Blepharoplasty is a surgical procedure to remove excess skin, fat and muscle from both the upper and lower eyelids. Underlying fatty tissue that produces bagginess can be selectively removed or repositioned. Blepharoplasty can improve drooping skin and bagginess. It can help improve vision in older patients who have hooding of their upper eyelids. Blepharoplasty will not remove “crow’s feet” or other wrinkles, eliminate dark circles under the eyes, or lift sagging eyebrows.
The eyes and surrounding structures account for a large part of the expression of the human face; they project an array of emotions including happiness, sorrow and fear. Yet the eyes themselves are virtually expressionless structures. It is the contour of the skin – the tissue, muscle, fat, hair and lashes around the eyes – that conveys expression. Wrinkles and deep lines as well as puffiness of the lids begin to develop with the passage of time. As we age, three things happen in the eyelid area. One, the skin loses its ability to “snap back.” There is stretching because of loss of elasticity and two, there is a loss of skin thickness with thinning out of the skin, causing veins and other blood vessels to be more easily seen, and the skin will frequently take on a grey cast. Exposure to the sun and genetic predisposition can also be contributing factors to eyelid skin aging. The third change is protrusion of the fat surrounding the eyeball into the eyelid skin compartment. The result can be marked changes in expression causing a tired and/or older appearance. These physical changes can produce anxiety and actual visual impairment. Today, several remarkable surgical techniques, involving blepharoplasty, have been developed to eliminate many of these problems.
Blepharoplasty can correct aging eyelid skin, pouches beneath the eyes and excess folds around the eyes. This surgical procedure involves the removal or repositioning of excess skin and fat on upper and lower eyelids and is often done in conjunction with other surgical procedures including fat grafts, dermal fillers, facelift, eyebrow and forehead lift.