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Eye Rejuvenation (Blepharoplasty)

Eye with Preoperative Markings

Eye lifting (blepharoplasty) removes excess skin from upper eyelids, corrects drooping upper eyelids and addresses fatty or puffy bags in a single procedure. This procedure restores a happier expression to tired, wilted or creased eyes without altering their natural expression.

Blepharoplasty demands a surgeon with an excellent knowledge of the orbital zone and eyelids, a mastery of operatory technique and a meticulous, preoperative analysis of the problems to be addressed. Men and women usually undergo blepharoplasty around 35 to 40 years of age: eyelids are the first feature to display signs of aging.

There are separate procedures for upper and lower lid blepharoplasty, which can be performed individually or in conjunction with other procedures such as a facelift, depending on the patient's aesthetic needs.

Lower Eyelid Blepharoplasty

Lower eyelid surgery can rejuvenate tired eyes, dramatically improving appearance, prominence and contour. Fatty deposits in the lower eyelid area, presenting as puffy bags, pouches and bulges, are removed. They may occur alone or in combination with the sagging of excess lower eyelid skin. This is a result of an inherited tendency toward too much fat for perfect contour and a laxity of the retaining structures. This procedure can dramatically enhance the attractiveness and shape of the eyes for a smoother, more relaxed look.

An incision is made inside the lower lids (transconjunctival approach, one of the most advanced techniques) to avoid external scars. No skin is removed. The recontoured skin gives a natural appearance.

Upper Eyelid Blepharoplasty

By “lifting” drooping upper eyelids, upper eyelid surgery can improve the contour of the eyes and reduce prominence, bulges and fine wrinkles, which contribute to a tired, sad, angry, aged look and, for women, smudged makeup.

Drooping occurs when a loss of elasticity results in excessive skin. Surgery removes this excess tissue.

Bulging commonly occurs from an inherited tendency toward excess fat and laxity of the skin. (It’s structural fat, which remains unaffected by diet and weight loss.) The most effective treatment removes the selected fat through an incision hidden in the crease of the upper eyelid. The skin above the eye is separated from underlying fatty tissue and muscle and excess fat and skin are removed. In cases where upper eyelid skin hangs over the eye, peripheral vision may improve. In many cases, an upper eyelid "lift" may seem to rejuvenate the entire face.

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