An upper blepharoplasty is typically carried under local anesthetic.
A lower blepharoplasty can be done under local or general anesthetic depending on the needs of the patient. If only a skin pinch procedure is required, then a lower blepharoplasty can be done under local anesthetic. If fat redraping or fat grafting to the cheeks is required, then general anesthetic is required.
Sometimes upper eyelid skin appears worse, as a result of a low brow position. Your surgeon will be able to inform you if a brow lift will need to be performed with your blepharoplasty at your consultation.
Double eyelid surgery is also a type of blepharoplasty in which a crease is made in the upper eyelid, to create a wider and larger-looking eye. Sometimes this surgery can also be combined with a canthoplasty to achieve the appearance of larger eyes.
The decision to have plastic surgery is extremely personal, and you’ll have to decide if the benefits of the surgery outweigh the risks and potential complications of surgery.
You will be asked to sign consent forms to ensure that you fully understand the procedure and any risks. It is important that you address all your questions directly with your surgeon.
Upper blepharoplasty addresses heavy or loose upper-eyelid skin. The incision is placed within the natural eyelid crease so excess skin can be removed and, when appropriate, fat or muscle can be adjusted. A low brow can sometimes create the appearance of heavier upper lids, so brow position needs to be assessed before surgery is recommended.
Lower blepharoplasty addresses under-eye bags, excess lower-eyelid skin and fine lines. Depending on your anatomy, the procedure may involve a skin pinch, fat repositioning or fat grafting. The surgical plan also determines whether local or general anesthetic is appropriate. While lower blepharoplasty addresses the structure of the lower eyelid, CO2 laser resurfacing can be used to address skin quality.
Double eyelid surgery is a form of upper blepharoplasty that creates or refines an upper-eyelid crease. For Asian eyelid surgery, crease height and shape should fit your natural anatomy and personal goals. The objective is not to standardize the eye or make it look more Western. It is to create a result that belongs on your face.
A consultation determines whether crease creation or refinement, canthoplasty, brow surgery or no procedure is the right recommendation. It also allows your surgeon to assess dry-eye symptoms and other factors that may affect planning.
In the case of an upper blepharoplasty an incision is made within the natural crease of the eyelid allowing for removal of fat deposits, tightening of upper eyelid muscle and/or removal of the excess skin. Your surgeon will use non-dissolvable sutures to close the incisions.
For a lower blepharoplasty an incision is made just below the lash line allowing for the removal of fat deposits, tightening of muscles and/or removal of the excess skin. Your surgeon will use non-dissolvable sutures to close the incisions. If fat redraping is performed, there will be a small bolster dressing applied to the cheek. The cheek dressing will be removed in 5-7 days along with your non-dissolvable sutures.
Blepharoplasty consultations at art&fact are available with Dr. Justin Yeung. Our surgeons have overlapping scopes of practice; the most appropriate surgeon is matched to each patient based on clinical needs, goals and availability.
Blepharoplasty surgery is not intended to correct vision impairments unrelated to excess eyelid skin. A consultation with an ophthalmologist would be recommended prior to surgery if there are concerns regarding vision impairment unrelated to excess skin.
Blepharoplasty surgery can temporarily worsen dry eyes. Sometimes it can take up to months before the symptoms are resolved.
A good candidate for surgery is a patient who is relatively healthy and has realistic expectations for post-operative outcomes. It is also strongly advised that you be a non-smoker at the time of surgery. If you are a smoker we recommend you quit smoking at least 3 months prior to surgery as nicotine can interfere with blood supply and potentially cause complications with healing after surgery.
Upper blepharoplasty addresses heavy or loose upper-eyelid skin. Lower blepharoplasty addresses under-eye bags, excess lower-eyelid skin and, when appropriate, fat position. Some patients benefit from both.
Double eyelid surgery is a form of upper blepharoplasty that creates or refines an upper-eyelid crease. The crease height and shape should be planned around your anatomy and goals.
Not always. A low brow can make the upper eyelid look heavier. Your surgeon will assess whether eyelid surgery, a brow procedure or a combination is more appropriate.
Upper blepharoplasty is typically performed under local anesthetic. Lower blepharoplasty may use local or general anesthetic depending on whether the plan involves a skin pinch, fat repositioning or fat grafting.
The live page gives a planning range of two to six weeks. Swelling and bruising commonly improve over two to four weeks, while individual recovery varies with the procedure and the patient.
Blepharoplasty consultations at art&fact are available with Dr. Justin Yeung. Our surgeons have overlapping scopes of practice; the most appropriate surgeon is matched to each patient based on clinical needs, goals and availability.
