Blepharoplasty You can tell a lot of things about looking into a person’s eyes, but one thing you shouldn’t be able to guess, is someone’s age. When the face begins to show signs of aging, the eyes are one of the first places sagging tissue will be seen. The lax skin and fine, crepe paper winkling can add years to one’s appearance. The face may take on a sad, exhausted, and unhealthy look. As the eyes are often the focal point of the facial features, these early signs of aging are immediately noticeable to others. Expensive makeup and eye creams may claim to work small miracles, but the only way to restore a youthful appearance is through a surgical procedure called a Blepharoplasty, also known as an Eyelid Lift. The Blepharoplasty Procedure: As we age, the delicate skin around the eye begins to lose its shape, and sinks downward. Not only does this result in wrinkles, the drooping tissue may even impair the vision. The muscles and fatty tissue under the lower eyelid can slowly untether from their youthful position, forming ‘bags’ under the eyes. Shadows from this puffy or sunken tissue can cause the appearance of dark circles under the eyes. A Blepharoplasty is designed to smooth and lift the tissues of the upper and lower eyelids. After the procedure, the eyes will look refreshed and rejuvenated. Years will be immediately taken off of the appearance. As the excess skin is removed and the remaining tissue is tightened, they eyes will once again look open and awake. Factors Contributing to Aging Eyes: Sun Damage Smoking Aging Genetics Extreme Weight Loss The Eyelid Lift Procedure: Dr. Lohner’s Eyelid Lift will take between one and two hours to complete, depending on the level of correction required. The procedure is performed on an outpatient basis, using either general anesthesia or a local anesthesia with IV sedation. The upper and lower lids can be addressed independently, or both can be performed during one surgery. Dr. Lohner can also suggest complimentary procedures that can be combined with the Blepharoplasty, most commonly fat grafting or injections of Botox or fillers, to provide the maximum benefits and the lifted, invigorated aesthetic look you desire. The Upper Eyelid Blepharoplasty: An upper Eyelid Lift focuses on the sagging tissue immediately above the eyes. Excess skin will be eliminated, and the remaining tissues will be raised to a youthful position. Utilizes a well-hidden incision placed within the natural crease of the eyelid. Through the incision, excess skin and fat will be removed, to define the eyelid. Usually an imperostable scar will appear in the crease of the eyelid, which is usually quite inconspicuous. Before Enlarged view After Enlarged view Before Enlarged view After Enlarged view The Lower Eyelid Blepharoplasty: A lower Eyelid Lift is usually a bit more complicated. It is designed to smooth the fine lines under the eye, lift the lax tissues, and add replace the lost volume that causes ‘bags’ and dark circles. Utilizes a small incision just below the lower eyelashes, or along the inner portion of the lower lid. From the incision, excess tissue is removed and the fat pad repositioned. Tissues will be pulled taut. Volume under the eye can be replaced through a fat transfer. For most patients, scarring under the eyelid or within the lower lid is usually minimal and is well concealed within the natural contours of the skin. The Ideal Candidate for Blepharoplasty: Any man or woman in good health, who is experiencing sagging, loose tissue around the upper or lower eyelid can make an excellent candidate for a Blepharoplasty. Patients should understand the Eyelid Lift techniques, have realistic expectations for the procedure, and be committed to the necessary recovery time. At the consultation appointment, Dr. Lohner will make sure the Blepharoplasty is the right procedure to meet an individual patient’s needs. Getting Started on a Blepharoplasty: Those who are interested in the Eyelid Lift procedure can start the process from the comfort of their own home. Begin by researching the Blepharoplasty online, individuals can become acquainted with the procedure, as well as the potential benefits and complications. If, after consideration, the Eyelid Lift feels like a good fit, contact Lohner Plastic Surgery to set up an initial appointment. Before the Blepharoplasty is scheduled, patients will have a one-on-one consultation at Lohner Plastic Surgery. At this confidential appointment, Dr. Lohner will listen to the patient’s desires and goals, as well as perform an examination of the facial anatomy. He will explain the different methods to rejuvenate the eyelid, including both surgical and noninvasive techniques. To assist patients with a visualization of the potential results, Dr. Lohner will show Before/After photos of his recent Blepharoplasty patients. If an Eyelid Lift is determined to be the right procedure for the patient’s needs, an individualized treatment plan will be developed. This appointment will also be the time the exact cost of the Blepharoplasty is determined, and the various payment options will be reviewed. How You Can Prepare for an Upcoming Blepharoplasty: Do not think that your work is complete just because your consultation appointment has passed, and your Blepharoplasty has been scheduled. There are still extremely important tasks to be completed. You will need to arrange for a ride home from the surgery center, pick up all prescriptions at the pharmacy, get your follow-up appointments on the calendar, and grab extra supplies for a comfortable recovery, such as icepacks and extra pillows. You will need to carefully read all of Dr. Lohner’s pre/post-operative instructions. If any questions should arise, contact the office immediately. The Risks Involved with a Blepharoplasty: Dr. Lohner’s Blepharoplasty is considered one of the safest and most effective treatments available today. However, as it is an invasive procedure, there is always a small risk for complications. Problems that can be associated with an Eyelid Lift include a hematoma, bleeding, lower lid sagging (ectropion), infection, and extremely rarely, blindness. To minimize the chance for serious complications after a Blepharoplasty, patients should put their trust in an experienced, well-trained Plastic Surgeon. Dr. Lohner has over twenty years of experience and is Board Certified by the American Board of Plastic and Reconstructive Surgery. Recovering from an Eyelid Lift: Patients should expect the recovery after a Blepharoplasty to last between seven and fourteen days. If a lower eyelid tightening procedure is required (Canthopexy or Canthoplasty) Recovery remains sensitive in the corner of the eyelid can remain for 4 to 6 weeks. During this time, they may notice some mild bruising and swelling, although these are generally minimal. Little pain will be experienced, but temporary tightness and soreness across the upper or lower eyelid is common. To check on the healing process, a follow-up appointment will be scheduled with Dr. Lohner approximately five days after surgery. Patients normally feel well enough to return to work or school in three to five days after their surgery. Vigorous exercise and strenuous activities should be postponed for at least four weeks. Blepharoplasty FAQ: Does the Blepharoplasty require an overnight hospital stay? No, generally Dr. Lohner’s Blepharoplasty is performed as an outpatient procedure. How long should I plan for my Eyelid Lift recovery? Patients should expect the recovery after a Blepharoplasty to take between seven and fourteen days. Usually, work can be resumed in a week or less. How long will my Blepharoplasty results last? While normal aging and the effects of gravity will continue to affect the tissues of the eyes, the results from a Blepharoplasty are usually quite permanent. Will I have scars after my Eyelid Lift? Yes, very small scars may be present after an Eyelid lift. However, Dr. Lohner takes care to place the scars in a well-concealed location.