, pink lines that will fade over 12 to 18 months. They can be covered with makeup as early as 2 weeks after surgery. In most cases they are barely perceptible once healed.
As we age, a complex series of changes takes place in the tissue around the eye. Skin becomes thinner and less elastic, fat may protrude or atrophy, and even the bone can resorb, lending less support to the soft tissues. Many of these changes can be improved or corrected surgically.
In Colorado, blepharoplasty (or eyelid surgery) in Denver is intended to tighten the tissues of the upper and/or lower eyelids. It is useful for improving the appearance of aging around the eyes. In the upper lids, the procedure removes excess skin in virtually all cases. Depending on the individual anatomy, fat and muscle may also be addressed. The lower lids may be full and/or there may be skin laxity, both of which would be corrected surgically.
Dr. Wolfe, Dr. Vath, and Dr. Steinwald can provide you with honest, reliable information to your questions about eyelid surgery. To schedule a personal consultation, simply call (720) 279-1926 or request your complimentary consultationyour complimentary consultation online.
Keys to Choosing Your Eyelid Lift Surgeon
- Review many impressive before and after photos...
- Find a surgeon who specializes in cosmetic plastic surgery...
- Seek a surgeon who upholds the proper credentials...
- Ask if the surgeon uses only an accredited, state-of-the-art surgical facility...
- Decide, if upon meeting the surgeon, you make a connection...
There are two important reasons to spend time reviewing before-and-after pictures when considering plastic surgery. The first is to determine what procedure, if any, actually serves to improve your undesired appearance. The second is to distinguish which surgeon performs the best work.
There are many procedures discussed on the web and touted by the cosmetic surgery community and media as aesthetic dream-makers. Often, however, they are not. Be skeptical and use before-and-after pictures to determine which procedures will actually address your concerns. If an operation works well, there will be thousands of pictures demonstrating its success. If it's hard to find good before-and-after pictures of a procedure used for the problem you're trying to address, then it probably doesn't exist. Remember to be honest with yourself about your appearance when evaluating web pictures. The mirror lies. We recommend that you take pictures of yourself and set them in front of your computer while you do your research. Make sure that the "befores" look like you and then determine what procedures work. Just because the media or some web site states that fat injection to the buttocks will lift the butt, that doesn't make it so.
Second, once you've identified the best operation for you, it's easy to determine which surgeons achieve the most natural and attractive results. All people are hard-wired to appreciate natural attractiveness. Fortunately, it's easy for you to identify who can meet your highest expectations simply by reviewing before-and-after photo galleries.
Find a surgeon who specializes in cosmetic plastic surgery and performs numerous blepharoplasty procedures per month.
Seek a surgeon who upholds the proper credentials including certification by the American Board of Plastic Surgery (ABPS), membership in the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS).
Ask if the surgeon uses only an accredited, state-of-the-art surgical facility. Your blepharoplasty procedure will be performed in our AAAHC-certified Apex Surgical Facility in Golden, Colorado. Based on the latest recommendations from the Anesthesia Patient Safety Council, we prefer to use general anesthesia for our blepharoplasty procedures. General anesthesia minimizes the risk of airway problems, ensures a comfortable experience for the patient and surgeon, and makes for an efficient procedure. At Apex, we use only board certified anesthesiologists and a staff of nurses who specialize in caring for aesthetic patients. After your blepharoplasty procedure is complete, you will leave the facility by way of a private exit out of sight of other patients.
Decide, if upon meeting the surgeon, you make a connection with him or her and all of your questions are respectfully and sensibly answered.
Important Truths about Your Eyelid Lift
- The upper lids and brow are often treated together, but may be individually addressed...
- Hollowed out eyes are not attractive or youthful...
In some patients, the appearance of aging in the upper lid is confined to the upper lid itself. These people require only a blepharoplasty to see significant improvement in this area. In many patients, however, the area around the upper eyelid looks aged because of the upper eyelid and the position and/or shape of the eyebrow. In these patients, an upper blepharoplasty may be performed in conjunction with a brow lift to more completely correct the aging process, as neither procedure alone would be optimally effective.
Twenty years ago, an upper blepharoplasty typically involved removing as much skin and fat as possible in a misguided effort to create a youthful appearance. In fact, these aggressive operations often left patients with a hollowed-out, skeletonized orbit that made them look even older and less robust. Modern techniques conservatively remove skin and fat from the upper and lower lids, and many adjuvant therapies (fillers, fat grafting, etc) actually add volume to replace that which was lost due to the aging process.
Understanding Your Eyelid Lift
- Upper Blepharoplasty:
Surgical improvement of the upper eyelid is, for the most part, a matter of removing the excess skin...
- Lower Blepharoplasty:
An aged appearance in the lower lid can be due to a number of factors, but there are three that are commonly addressed surgically...
Surgical improvement of the upper eyelid is, for the most part, a matter of removing the excess skin. The lower border of the incision is placed in the fold of the upper lid, while the upper margin is determined by the degree of redundancy. In some cases, there is excess fat, as well, which presents as an area of puffiness in the central corner of the lid. This is easily removed through the same incision that removes the skin. Very fine sutures are used to close the incision precisely.
An aged appearance in the lower lid can be due to a number of factors, but there are three that are commonly addressed surgically
- 1. Fat in the lower lid may herniate or protrude unattractively. This excess fat is best removed via a transconjunctival approach, which utilizes a small incision inside the lower eyelid mucosa and avoids a skin incision.
- 2. There may be excess skin in the lower lid. This can be removed as a "pinch" procedure which preserves the structural integrity of the lower lid and reduces complications like prolonged swelling and lid malposition.
- 3. The quality of the lower lid skin may be compromised. Sun damage, smoking, and age can all lead to a loss of elasticity and tone in the lower lid skin. Removing skin will tighten the area, but won't change the skin itself. Laser resurfacing, chemical peels, and dermarolling are all useful techniques to improve the skin quality and can be used in conjunction with a blepharoplasty.
Any or all of these factors may be present, and combinations of these techniques are frequently used to give patients a harmonious, attractive result.
Identifying Good Results for a Eyelid Lift
- The eyes should have a natural, non-surgical appearance...
- The brow, upper lid, and lower lid should be aesthetically balanced, with similar degrees of aging and laxity...
Perhaps the most important characteristic of an expertly performed blepharoplasty is that it leaves the patient with an unoperated appearance. Any aspect of the procedure that is over-done can alter the normal shape of the eye, and these distortions are noticeable even to the untrained eye. The lower lid, in particular, is an area that responds poorly to an overly aggressive procedure.
Rejuvenation of the upper face must include an assessment of the brow, upper lids, and lower lids. When indicated, all three areas should be addressed to maintain harmony and prevent a discordant appearance.