The goal of cosmetic eyelid rejuvenation surgery, also known as blepharoplasty, is to enhance the eyes. This is our most captivating feature and and should be highlighted. By reducing the heaviness of the skin around the eyes, the eyes will look refreshed, bright and beautiful. With upper eyelid blepharoplasty, the goal is to reduce puffiness when present and to restore a sharp, ethnically appropriate lid crease and lid platform. For the lower eyelid rejuvenation, a reduction of puffiness when present, the removal of excess skin and the reduction of wrinkled skin is the goal. Another important area to address is the tone of the lower lid. If the lower lid is determined to be lax, this will be addressed at the time of the blepharoplasty.
Upper lid blepharoplasty is routinely performed under local anesthesia in the office procedure room. Lower eyelid blepharoplasty can also be performed in the office if only skin is addressed. However, if fat is removed, which is done from inside the eyelid (a transconjunctival blepharoplasty) general anesthesia is typically required. The lower eyelid skin can also be tightened and smoothed with a CO2 laser which can also be performed in the office. Eyelid surgery is often combined with other facial rejuvenation procedures such as a facelift.
Lastly, to fully rejuvenate the lower lid, if hollowness is present at the lid-cheek junction (the tear trough) injectable fillers such as Restylane® are used. Dark circles often improve by re-inflating the tear trough. Topical eye creams specifically formulated to treat dark circles are also recommended. Dr. Yellin’s many years of experience allows him to achieve a very natural appearance when performing cosmetic eyelid procedures.
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