BLEPHAROPLASTY

Eyelid Surgery / Eyelid Lift (upper, lower or both)

When you look in the mirror and see yourself in pictures do you see yourself looking tired, saggy around the eyes, older maybe even sad?  Our eyes are the most expressive feature of the face; we express our emotions through them and use them to communicate information to those around us. Shakespeare once said that, “eyes are the window to the soul,” and when our eyes begin to give us a tired or sad look it can change the impression we leave on those around us.

Often times, when people in their 40’s and 50’s will look in the mirror, they begin to see the inevitable, natural signs of aging. They might notice wrinkles, puffiness and excess skin in the upper eyelids, or notice fatty bags or extra skin, dark circles, loss of elasticity, and fine wrinkles below the lower lid. This loose skin may cause the lids to droop. Sometimes this droopiness will appear to hang over the eye appearing fatigued, and in some cases will impair your vision—a problem that can persist when the brow has descended over the eyelid area.

We offer a solution. Using the best in modern aesthetic arts.

Eyelid Surgery or Blepharoplasty is performed to rejuvenate tired, puffy or saggy looking eyes, such as overhanging upper eyelids or bags under the eyes. When patients have skin and fatty tissue excess in the upper or lower eyelids, a small amount of skin and fat is removed making the eyes look youthful again. In some cases, however, if the overhanging eyelids are caused by droopy, sagging eyebrows, or ptosis a forehead/brow lift may be recommended instead of or in conjunction with an eyelid lift.  Repositioning of the forehead/brow can further improve the overall appearance
During your consultation you may wish to discuss having blepharoplasty cosmetic surgery in conjunction with a facelift and/or a forehead/brow lift.   During your consultation the best course of action for you will be discussed.

Using expert surgical skills, incisions are made within the natural fold of the upper eyelids and just below the eyelashes of the lower eyelid in order to better disguise the surgical incisions. These incisions are imperceptible to the naked eye once healed.

Benefits of blepharoplasty surgery include:

  • Removal of drooping, sagging skin
  • Less eye strain and improved vison if hanging obstructions are removed
  • Smoothing of wrinkles and lines
  • Happier and more welcoming facial expression
  • Natural looking results
  • A brighter, more alert, and younger looking appearance
  • Improved captured images in pictures and social media
  • More impactful first impression
  • Greater confidence and improved self-esteem

Blepharoplasty restores the anatomy of the eyelid while also preserving the eye’s natural shape and retaining full function of the eyelids. Cosmetic surgery will help you recapture a more youthful, natural look that will leave you feeling rejuvenated and self-confident.

FREQUENTLY ASKED QUESTIONS

You might be a candidate for blepharoplasty if:

  • your upper eyelids sag and hang over your eyes
  • you have wrinkles or excess skin in the lower eyelids
  • you have bags under your eyes
  • you have droopy lower eyelids
  • Your field of vision is diminished or impaired

In upper blepharoplasty, an incision is made across the lid and excess skin and fat are removed as needed.

In the lower eyelid, the incision is made on the inside of the lower eyelid or outside just beneath the eyelashes. Excess skin and fat are removed as needed.

You can have upper only, lower only surgery or both at the same time.  This depends on your desired goal.

Post-surgical care

Initial
You can experience some swelling and slight discomfort.  We recommend frequently applying a cold compress to your eyes to keep the swelling to a minimum and sooth any discomfort.  After surgery you will be able to see unless eye ointment is used then your sight will be blurry.  You will need to be accompanied by someone who can drive you home. Avoid smoking.  Avoid alcohol.

Continued
You will need to return to the office the next day for a post-operative examination. 

You will return to the office one week after the surgery date for suture removal.

You will return to the office again two additional times at the one-month mark and again at the six-month mark.  This is for continued post-op progress and monitoring.  Continue to avoid smoking.

Overall
Patients typically can return to work and a normal routine after one week. However, we advise you to avoid strenuous exercise for at least three to four weeks.  This can be discussed at your one-month post-op appointment. 

Continue to avoid smoking.

The incisions are not visible because they are hidden in the natural folds of the eyelids, on the inside of the lower lid, or just under the lower lash line. After they heal, these incisions are undetectable.

The recovery time ranges from one to four weeks. You may experience some swelling and bruising but very little discomfort. To minimize swelling, Dr. Hernandez recommends that you use cold compresses and keep your head elevated. Sutures are removed within one week, and makeup can be applied after that.

No. Sagging or hooded eyebrows are fixed through a brow lift. The small incisions are well-hidden. This procedure elevates the brow to a more natural position.

Yes. You can combine the two procedures or have them done separately.

Once the swelling goes down after surgery and you can easily manipulate your eyelids, it is recommended that you wait two weeks before wearing contact lenses. In the meantime, you can wear glasses.

Your vision may be blurry following the surgery due to swelling and, when needed, the use of eye lubricants. Your vision will recover completely in a few days.

You should notice improvement in the area around the eyes immediately following the surgery. But you will see the final results in about four weeks once the swelling has resolved.

The results of eyelid surgery are long lasting. The investment in cost over the time the results are sustained is a good return on investment.  Nevertheless, over time, the skin elasticity and the facial muscles of the eyes will continue to change in response to the environment, sunlight and the aging process. As more time passes, the brow could drop or descend enough to cause excess skin to reappear on the upper eyelid. In this case the solution will be a brow lift rather than a second eyelid surgery.

YES.  You will need to arrange for someone who can accompany you on the day of your surgery.  We call this person your “safety person”. You will be given sedation during your surgery.  This is an outpatient procedure so you will need someone to drive you home safely.  At your pre-op appointment, which is typically two weeks prior to your surgery date, you will need to determine and arrange for your safety person and provide that information. We will contact 

COSMETIC SURGERY CONSULTATION

Cosmetic Surgery Consultation
The preliminary examination takes about 30 minutes.
Your wants, needs, goals, and questions will be discussed. All is necessary to evaluate the best course of action to achieve your desired results. 

 

DEPENDS –

When your vision is diminished and/or impaired due to droopy upper eyelids and you have a visual field test confirming the impairment, your insurance company may cover the cost. 

When your vision is not impaired upper eyelid surgery will be considered cosmetic and insurance will not pay for surgery.

Lower eyelid surgery is usually considered a cosmetic procedure only and is not usually covered by insurance.

RECONSTRUCGTIVE SUERGERY CONSULTATION

Reconstructive Surgery

Reconstructive surgery consultations can take 30 minutes or longer.  Your wants, needs, goals, expectations, and questions will be discussed. All is necessary to evaluate the best course of action to achieve your desired results. 

When possible, bring a copy of medical records pertaining to the previous surgery we will be addressing.

Additionally, when surgery is being sought due to an accident or revision due to previous surgery bring a picture(s) from before the event. 

DEPENDS –

Birth defects / Post Accident / Surgical Revision

Birth Defects - When your vision is diminished and/or impaired due to droopy upper eyelids and you have a visual field test confirming the impairment, your insurance company may cover the cost.  We suggest having the visual field test completed and the results discussed with your insurance carrier prior to your consultation. 

Post-Accident – These are discussions to have with the insurance carrier (work compensation, health insurance, auto insurance, home insurance) that could be responsible for the coverage.

If you would like to expedite the timeline to surgery you should have discussions with the insurance carrier that would be responsible for coverage. 

These issues will be discussed at the time of your consultation.  Bring picture(s) of yourself prior to accident, they may be useful. 

Surgical Revision – When surgical revision is necessary after a previously health insurance approved surgery, your carrier will consider paying for revisions.

If revision surgery is necessary after a previously ‘not covered’ cosmetic procedure your health insurance typically does not cover the cost.  However, it is best to have a conversation with your health insurance carrier to convey the circumstances.

You might be a candidate for blepharoplasty if:       

  • the excess skin in the upper eyelid impairs your vision
  • correction of previous surgery

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