Eyelid Surgery (Blepharoplasty)

Eyelid Surgery – Blepharoplasty in Paramus at Art Plastic Surgery

Eyelid surgery—medically known as blepharoplasty—is frequently sought out to restore the contours of the orbital area. Eyelid surgery can make you look youthful and alert while reducing eyestrain and opening your field of vision. It treats the eye bags and drooping eyelids that make you appear tired or sad or add years to your face.

Blepharoplasty can be performed on the upper eyelids, the lower eyelids, or a combination of both areas. When you visit our team of board-certified plastic surgeons, Dr. Luis A. Zapiach and Dr. John T. Cozzone, they’ll carefully review your goals and suggest the best treatment approach for you. To ask your specific questions or even schedule a consultation, don’t hesitate to contact our Paramus, New Jersey plastic surgery practice online or by telephone at (201) 251-6622.

WHAT ARE THE BENEFITS OF BLEPHAROPLASTY?

Eyelid surgery leads to a wide range of potential benefits. It can:

  • Improve your peripheral vision, making it easier for you to drive safely.
  • Eliminate crow’s feet, sagging eyelid skin, and puffy, dark circles below the eyes.
  • Reduce eyestrain by treating eye dryness or excessive eye watering. (Because our eyelids distribute tear film, poor eyelid function frequently leads to eye moisture issues.)
  • Make it easier to apply cosmetics.
  • Help you appear more alert, upbeat, and vivacious.

Patients seek eyelid surgery for medical reasons, cosmetic reasons, or both. Dr. Cozzone and Dr. Zapiach personalize every blepharoplasty to reflect the patient’s individual needs and goals.

What Happens During Eyelid Surgery?

Upper and lower blepharoplasty are conducted using slightly different methods, as outlined below:

The primary purpose of upper eyelid surgery is to remove loose skin, recreating youthful eyelid contours. The surgery stops the overhanging upper eyelid skin from drooping downwards and obstructing vision. Tightening the skin of the upper lids also smooths fine lines.

To perform upper eyelid surgery, our doctors make a tiny incision within the crease of each eyelid. Using this location ensures that scar tissue is hidden by the natural folds of the lid. They then surgically remove excess skin and close the incisions. If stretched eyelid muscles are causing droopiness, we can tighten those as well.

During lower eyelid surgery, a tiny incision is made within the interior portion of each lower eyelid. Because these incisions are made inside the eyelid, patients won’t experience any visible scarring after having lower blepharoplasty. Most patients may need an open approach using a sub-ciliary incision, rather than transconjunctival (in the lash line). Be sure to ask our doctors what approach us best for you during your consultation.

Excess fat is then removed from the bags below the eyes, greatly reducing their size. Sometimes, an incision is made on the exterior of each lid (just below the lash line) to permit the removal of excess skin. However, this is usually only necessary for patients with severe tissue laxity. We also tighten the lower eyelid to recreate a more youthful, wider eye. The lower eyelid muscle is re-draped at the same time, which creates a younger, smoother, more lifted cheek. We also perform facial fat grafting and/or brow lifts at the same time.

Eyelid surgery usually takes three hours to complete; however, combined upper and lower blepharoplasty can last up to four hours. Eyelid surgery is performed on an outpatient basis, so you’ll get to go home on the same day you have your operation.

Ready to Schedule Your Consultation?

Our team is ready to help you navigate through the next steps of you booking your procedure. Contact us today! 

Ready to Schedule Your Consultation?

Our team is ready to help you navigate through the next steps of you booking your procedure. Contact us today!

What to Expect Before Eyelid Surgery

Before the actual blepharoplasty can proceed, you’ll discuss your goals and expectations with either Dr. Zapiach or Dr. Cozzone in your consultation. You will provide a detailed medical history including any previous surgeries and preexisting conditions. Circulatory problems, thyroid disorders, and diabetes may either constrain surgery or bar you from it. We’ll also review your list of medications and consult on which, if any, will impact your surgery or recovery.

The doctor will carry out a physical exam to ensure no other medical conditions exist. This may include blood testing. Your eyelids and vision will also be extensively. Photographs of your eyelids may also be taken at various angles to help with planning the surgery and assessing immediate and long term effects of the blepharoplasty.

You’ll need to stop taking the following medications for a period of time before the surgery as they are associated with an increased risk of bleeding:

  • Warfarin (Coumadin, Jantoven)
  • Aspirin
  • Ibuprofen (Advil, Motrin)
  • Naproxen (Aleve)
  • Various herbal medications (gingko biloba, ginseng, and others)

It is also advised to quit smoking for several weeks before the surgery as it can reduce the ability for you to heal after surgical procedures.

Eyelid Surgery FAQ

The incisions made are very small, so they tend to heal quickly and produce little if any, scarring. You can expect your incisions to be mostly healed within seven to ten days; however, it’s not uncommon for patients to experience swelling and mild bruising for up to three weeks. This occurs because the tissues that surround the eye are quite sensitive. Most people can return to work about two weeks after having eyelid surgery.

During recovery, you will need to use medicated eye drop ointment to aid healing. These can cause temporary blurred vision, but they won’t harm your eyes. You will also need to be very careful to avoid sun exposure for the first month after your operation. Sun exposure can permanently darken scar tissue, making it more noticeable.

Yes, absolutely. Blepharoplasty is often incorporated into facelift surgery to uniformly lift and rejuvenate the face; this approach works very well for mature patients who have a significant amount of loose skin. Younger patients (those under 50) may choose to combine lower eyelid surgery with a Silhouette Instalift to correct signs of aging throughout the mid-face, without having to worry about substantial recovery time or scarring. When you come in for a consultation, Dr. Zapiach and Dr. Cozzone will explain your options in more detail and help you design a customized, comprehensive treatment plan that fits into your schedule.

Any mature adult who has noticed undesired changes in the shape of their eyelids or under-eye region can potentially benefit from this surgery. Likewise, some young adults choose to have upper eyelid surgery to alter the appearance of congenitally hooded or creaseless eyelids. This type of procedure, which is sometimes called Asian Eyelid Surgery, creates a crease in the upper eyelid.

To have eyelid surgery, you will need to be in good overall health and be a nonsmoker. You will also have to discontinue the use of blood-thinning medications at least two weeks before you have surgery.

Yes; if you’ve had an unsatisfactory experience with another surgeon in the past, our doctors can revise your results. Dr. Zapiach has specialized training in oculoplastic surgery, and he has extensive experience performing revision eyelid surgery. He can restore both the form and the function of eyelids that have been compromised by poorly executed blepharoplasty.

What to Expect After Eyelid Surgery

It is highly recommended to arrange for a friend or family member to drive you home after completing the procedure as your vision may be temporally compromised thereafter while you recover. It is also advised to have someone stay with you at your home that same night to take care of any needs you may have while vision is limited.

You should expect to be unable to work and be limited in variously normal day to day activities while your eyelids heal, and therefore should make arrangements to have some days off to rest to expedite the healing process. You may experience dry eyes after the procedure, but this should resolve itself within a week or two. Speak to your doctor if dry eyes are prolonged after this period.

To ensure you have all the means for caring for yourself after an eyelid surgical procedure, having the following items can help keep the surgical area clean and ease any lingering pain symptoms. These items include over the counter pain medication (that your doctor recommends), ice cubes or ice packs, clean washcloths and towels, small sterile gauze pad, and eye drops or artificial tears. Advil, Motrin, Naproxen, Aleve, and aspirin should be avoided for about a week as they may increase the risk of bleeding after surgical procedures. 

After your procedure, you should also:

          Avoid straining, heavy lifting, and swimming for at least a week

          Avoid rubbing your eyes

          Avoid using contact lens for about two weeks after surgery

          Sleep with your head raised higher than your chest

          Use sunglasses to protect your eyelids from the wind and sun

          Avoid strenuous activities such as jogging or other types of aerobic exercise for about a week

Bruising and swelling generally dissipate within two weeks while surgical scars may take a couple of months to fade and become unnoticeable. It is advised to seek medical attention right away if you experience chest pain, bleeding, new eye pain, or vision problems during the recovery period. 

Schedule a Blepharoplasty Consultation in Paramus

Whether you’re hoping to improve your vision, your appearance, or both, eyelid surgery can help. To learn more about this procedure, contact Art Plastic Surgery to arrange a one-on-one consultation. We look forward to welcoming you to our New Jersey plastic surgery practice, where we’ll provide you with attentive, personalized care.

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