Eyelid Surgery

Of all your facial features, none has such power to convey your individuality, emotions and youthfulness as your eyes. Yet the eyes are often the first to show signs of aging. When they become puffy, sag or are wrinkled, they can make you look tired and older.
Eyelid surgery, also known as blepharoplasty, is a procedure that can help you look more rested, rejuvenated and alert—and more “you”—by improving the appearance of the upper eyelids, the lower eyelids, or both.

Who Should Consider Eyelid Surgery?
  • This procedure is intended for people whose eyes appear worn or tired for a variety of possible reasons: swollen or puffy upper eyelids, excess skin over the upper eyelids, bags under the eyes, excess skin or droopiness of the lower eyelids.
  • Eyelid surgery cannot improve sagging eyebrows or dark circles around the eyes. However, Dr. Goldman may recommend other procedures in conjunction with the eyelid surgery to correct these traits.

What Does The Eyelid Surgery Procedure Involve?
  • The patient will receive local anesthesia and/or sedation, or general anesthesia.
  • To correct a saggy upper eyelid, Dr. Goldman will make an incision in a crease of the lid, then remove excess skin and possibly muscle tissue. Repositioning or removal of fat deposits may also be performed if needed. This procedure is often combined with a Brow Lift to rejuvenate the entire third of the face.
  • When working on the lower eyelid, the procedure is similar, except that Dr. Goldman makes an incision either just below the lower lash line or inside the lower eyelid in a completely hidden approach (transconjunctival blepharoplasty). Fat repositioning or removal is often combined with muscle tightening and lid shortening/tightening as needed. Excess skin and/or muscle may also be removed. This procedure is often combined with a Midface Lift to rejuvenate the entire cheek and eyelid area of the face.
  • In all cases, the incision lines will be located so that the scars are well concealed or completely hidden within the natural folds and tissues of the eyelid region. The incisions will typically be closed with very fine sutures.
  • Dr. Goldman may use a laser proceduresuch as ProFractional treatments or Microlaser Peel to erase the dark circles and discoloration of the lower eyelids. 

What is Recovery Like?
  • Immediately after the procedure, and for a minimum of one week afterward, Dr. Goldman will require you to apply an antibiotic ointment to the operative site. This safe treatment will help prevent dryness of the eyes and promote healing while preventing infection.
  • Cold compresses and elevating your head when lying down will relieve discomfort and improve healing, and Dr. Goldman may also prescribe medication for pain.
  • Dr. Goldman will list activities and environments to avoid in the weeks immediately following surgery.