The shape and general appearance of the eyes say a lot about a person. Aging eyes may create the illusion that you are tired, angry, or generally unfriendly. Furthermore, the shape of your eyes or condition of the tissue on your upper or lower eyelids may negatively impact your personal sense of confidence. We are pleased to offer specialized blepharoplasty in our Manhattan office to address concerns related to the appearance of the eyes.
Our medical director Dr. William Lao has extensive training in eyelid surgery with a special interest in Asian eyelid surgery. His education at Johns Hopkins University was followed by a six-year residency in Plastic and Reconstructive Surgery, including direct training under Dr. Sherrell Aston. Blepharoplasty procedures are performed by Dr. Lao and may be conducted with local anesthetic and oral sedative medication.
What Is Eyelid Surgery?
Eyelid surgery has become a popular method of facial restoration. The technique involves removing and repositioning tissue as needed to eliminate hooding and drooping of the upper eyelid or puffiness, sagging, and dark circles on the lower eyelid. Eyelid surgery may also be referred to as eyelid rejuvenation. The ultimate result of surgery is a refreshed and friendly appearance.
Who Can Benefit from Eyelid Surgery?
Adults whose eyes appear tired or angry often correct the signs of aging with eyelid rejuvenation surgery. Any healthy adult who is unhappy with the appearance of their eyes and who has realistic goals and expectations of what surgery can accomplish may benefit greatly from a well-performed blepharoplasty procedure.
What Is Asian Eyelid Surgery?
Asian eyelid surgery is a particular approach to eyelid modification in which the objective is to create a natural crease or “double eyelid fold just above the lash line.” Fat repositioning or removal may also occur during this procedure to reduce hooding and make the eyes appear more open and expressive.
Eyelid Surgery Vs Asian Eyelid Surgery
Standard eyelid surgery is conducted with the objective of restoring a more youthful appearance. This involves a technique in which tissue is excised and repositioned based on the natural crease that already exists. Asian eyelid surgery may revolve around the creation of a natural crease where none currently exists. To achieve this, less manipulation of underlying tissue may be necessary. However, the absence of a natural crease requires extreme care and artistry on the part of the surgeon to determine where on the eyelid that crease will look most natural.
Can Eyelid Surgery Be Combined with Other Procedures?
Eyelid surgery may coincide with a brow lift or facelift if so desired. Some patients choose to undergo non-surgical treatments in addition to blepharoplasty, such as laser resurfacing or injectable wrinkle reduction. Some adjunct treatments need to be scheduled for a later date after the eyelids have completely healed.
Preparing for Eyelid Surgery
During our comprehensive consultation for eyelid surgery, we discuss particular pre-surgery preparations and provide each patient with necessary instructions to plan for the safest, most comfortable process. This may include restrictions related to smoking, alcohol consumption, and certain medications and supplements.
Patients may be advised to obtain a general eye exam prior to eyelid surgery. Because the procedure is conducted with a local anesthetic and oral sedative rather than general anesthesia, there may not be a need for a general health exam. This is an aspect of surgery we may discuss during your consultation. Because an oral sedative is given for outpatient surgery, it is necessary to arrange reliable transportation to and from our office on the day of surgery.
How is Upper Blepharoplasty performed?
Upper blepharoplasty may involve incisions in the natural crease of the eyelid. Through the small incisions, tiny instruments are used to reposition and remove fatty tissue as needed to smooth the eyelid. Extra skin is carefully removed to restore a youthful appearance while still ensuring the eyes close completely when blinking.
Upper Blepharoplasty Before and After
How is Lower Blepharoplasty performed?
Lower blepharoplasty follows the same general technique of an upper blepharoplasty in its repositioning and removal of underlying fatty tissue. When addressing the lower eyelids, Dr. Lao may make incisions at the lash line or just inside the lower lid. The objective of the lower blepharoplasty is to recreate a smooth surface while preserving natural contouring and preventing hollows that would create dark circles.
Lower Blepharoplasty Before and After
How Is Asian Eyelid Surgery Performed?
Asian eyelid surgery may involve incisions where the crease will reside after the procedure. Tissue and skin are removed and repositioned in a way that creates space for the double fold to exist on the upper lid. Various techniques may be involved in an Asian blepharoplasty to create more openness that flatters the patient’s unique facial structure.
Can I Have Both My Upper and Lower Blepharoplasty at the Same Time?
Upper and lower blepharoplasty may be conducted at the same time in most situations. The combination of both areas into one procedure can decrease the overall time for recovery.
Risks of Eyelid Surgery
The common risks of eyelid surgery include infection, asymmetry, and poor tissue healing. When the procedure is conducted with only a local anesthetic and oral sedation, the risks typically associated with surgical anesthesia are eliminated. It is important to have a board-certified plastic surgeon conduct eyelid surgery to decrease risks such as the eyelids not fully closing. Dr. Lao removes only as much tissue as absolutely necessary to achieve an aesthetically pleasing outcome.
Eyelid Surgery Results
The techniques used during eyelid surgery minimize the chances of scars being noticeable. Incisions are made either in the natural crease, where a natural crease will be made or inside the eyelid. Each of these areas is discreet and should hide scars.