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Blepharoplasty Newport Beach

blepharoplastyThe eyes are the first things others look at upon introductions. The upper eyelid becomes heavy with age and redundant skin results. Addressing this laxity significantly improves the sad and tired look. The lower eyelids and cheek junction commonly hollows out to cause a shadow which makes one look tired at all times of the day. Usually this can be addressed with moving the bulging fat into the hollow and rejuvenating the entire lower eyelid and cheek.

The Surgery
Blepharoplasty can be performed on the upper or lower eyelids. The upper eyelids are more common and can be performed a number of ways. In general, an incision is made where the new eyelid crease is desired and then skin/muscle/fat or any combination is removed to achieve the desired results. The lower eyelid is more complicated. There are three general types of incisions – one inside the eyelid, one just under the eyelashes, and the third in the crease of the lower eyelid. The lower lid blepharoplasty can be used to smooth out small wrinkles, remove or reposition herniated fat, or when combined with other procedures, tighten the lower eyelid. I perform lower eyelid surgery mostly to even out the bulge of fat in the lower eyelid with the hollow ‘dark circles’ below. I generally perform the incision inside the eyelid to avoid a visible scar. I then move the fat from the ‘hill’ to the ‘valley’ and this creates a very nice transition from the eyelid to the cheek.

Before Surgery
It is important to have a thorough examination prior to undergoing surgery of the eyes. Things like dry eyes, incomplete eyelid closure, and light sensitivity may become worse after surgery if not identified before. Like all other surgical procedures, general health will be evaluated and sometimes a documented examination from an opthalmologist is required.

After Surgery
Upper eyelid blepharoplasty is a relatively easy recovery. You will have some bruising and swelling for a few days, and the sutures are removed around day five or six. The swelling will continue to improve for the following weeks, and you will continue to see improvement for up to six months.

The lower eyelid stays swollen longer, and is a bit more uncomfortable. Depending on the technique, there may or may not be sutures to remove. You will be significantly more black and blue after the lower eyelids are operated on than the uppers. The swelling and bruising will improve around the two-week mark, but then you will see continued refinement for a few months.

FAQ’s

When can I wear makeup after a blepharoplasty?

The sutures are left in place for five days. After the sutures are removed, the skin is fairly well healed and makeup can be worn the following day.

Can blepharoplasty be covered by insurance?

Upper eyelid blepharoplasty can sometimes be covered by insurance. You will need documentation of limited vision due to the excess skin. Your surgeon will be able to explain to you if they take your insurance, or are within the network of providers. Lower eyelid blepharoplasty is not covered by insurance.

Can the procedure be performed under local anesthesia?

For select patient, limited upper eyelid blepharoplasty can be performed under local anesthesia. For a more comprehensive upper eyelid or any lower eyelid blepharoplasty general anesthesia should be used. It is a more controlled setting with more appropriate instrumentation.

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