Plastic surgery of the eyelids, also known as Blepharoplasty is performed to remove excess skin and fat from both the upper and lower eyelids. This is a surgical procedure that can be done under local anesthesia for the upper eyelids in some cases. Lower eyelid surgery and sometimes upper eyelid surgery needs to be sedated under general anesthesia in order to receive an optimal result and avoid complications. Eyelid surgery is effective for making puffy, baggy, tired eyes look more youthful and awake. It can help improve vision in older patients who have hooding of the upper eyelids. As skin ages, it gradually loses its elasticity. A lack of elasticity plus the constant pull from gravity causes excessive skin to collect on the upper and lower eyelids.
There are two types of eyelid surgery, upper and lower. These can be done together or separately depending on the patients symptoms and their desired effect. In both instances, the surgeon first marks the individuals natural lines and creases of the lids in order to keep the scars as invisible as possible along these folds. At both sites an incision is then made, excess fat is removed or repositioned, and then the loose muscle and skin are removed. Fine sutures are used to close the incisions, thereby minimizing the visibility of the scar. After eyelid surgery, you will have stitches in both lids that will remain for as long as a week. It is common to have swelling and bruising that can last a few weeks. Insurance does not generally cover surgery that is done purely for cosmetic reasons.