Blepharoplasty Rehoboth Beach
Eyelid surgery or blepharoplasty is a surgical procedure designed to improve the appearance of the eyelids, both upper and lower.
What can eyelid surgery treat?
- Extra or sagging skin that creates unwanted folds or disturbs the natural shape of the upper eyelid, sometimes affecting your vision
- Puffiness in the upper eyelids as a result of excess fatty deposits
- Puffiness or bags under the eyelids
- Drooping upper eyelids that covers more of the upper part of the iris or the color of your eye
- Drooping lower eyelids that reveal white below the iris or the color of your eye
- Extra skin, folds and fine wrinkles of the lower eyelid
What are nonsurgical options for eyelid rejuvenation?
There are patients with concerns for aging around the eyes with either unwanted wrinkles and skin folds or puffy eyelids from extra fat deposits but are not willing to undergo a surgical procedure. There are nonsurgical options that might delay the time when a surgical eyelid surgery is needed or complement the results of an eyelid surgery. These devices will deliver at best 30-50% of the results seen with surgery but with less predictability.
The nonsurgical options for eyelid rejuvenation are either noninvasive devices (e.g. Exilis Ultra, Pelleve) or minimally invasive devices (e.g. Accutite, Morpheus, CO2 laser, Subnovii plasma pen, Virtue). There are many different energy sources used to stimulate collagen, elastin fiber production and even reduce unwanted fat deposits which include radiofrequency, CO2 laser, plasma gas comprised of nitrogen and oxygen gas. These devices will deliver energy either to the skin surface (e.g. Exilis Ultra, Pelleve), through the skin surface (e.g. Morpheus, CO2 laser, Subnovii plasma pen) or beneath skin surface directing upward to dermis (e.g. Accutite).
Am I a good candidate for eyelid surgery?
- You have concerns about aging around your eyes with excess wrinkles and skin folds, unwanted fat deposits or drooping upper or lower eyelids or drooping upper eyelids
- You have no serious eye conditions
- Healthy individuals with no medical conditions that may impair healing
- Realistic expectations
There are several factors that play a role in the visible signs of aging around the eyes
- Excess or sagging skin of upper or lower eyelids causing wrinkles and unwanted folds
- Drooping eyebrows from relaxation of the forehead skin and eyebrow
- Stretching out of the upper eyelid muscle causing drooping eyelids
What should I expect at my consultation?
- Listening to your specific concerns about your aging eyes: 1. Wrinkles, folds, fat deposits of eyelids 2. Drooping eyebrows 3. Drooping eyelids
- Evaluation of general medical conditions, medications, allergies, other eye conditions, previous surgeries, exposure to smoking
- Examination of face and eyelids both at rest and with animation/smiling. Assess amount of excess skin, eyelid margin tone or unwanted fat deposits of upper or lower eyelids. Assess upper eyelid position at rest and with motion. Assess eyebrow position.
- Photographs are taken
- Outline all options of treatment both surgical and nonsurgical
- Discussion of a surgical treatment plan
- Discussion of details, risks, recovery and expected outcomes of the procedure
What are the risks of eyelid surgery?
- Bleeding, bruising
- Numbness, altered sensation
- Poor healing of incision
- Abnormal shape of eyelids
- Corneal abrasion
- Ectropion (sagging of outside part lower eyelid)
- Prolonged swelling
- Revision surgery
- Anesthesia risks
What should I expect at my eyelid surgery?
- Outpatient procedure either in office or ambulatory surgical facility under local anesthesia or intravenous sedation
- Approximately one hour procedure
- After fully informed of details and risks of the procedure, surgical markings are placed by the surgeon
- Expect swelling and bruising up to one week at which time may apply makeup
- Need to apply ice packs 20 minutes on and 20 minutes off first 48 hours
- Light activity including car driving and lifting under 10 lbs in 3-5 days
- Full activity including exercise and unrestricted lifting in 3 weeks
- Scar management after good healing of incisions approximately 3 weeks out