This one-to-two hour procedure is performed as a day surgery at Renaissance Surgical Clinic and you’ll be placed under conscious sedation for the duration. The procedure is completed in three steps:
1. Incisions – Small well hidden incisions are made in the crease of the eyelid, following the natural lines in the skin. These may extend into the crow’s feet or laugh lines. Alternatively, If you have a pocket of fat under your eyelids but don’t need to have any skin removed, a different procedure might make more sense for you. This is known as a ‘transconjunctival blepharoplasty’. During this procedure, the incision is made inside your lower eyelid, leaving no visible scar. This is usually performed on younger patients whose skin has more elasticity.
2. Tailoring – On the upper eyelid, fatty deposits and excess skin around the eyes are removed in preparation for muscle tightening. To prevent an operated and skeletonized look, I am conservative and only remove the fat pockets that are visible. A full eyelid is a youthful eyelid. When working on the lower lid, an incision is made below the lash line, through which excess fat and skin are removed. I believe that every patient requires support and volume in the lower eyelid to prevent pulling down of the margin of the lower eyelid due to gravity. For more permanent results, fat grafts are my procedure of choice, however if you are concerned about the effect of a fuller lower lid, then you could opt for the injection of a filler before deciding on fat grafting.
3. Finishing touches – Sutures are used to close the incisions, very thin surgical tapes are applied to the scars, and your eyes are lubricated with ointment. Most patients return home on the same day, however if you are considering a 4 lid blepharoplasty, it is best to spend one night in the overnight facility where my well trained nursing staff apply ice and special light therapy to accelerate the healing and reduce the swelling.