What is an Eyelid Lift? (a.k.a. Blepharoplasty)

Our eyes are one of our most prominent facial features and one of the first things we notice in a person. Aging eyes, however, can appear tired, drooping, and sometimes swollen. This is caused by a loss of collagen and elasticity that can lead to excessive skin and wrinkles. An eyelid lift, also known as Blepharoplasty, can improve a puffy, sagging, or tired appearance by removing excess fat from the upper and lower eyelids.

An Eyelid Lift (Blepharoplasty) and a Brow Lift are two separate procedures, but it is common to combine blepharoplasty with a brow lift. Unlike blepharoplasty, a brow lift helps to minimize the creases that develop across the forehead or at the bridge of the nose.
The difference between an upper vs. lower eyelid lift is (as the same suggests) in the area being treated. Determining whether you need an upper versus a lower blepharoplasty is dependent on the symptoms you are seeking to correct. For example, an upper eyelid lift often contours the lid to create more definition by removing excess fat. Where as, a lower eyelid lift usually corrects the bulging fat of the lower eyelids by repositioning or removing this fat. It may or may not be able to remove excess skin on the lower lids.
No, a lower eyelid lift is not intended to treat wrinkles around the eyes. Botox, chemical peels, laser resurfacing, or a mid face lift may be combined with a blepharoplasty in order to remove fine lines/wrinkles around the eyes. Drs. Lin and Dr. Cohen-Kashi or North Shore Center for Plastic Surgery can discuss the different options for minimizing or removing facial wrinkles around the eyes during your consultation.

Ideal candidates for a blepharoplasty (eyelid lift) include:

  • Women or men with excess skin or puffiness around the eyes
  • People with bulging pockets of fat around the lower eyelids
  • People who have a tired aging appearance around the eyes
  • People who experience functional challenges such as driving, reading, or computer use caused by aging around the eyelid
  • People who experience dark circles under the eyes
  • Non-Smokers
  • People in reasonably good health who have realistic expectations
At North Shore Center for Plastic Surgery in Long Island New York, Dr. Lin and Dr. Cohen-Kashi place small incisions in the creases of the upper eyelids and inside of the lower eyelids where excess skin and fat are removed.
Patients can expect temporary blurred vision, swelling, and bruising during their recovery. Occasionally, an overnight hospital stay is recommended if the procedure is performed in combination with other facial rejuvenation procedures, but the majority of patients can return home on the same day. Stitches are removed after 5-7 days and patients can place contact lenses back in after two weeks.

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