Note: A browlift can add to the enhancement of the upper eyelid’s appearance by lifting sagging eyebrows. In conjunction with upper eyelid surgery, a browlift removes skin hanging over the upper eyes.

Lower Eyelid Surgery
Lower eyelid surgery is performed to remove the puffiness found in the lower eyelid. Some people refer to this as “bags” under your eyes. The accumulation of excess fat and skin, resulting from age and other factors, causes that puffy appearance in the lower eyelid, which makes people look older and tired. Removal of bulging fat in the lower eyelid can result in a younger, rested and alert appearance.

Transconjunctival Blepharoplasty
For younger patients and those with thicker, more elastic skin, the surgeon may recommend transconjunctival blepharoplasty. During this procedure, a tiny incision is made inside the lower eyelid and fat is removed with tiny forceps. No skin is removed and the incision is closed with dissolving sutures.

Asian Eyelid Surgery
Asian eyes have a different appearance than Western eyes. With Asian eyelids, the anatomical difference is that the orbital septum (the layer that holds back the fat) extends lower down towards the eyelid margin. This procedure is also known as double eyelid operation and Asian blepharoplasty. The surgeon performs the procedure similar, but not identical to, traditional eyelid surgery. Their goal is to enhance the patient’s eyelid appearance without taking away any ethnic features. Most surgeons do not advise patients to undergo eyelid surgery in order to “Westernize” their appearance.

What are the Benefits to this Procedure?
Specifically, eyelid surgery can treat:

Loose or sagging skin that creates folds or hides the natural contour of the upper eyelid
Excess skin that hangs down from the upper eyelid, sometimes impairing vision
Excess fatty deposits that appear as puffiness in the upper eyelids
Bags under the eyes
Droopiness of the lower eyelids, showing white below the iris
Excess skin and fine wrinkles of the lower eyelid

There are many reasons why a person would want to undergo eyelid surgery. Even though reasons vary from person to person, the more common include:

Improving peripheral vision
Gaining a fresher, more alert appearance
Restoring a youthful eyelid appearance
Enhancing overall appearance
Gaining a boost in self-confidence

Note: Eyelid surgery will not remove crow’s feet or other wrinkles around the eyes, nor will it eliminate dark circles under the yes, or lift sagging eyebrows. Consult with a cosmetic surgeon to inquire about procedures that take care of these conditions.

Procedural steps
An incision within the natural crease of the upper eyelid allows access to remove excess skin, muscle and underlying fatty tissue. Using an incision inside the lower eyelid, fat is removed or redistributed and muscle modified to correct a baggy lower eyelid. An incision just below the lower lash line allows excess skin to be removed. Laser resurfacing may be used to smooth lower lid skin.

Your results
Bruising should subside in 5-10 days and swelling should subside in 2-4 weeks. Final results may appear in 1-2 months. Incision lines will continue to refine and fade for 1 year.