FAQ eyelid surgery faq

Eyelid Surgery Frequently Asked Questions

How do I know if I am a good candidate for eyelid surgery (blepharoplasty)?
Eyelid surgery, technically called blepharoplasty, is a procedure to remove fat, excess skin, and excess muscle from the upper and lower eyelids. Eyelid surgery (blepharoplasty) can correct drooping upper lids and puffy bags below your eyes - changes that make you look older and more tired than you feel.

The best candidates for eyelid surgery (blepharoplasty) are men and women who are looking for improvement, not perfection, in the way they look. They are physically healthy, psychologically stable, and realistic in their expectations.

A few medical conditions make eyelid surgery (blepharoplasty) more risky. They include thyroid problems such as hypothyroidism and Graves' disease, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease, and diabetes. A detached retina or glaucoma are also reasons for caution.


Will eyelid surgery (blepharoplasty) correct crow's feet, dark circles under my eyes, or sagging eyebrows?
Eyelid surgery (blepharoplasty) can improve wrinkles on the eyelids, but it won't remove crow's feet or other facial wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.

Sagging eyebrows or eyebrow hooding is best treated with a brow lift (forehead lift). Botox injections are an effective treatment for the creases/wrinkles of the temples (crow's feet) caused by muscle activity. To improve fine lines and dark circles, we carry several high quality topical eyelid enhancing/tightening creams from SkinMedica, SkinCeuticals, and La Roche-Posay in our Medical Spa.


Does eyelid surgery (blepharoplasty) always need to be performed on both upper and lower eyelids at the same time?
No, eyelid surgery (blepharoplasty) may be performed on the upper eyelids only or the lower eyelids only. This depends on the needs and goals of each individual.


What is the length of a typical eyelid surgery (blepharoplasty)?
Eyelid surgery (blepharoplasty) generally requires 1 to 3 hours to perform. The variability depends upon whether upper, lower, or all four eyelids are being treated.


What type of anesthesia is used for eyelid surgery (blepharoplasty)?
Usually, local anesthesia with intravenous sedation is used to perform eyelid surgery (blepharoplasty). You will be awake during the surgery, but relaxed and insensitive to pain. A general anesthetic (completely asleep) may also be used.


Is eyelid surgery (blepharoplasty) performed as an outpatient?
Yes, eyelid surgery (blepharoplasty) surgery is usually performed as an outpatient.


Where is eyelid surgery (blepharoplasty) surgery performed?
Eyelid surgery (blepharoplasty) surgery is performed in the safety of an ambulatory surgery center, at a surgical hospital, or in the outpatient department of a hospital.


What is the cost of eyelift surgery (blepharoplasty)?
The cost of eyelift surgery (blepharoplasty) surgery ranges from approximately $2,500 to $3,000 for the upper or lower eyelids separately, to approximately $4,500 to $5,000 for all four eyelids. An initial consultation is required to determine the exact cost of eyelift surgery (blepharoplasty) surgery.


Is eyelid surgery (blepharoplasty) covered by insurance?
In most cases, eyelid surgery (blepharoplasty) is not covered by insurance. Insurance does not cover cosmetic surgery. Upper eyelid surgery may be covered by insurance if used to correct significant visual field deficits.


Can eyelid surgery (blepharoplasty) be combined with other cosmetic procedures?
Eyelid surgery (blepharoplasty) can be performed alone, or in conjunction with other facial surgery procedures such as a facelift or brow lift (forehead lift).


How long will it take to recover from eyelid surgery (blepharoplasty)?
Reading, using a computer, or watching television can be performed within 2 or 3 days after eyelid surgery (blepharoplasty). Individuals usually return to work within 7 to 10 days. Strenuous physical activity should be avoided for 4 weeks. Bruising and swelling may last up to 10 to 14 days.


How will I feel and look immediately following eyelift surgery (blepharoplasty)?
There is temporary discomfort, tightness of the lids, swelling, and bruising. Dr. Mayfield recommends keeping your head elevated for several days, as well as using cold compresses to reduce swelling and bruising. Bruising and swelling may last up to 10 to 14 days. Also, excessive tearing or dryness, burning, itching, and sensitivity to light may be present during the first few weeks.


Is eyelid surgery (blepharoplasty) a painful procedure?
There is mild discomfort for several days following eyelid surgery (blepharoplasty) that is controllable with the use of pain medications taken by mouth.


What are some of the risks of eyelid surgery (blepharoplasty)?
Complications are infrequent. Potential risks of eyelid surgery (blepharoplasty) include temporary blurred or double vision, infection, bleeding, swelling at the corners of the eyelids, dry eyes, formation of whiteheads, slight asymmetry in healing or scarring, and difficulty in closing eyes completely (rarely permanent). Pulling down of the lower lids may require further surgery. Blindness is an extremely rare complication.


Are there scars that result from eyelid surgery (blepharoplasty) surgery?
During eyelid surgery (blepharoplasty), incisions are made following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. Every effort is taken to make the scars as inconspicuous as possible. Healing is a gradual process, and the scars may remain slightly pink for six months or more after surgery. Eventually, though, the scars fade to a thin, nearly invisible white line.


How long do the results of eyelid surgery (blepharoplasty) last?
The results last for years, however, the effects of aging and gravity continue to act on the face after surgery. Some improvement is permanent.


 
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