The area around one’s eyes is often the earliest part of the face to show the effects of aging. For patients that are looking for a more youthful look, eyelid surgery or blepharoplasty may be recommended. Blepharoplasty is a procedure that removes excess skin and medial eyelid fat from the upper eyelids and removes or relocates fat from the lower eyelids. Lower eyelid excess wrinkling can also be addressed with surgery. When one looks at the upper eyelids the position of the eyebrow needs to be evaluated as well. Ptotic or saggy brows may result in excess skin in the upper eyelid. Blepharoplasty is an ideal procedure for a younger patient who wants to restore a more youthful or rested look. When well done, there should be no evidence of scarring and no change in eyelid position.
Blepharoplasty can be done under local anaesthesia with sedation or under a general anaesthetic. The choice of anaesthesia depends on the degree of anxiety of the patient and either way is acceptable. In general, eyelid sutures will be removed 4 days after surgery and the patient may return to work one week following surgery. The location of the incisions will be determined by Dr. Toth preoperatively and reviewed and marked preoperatively in an upright sitting position. In some patients surgery can be done without an external incision.