Eyelid Surgery
Eyelid Surgery (Blepharoplasty): What to Expect
Eyelid surgery, or blepharoplasty, is a procedure designed to remove excess skin from the upper eyelids, reducing droopiness that can make you look tired or even obstruct your vision. While it won’t address crow’s feet, dark circles, or sagging brows, it can be performed alone or in combination with other facial procedures like a facelift or brow lift for a more comprehensive rejuvenation.
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Who Is a Good Candidate?
Ideal candidates are healthy individuals with realistic expectations about the procedure’s outcomes. While most patients are 35 or older, younger individuals with hereditary eyelid concerns may also consider surgery. Certain medical conditions, such as thyroid disorders, dry eye, high blood pressure, cardiovascular disease, diabetes, or a history of glaucoma, may increase surgical risks and should be discussed during the consultation.
​​Understanding the Risks
Blepharoplasty is generally a safe procedure when performed by an experienced surgeon. However, as with any surgery, potential risks include infection, anesthesia reactions, temporary vision changes, or minor healing asymmetries. Rare complications may include difficulty closing the eyes, excessive scarring, or lower eyelid sagging requiring additional treatment. Following all pre- and post-operative instructions carefully can help minimize risks.
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Planning Your Surgery
During the consultation, medical history will be reviewed, eye health assessed, and goals discussed. A vision test and tear production evaluation may be performed. Bringing any recent eye exam records and providing information about medications, allergies, and lifestyle factors such as smoking is recommended. Since insurance typically does not cover elective eyelid surgery, it’s advisable to check with the provider if vision impairment is a concern.
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The Procedure
Eyelid surgery typically takes about an hour. Small incisions are made along the natural folds of the upper eyelids, allowing the removal of excess skin and tissue. The incisions are then carefully closed with fine sutures for minimal scarring.
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Recovery and Results
After surgery, tightness, swelling, and bruising may occur, which can be managed with pain medication and cold compresses. Most bruising resolves within two weeks, and sutures are removed after about a week. Temporary side effects may include dry eyes, sensitivity to light, and mild vision changes. Strenuous activities should be avoided for a few weeks, and proper sun protection is essential.
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Most patients feel comfortable returning to normal activities within 10 days. As swelling subsides, a more youthful, refreshed appearance will become noticeable and can last for many years. While scars take several months to fade, they are discreetly placed within the eyelid’s natural creases for minimal visibility.
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To learn more about blepharoplasty and whether it’s right for you, contact RiverSong Plastic Surgery in Newburyport, MA, to schedule a consultation.