Eyelid Surgery Procedure
As time goes on, our eyes begin to lose their youthful appearance. The term eye rejuvenation comprises a full spectrum of surgical and non-surgical procedures that restore a vibrant and youthful appearance to the eyes. It is very important that the surgeon customize eye rejuvenation to the patient’s anatomy and age.
Different eye rejuvenation treatments accomplish different goals. For example, for some patients a combination of neurotoxin (Botox) and filler injections will result in significant improvement, while for others surgical correction is a better option.
In this introductory video, Chicago Facial Plastic Surgeon Dr. Alghoul explains types of eyelid surgeries and treatments, including non-surgical eyelid rejuvenation, and what to expect during consultation.
Dr. Alghoul Explains Eyelid Surgery
Top-Rated Chicago Eyelid Surgeon Dr. Alghoul Explains Eyelid Surgery
Learn More About Eyelid Surgery in Chicago:
- Upper Blepharoplasty
- Lower Blepharoplasty
- Droopy Eyelid Surgery
- Eyelid Repairs & Reconstruction
- Common Questions About Eyelid Surgery
Outside factors, including hereditary traits — such as the lack of a distinct upper eyelid crease, often referred to as “monolids” — and certain lifestyle habits, such as sun exposure or smoking, can compound these aesthetic concerns with the eyelids.
Thankfully, Dr. Mohammed Alghoul, a talented plastic and reconstructive surgeon at Northwestern Plastic Surgery, offers a wide variety of eyelid surgery treatment options, from cosmetic blepharoplasty (eyelid surgery) to reconstructive eyelid repair, that can improve aesthetic and medical concerns related to the eyes, for a rejuvenated, refreshed and happy appearance.
Common Questions About Eyelid Surgery
Blepharoplasty is a surgical procedure that improves the shape of the eyelid. It involves removal of excess skin and fat and some degree of lid tightening. The goal of the procedure is to smooth the appearance of the upper and lower eyelids and give them a more youthful look.
How is the procedure performed?
The procedure is performed through an eyelid incision. The incision is hidden in the crease of the upper eyelid and just under the lash line of the lower eyelid. Lower blepharoplasty can also be performed through an incision hidden on the inside of the lid. The fat bags are either trimmed or repositioned and the excess skin is removed.
Is there much scarring with a blepharoplasty?
Scarring with blepharoplasty is very minimal. The eyelid skin is the thinnest in the body and it heals very well, leaving thin, inconspicuous scars.
At what age is blepharoplasty performed?
Blepharoplasty can be performed on different age groups. Unlike facelift, which is performed in mid-age and beyond, blepharoplasty can be done at a younger age. Undesired features of the upper and lower eyelids can start appearing in the early to mid-twenties. It is not uncommon for individuals in their late twenties and thirties to develop lower eyelid bags or dark circles under the eye.
Will a blepharoplasty rid me of my eye wrinkles?
Blepharoplasty results in significant improvement of eye wrinkles, especially the deep lines. Fine lines and wrinkles, on the other hand, may only partially improve. Fine lines are better treated with skin resurfacing using a laser.
What should I expect postoperatively?
Bruising and swelling last for approximately two weeks. Bruising is worse when blepharoplasty is combined with fat grafting. Lower eyelids usually take longer to recover than upper eyelids. Lower eyelid swelling improves significantly after two weeks; however, residual mild swelling closer to the lash line may persist for another two weeks. The eyes may feel dry and irritated during the first 2 weeks, especially when both the upper and lower lids are done together. It is recommended that patients use artificial tear eye drops to keep the eye moisturized during that period. An ointment containing antibiotics and steroids is also used at bedtime with lower eyelid surgery, to minimize irritation.
You can cover your eyes with sunglasses for the first two weeks when the swelling is noticeable. After that, light makeup can be used and you can engage in social activities. You can start exercising in two weeks doing only 50 percent of your routine workout and go back to 100 percent in seven weeks.
When will my stitches be taken out?
Stitches are removed 7 days after surgery.
When will I be able to see the results?
You will be able to see results towards the end of the first week after surgery. The results will continue to refine over the following two months.
What are the risks involved with blepharoplasty?
Risks of the procedure are minimized by using a very meticulous technique. You should discuss the details and potential risks of the procedure with your surgeon prior to surgery.
What is Asian blepharoplasty?
Approximately 50 percent of Asians do not have an upper eyelid crease. Asian blepharoplasty is a term used to describe upper blepharoplasty procedures performed with the aim of creating an upper lid crease. The procedure involves marking where the ideal crease should be, making an incision along the markings, rearranging the upper lid fat and then closing the incision to create a crease. There are other techniques that rely mostly on external sutures to create a crease.
10 Tips for Blepharoplasty Success
Know your features and the look you’re going for
Each one of us has distinct features around the eye, some of which are hereditary, and others are due to aging. Understanding your unique features, their anatomic explanation, and how can they be improved, are important points to discuss with your surgeon. The more you know about your anatomy and what’s surgically possible, the better you will understand what you want done during surgery.
Know your surgeon
Before you let someone operate on your eyelids, you probably should look him or her up! Do your homework and find out about your surgeon’s credentials and qualifications. Things to look for are board certification in plastic surgery, facial plastic surgery, or oculoplastic surgery. You want a surgeon who has done some form of eyelid surgery training and has some experience and proven results. Safety is the number one concern when it comes to eyelid surgery. Ask to see some before and after photographs, specially for other patients from the same age group and who have similar features to yours.
Bring an old picture
One thing I wished my patients brought with them during consultation is an old photograph, when they were younger. It helps understand the aging changes and how to surgically reverse them.
Disclose prior eyelid procedures
This includes prior blepharoplasty or eyelid lift, and other procedures like filler under or around the eyes. You do not want your surgeon to find out during surgery that you had a prior cosmetic or reconstructive eyelid procedure, or to encounter filler material during surgery. Prior surgery can cause significant scarring and soft tissue loss, which your surgeon should ideally prepare and plan for. Certain ocular or “eyeball” surgeries such as LASIK must also be disclosed as they impair the eye protective reflexes and can increase the risk of dryness of the cornea after surgery. You should wait for at least 6 months after a LASIK procedure to get an eyelid surgery done.
Avoid excessive tissue removal
It is hard to get too technical, however, I think it is wise to have an idea of how much skin and fat will be removed. Your surgeon should follow a balanced approach and err on the conservative side. The right amount of skin should be removed. When I remove excess fat, I tend to add it somewhere else to preserve the overall volume around the eye.
Adding volume to the brow and cheek make the eyes look more youthful and beautiful. It helps blend in and refine the results. It shouldn’t be overdone though!
Don’t totally dismiss a brow lift
Lifting the tail of the brow almost always make the results of the upper lids better. There is no doubt that it restores the attractive proportions of the upper lid. Ask your surgeon if it’s recommended. Many times, Botox can give you just the minimal lift you need!
Tell your surgeon if you have dry eyes
If you suffer from dry eyes, if you use lubricating eye drops every day, or if you are intolerant to contact lenses, let your surgeon know. Eyelid surgery including blepharoplasty well make your dry eyes worse, at least temporarily. Your surgeon may follow a more aggressive lubrication measures after surgery or use a more conservative approach.
Give yourself time to recover
Clear your social calendar for 4 weeks. No matter how conservative the approach is, you will have swelling, and sometimes it lasts longer than that. My general guidelines are no air travel or exercise for the first two weeks, then no rigorous exercise for an additional 2 weeks. You probably don’t want to be in a social function or event in the first 4 weeks unless you are planning on wearing sunglasses! You should however be able to cover up with light make up and go out for dinner after two weeks. Same thing goes for return to work. Here is a tip for going back to work, wearing reading glasses, even fake ones, help camouflage any residual swelling around the eyes.
Discuss with your surgeon safety measures
At the end, it’s all about safety. Don’t be shy, ask you surgeons about the measures and techniques he uses during surgery to maximize the safety of the procedure and help prevent post-operative complications. This is an expected question and a discussion that I routinely have with my patients.
Schedule your Chicago Eyelid Surgery Consultation
If you’d like to schedule a consultation with Dr. Alghoul to discuss your eyelid surgery treatment options, please call (312) 695-3654 or contact us via email.