Eyelid Lift

Smiling middle-aged couple laying on the grassOur Ann Arbor plastic surgeons perform eyelid lift surgery, technically called blepharoplasty, to create youthful contours for the upper eyelids, lower eyelids, or both. These procedures revive the eye area by removing sagging skin from the upper eyelids, tightening droopy lower eyelids, and reducing puffy bags from underneath the eyes, which can also improve dark circles. Eyelid surgery can also improve the visual field of patients whose sagging upper eyelids interfere with and obstruct their peripheral vision.

Eyelid Surgery Candidates

Age alone does not define who might be a good candidate for facial rejuvenation or eyelid surgery. Men and women often choose these procedures to delay or improve visible signs of aging. Your surgeon will help you determine the right procedure for you during your personalized consultation. You may be a good candidates for eyelid surgery procedures if you:

  • Have extra upper eyelid skin and/or lower eyelid bagginess that makes you look tired and sad.
  • Can clearly define why you want the surgery.
  • Understand what eyelid surgery can and cannot accomplish.
  • Accept the potential risks of surgery and your responsibilities as a patient.
  • Are healthy, emotionally secure and stable.
  • Accept that you will need to make healthy lifestyle choices to maintain the results achieved by eyelid surgery.
  • Have realistic expectations and are willing to accept minor asymmetries.

Procedure Description

Eyelid surgery is typically performed using the following techniques:

  • An incision within the natural crease of the upper eyelid. Fat may be redistributed or removed, excess skin is diminished, and a more alert, refreshed look is restored.
  • Through an incision inside the lower eyelid, fat may be reduced, grafted, or redistributed to improve hollow areas beneath your eyes.
  • An incision just at or below the lower lash line allows for the reduction of excess sagging skin below the lower eyelid and correction of bags and puffiness.
  • An incision beyond the outer corner of the eye can tighten the tendons of the eyes, improving a down-turned appearance.

Other Things to Know

  • Eye surgery is performed on an outpatient basis using local anesthesia with sedation or general anesthesia.
  • Scars are a normal outcome of surgery and are generally concealed within the natural eyelid crease. The location and pattern of your incisions and the resulting scars will be discussed during your consultation. Camouflage makeup is available to temporarily conceal any redness or bruising once the sutures have been removed.
  • Recovery varies by individual, but usually takes 7 to 10 days for swelling and bruising to resolve. You may return to light, normal activity the day after your procedure.
  • Contact lenses can be worn when comfortable, usually within 7 to 10 days.
  • Results are long lasting, but maintaining your youth is a lifestyle choice, and proper skincare is essential after surgery.
  • You will need a responsible adult with you for 24 hours after your release from the hospital.
  • All surgeries carry the potential for risks, which will be fully discussed with you during your consultation.

Preparing for Eyelid Surgery

When the date for your eyelid procedure has been set, your plastic surgeon will provide you with specific instructions for the days immediately before and after eyelid surgery. A number of points may be covered, including:

  • Avoiding certain medications that may complicate surgery or recovery
  • Stopping smoking for a period of time before and after surgery
  • Arranging for help and special care following surgery

Other Procedures for a More Complete Facial Rejuvenation

Insurance Guidelines

If surgery is being done to improve the field of vision, insurance may cover upper eyelid surgery. Otherwise, eyelid lifts are considered cosmetic procedures and the patient is responsible for payment.

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