If you’re curious about what eyelid surgery can do for your appearance, you most likely have a lot of questions you’d like to ask. At Ditesheim Cosmetic Surgery, board certified plastic surgeon Dr. Jeffrey A. Ditesheim can answer each of your questions so that you feel comfortable and confident making the final decision to move forward.

Am I a candidate?

The most common candidates for an eyelid lift, or blepharoplasty, are men or women who notice signs of aging in their face that cause their upper eyelids to droop or under-eye bags to form. Some candidates for eyelid surgery simply have naturally drooping eyelids that can cause them to look permanently tired or even limit their scope of vision. Ideal candidates for blepharoplasty are nonsmokers who are in good physical and mental health and have realistic expectations about their results.

What’s the difference between upper and lower eyelid surgery?

While some blepharoplasty patients choose to combine upper and lower eyelid surgery for a more comprehensive approach to facial rejuvenation, others may only require one or the other to meet their cosmetic goals. Upper and lower eyelid surgery differ in the area of focus and the techniques used:

  • Upper eyelid surgery lifts the upper eyelids to create a more alert and refreshed appearance. This is done by removing excess skin and fatty tissue, gently tightening the small muscles in the upper eye area, and finally suturing the skin and musculature into place.
  • Lower eyelid surgery focuses primarily on resolving the appearance of under-eye bags. Fatty tissue under the eyes can be reallocated or removed to form a smoother under-eye appearance and the muscles can be tightened into a more youthful position before tightening the lower eyelid skin and removing any excess.

Does eyelid surgery get rid of crow’s feet?

Because the focus of blepharoplasty is primarily on excess eyelid skin, fatty tissue and skin position, eyelid surgery does not smooth out the small horizontal wrinkles that can form at the outer edges of the eyes, known as crow’s feet. Crow’s feet form as a result of repeated muscle movements, often from smiling, laughing or squinting. Many blepharoplasty patients choose to combine eyelid surgery with BOTOX® Cosmetic in order to address crow’s feet as well as sagging eyelids.

Are blepharoplasty results permanent?

The results of eyelid surgery, whether focused on the upper or lower eyelids, are designed to be long-lasting. However, it’s important to remember that the elasticity of your skin and the quality of your underlying facial muscles will continue to change in response to age and environmental factors. Eyelid surgery patients are recommended to protect the skin surrounding their eyes with regular moisturizing and sun protection to maintain their results as well as possible.

Are the scars from eyelid surgery noticeable?

Because eyelid surgery only requires small incisions in naturally well-hidden areas, the scars from blepharoplasty should be barely noticeable after healing. In the case of upper eyelid surgery, the incisions are placed within the natural crease of the eyelids. During lower eyelid surgery, the incisions are hidden just beneath the lower lash line. Patients may see some pinkness around the site of the incisions immediately following surgery, but this should fade quickly in the weeks and months after surgery.

When Will I See My Results?

You should notice a difference in the area surrounding your eyes immediately following your eyelid surgery, although post-surgical swelling and discoloration may initially obscure your final outcome. While many blepharoplasty patients return to work after 1 to 2 weeks, it may take several weeks for your swelling to subside completely. You should be able to see your final results from eyelid surgery in about 4 to 6 weeks following your surgery.