Eyelid surgery, also known as blepharoplasty, improves the appearance of the upper eyelids, lower eyelids or both. During blepharoplasty, excess skin, muscle, and fat is removed from the upper and lower eyelids. Eyelid surgery can correct drooping upper eye lids and puffy bags below your eyes. However, it will not eliminate dark circles under your eyes or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage.
Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or forehead lift to raise the eyebrows or reduce the appearance of wrinkles and crow's feet.
Blepharoplasty is usually an outpatient procedure and can take one to three hours, depending on the extent of the surgery. In a typical upper eyelid surgery, an incision is made within the natural crease line of the upper lid. Through this incision, excess skin, muscle and fat are removed from the eyelid.
Lower eyelid surgery can be done both internally or through an external eyelid incision. When performed through an internal eyelid incision, the procedure is called transconjunctival blepharoplasty. Transconjunctival belphraoplasty is best reversed for those patients who have minimal lower eyelid skin excess. It is best used for removing excess eyelid fat only. For those patients who have excess lower lid skin, folds, or bags, at Orange County Plastic Surgery, we utilize an incision that is made just below the lashes; known as a subciliary incision. Working through this incision, the excess skin and muscle of the lower lid are removed. The excess fat is then removed or sometimes repositioned or returned to its original location depending on what the patient needs.
Asian Blepharoplasty, also known as double-eyelid surgery, is a popular procedure among patients of Asian descent that seek to change the look of their eye shape. This procedure creates a crease where the eyelid normally folds. In Caucasians, the upper eyelid crease is formed where the muscles of the lid inserts into the skin of the upper eyelid. IN patients of Asian descent, this attachment occurs closer to the eyelid lashes and thus the upper lid crease is not formed.