Eyelid Surgery (Blepharoplasty)}

Eyelid Surgery (Blepharoplasty)



Dr. Jay Orringer

As our eye ages, we frequently note an excess of skin and “puffiness” of the upper and lower eyelids. Blepharoplasty surgically removes redundant skin and fat of the eyelids. The procedure can address drooping upper and sagging lower eyelids as well. In younger patients seeking to address “bags” of the lower eyelids, redundant fat can be removed with an invisible inside incision. Though Blepharoplasty surgery offers numerous aesthetic benefits, it will not eliminate crow’s feet and dark circles. This procedure is often done in combination with a brow lift for a more complete rejuvenation. Blepharoplasty may also be combined with a facelift when appropriate.

The ConsultationDr. Orringer will typically spend 45 minutes to an hour obtaining your medical history, examining you and discussing in detail your concerns, his observations and recommendations. In addition to eyelid contour and appearance, brow position and forehead contour will be assessed. Sometimes, brow lift will be recommended to potentially optimally enhance upper eyelid, brow and forehead appearance. Dr. Orringer usually does the brow lift using limited incisions and the endoscope.The SurgeryEyelid surgery should only be performed at a fully-accredited surgical facility. Anesthesia for the procedure is usually a combination of intravenous sedation and local anesthetic. When the procedure is performed in conjunction with facelift or brow lift, general anesthesia is used, administered by board certified anesthesiologists.During the procedure, the redundant skin is marked and removed along with underlying excess fat. Lower eyelid fat and skin is also removed using an incision beneath the lash line or an internal incision (for fat removal only).At the time of surgery local anesthesia is used, while post-operative pain is generally diminished with oral analgesia and a cold mask. On the 5th to 7th day after surgery the sutures are generally removed. Post-operative swelling and bruising are common, largely resolving after 10 to 14 days. Makeup can be applied after one week and strenuous exercise should be avoided for one month. Driving should always be avoided until oral narcotics are no longer needed for pain control.The RecoveryPatients can generally go home same the day as the procedure, though a responsible adult should stay with them the first night. Patients undergoing this procedure at the time of a brow lift or facelift will generally stay 1 or 2 nights at a post-operative facility. Ambulation is encouraged the night of surgery, but any strenuous activity should not be avoided for at least 2 weeks following the procedure. Though it typically takes at least 2 weeks for most of the swelling and bruising to resolve, many patients see an overall improvement in appearance after 5 to 7 days. By two weeks patients generally feel that they appear more rested and more attractive.What are some of the Particular Concerns regarding Eyelid Surgery?While most patients are quite pleased with their results, blepharoplasty, like any surgery, has potential risks that must be considered. Scars will be present, and while they usually diminish considerably, they will still be visible to some degree. Most patients find that blepharoplasty scarring can be well concealed with makeup. The surgery also changes eyelid shape is changed and position. Inherent to this is the rare risk of temporary or permanent loss of vision. Occasional dryness of the eyes can occur as well.Making the decisionEvery surgical procedure has inherent benefits, risks and limitations. While considering any surgical procedure, patients should use their pre-operative consultations to ask any question they may have and freely express their aesthetic goals. As a plastic surgeon, taking sufficient time to discuss, plan and individualize each procedure is necessary time that is well spent.


Beverly Hills, eyelid surgery

involves removing skin and fat on the eyelids to help eliminate puffiness and droopiness. Dr. Jay Orringer emphasizes patient education and personalized comprehensive care for all cosmetic surgery candidates.



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Eyelid Surgery (Blepharoplasty)}