Blepharoplasty– [Baggy Eyelids] Eyelid surgery to eliminate excess tissue

"Blepharoplasty" is a medical term for removing excess tissue during eyelid surgery. Excess skin as well as puffiness (fat) in the upper or lower eyelids can be lessened by blepharoplasty surgery. The results for the patient are natural-looking and produce a more rested and more youthful appearance.

The incisions, made in the upper eyelid, are hidden in the natural crease of the eyelid. There is a very minimal amount of bleeding during this surgery. Patients rarely have any discomfort following this surgery. All patients are given medication for pain.

Lower eyelid bags can also be reduced with blepharoplasty.

Bulging fat and loose skin causes bags to appear under the eyes. In many cases surgery to correct this is can be done without cutting the skin or placing any stitches in the lower eyelid. Dr. Howard often removes the excess fatty tissue and tightens the overlying skin with a laser in most cases. In other cases a small amount of excess skin is removed.

Your Surgical Experience:

Your surgery is most often performed in an outpatient setting. Patients are able to go home directly following their procedure. You must be accompanied by a driver.

Patients are given mild sedation from IV medication in a vein in their arm. This helps ensure that patients are comfortable. Local anesthesia is then applied to the operative area to further ensure patient comfort. There is usually no need for general anesthesia or a breathing tube or breathing machine. The length of the procedures varies from person to person, however, on average, surgery for the upper and lower eyelids takes approximately 30 minutes each to complete. (One hour for both upper and lower.)

We do anticipate you being at the center for a few hours for the entire process of checking in, speaking with Dr. Howard and/or Malissa Sandhu PA-C prior to your procedure, performing the procedure, waking up from anesthesia, and listening to the aftercare instructions.

After the Surgery

Following the procedure, patients are observed before they are allowed to go home. The first two days following surgery should be spent relaxing with the head elevated and applying ice packs (we suggest frozen peas if you do not have an ice pack). You will apply ice to the area(s) 30 minutes on and 30minutes off for the first 48 hours during awake hours and then 4 times a day until your recheck appointment 1 week later. This will help keep swelling to a minimum.

Initially, the eyelids may feel tight. This usually resolves over the first few weeks. All patients are given prescriptions for pain killers. However, rarely do patients report the need to use them. On average, by one week after surgery, approximately 70-80% of the swelling will have dissipated and after two weeks, close to 90% of the swelling will have dissipated. The remaining 10% will decrease over the next few weeks to perhaps a month.

You will be seen by Dr. Howard and/or Malissa Sandhu, PA-C 1-2 weeks following your procedure to ensure you are healing properly.

Upper eyelid blepharoplasty is often covered by insurance.