Cosmetic and Plastic Surgeons

Occasionally, an eyelid lift may not go as planned. According to Dr. Francis Palmer, a Beverly Hills plastic surgeon, eyelid surgery can also be done as a revision or secondary procedure to remove skin and fatty tissue. He discusses that this procedure may be performed as a result of fat and skin that were missed in the initial blepharoplasty procedure. Also, it may be performed after a few years where aging has occurred and the tissues have again fallen. He also explains that residual fat is common in the inside portion of the upper eyelid and outer portion of the lower eyelid.

I was looking for information on cosmetic eyelid surgery, specifically how long the surgery takes to perform. I ended up looking online and found a Utah plastic surgeon’s website. It says, “The surgery generally takes about one to three hours and is most often performed in the physician’s office. If additional cosmetic procedures are being performed, the eyelid surgery will most likely last longer.” That was actually longer than I had expected, but I guess for the best results it takes time.

I have been curiously thinking where a blepharoplasty procedure is probably performed. I decided I would get an answer to my question by searching online. I found a Kansas plastic surgeon with an answer. He says, “Your eyelid surgery may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite.”

I’m receiving a blepharoplasty in the fall and I have been wondering where the incision is placed and if the scar is visible. I looked around on the internet for an answer and found a West Palm Beach plastic surgeon’s website. I’m very pleased that it says, “The upper eyelid incision is hidden very well back within the deep crease that is seen when the eye is shut, but retracts back when the eyelid is open.”

Typically the incisions follow the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The eyelid surgery incisions may extend into the crow’s feet or laugh lines at the outer corners of your eyes. Working through these incisions, the surgeon separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.

Oftentimes patients complain that they appear more tired than they feel. Sometimes fat is repositioned from the lower eyelid into the deep tear troughs or the deep depressions that exist at the bottom of the lower eyelids. The incisions are easily hidden below the eyelashes of the lower eyelids and sometimes performed with no incision on the lower eyelid whatsoever, called a transconjunctival blepharoplasty. The upper eyelid incision is hidden very well back within the deep crease that is seen when the eye is shut, but retracts back when the eyelid is open. Many times eyelid surgery is performed at the same time as a face lift or a brow lift.

Traditional Blepharoplasty: An incision is made in the crease of the upper lid toward the temples. Once healed, it is not noticeable when the eye is open. On the lower lid, the incision is made along the lash line toward the temples, and is hidden by lashes when healed.
The Transconjunctival Approach: This is a newer technique for blepharoplasty, involving an incision inside the lower lid. Fat can be removed through this incision, but excess skin cannot be eliminated.

Your eyelid surgery may be performed in a hospital, free-standing ambulatory facility or office-based surgical suite. Medications are administered for your comfort during the surgical procedure. Frequently, local anesthesia and intravenous sedation are used for patients undergoing eyelid surgery, although general anesthesia may be desirable in some instances. For your safety during the operation, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood.

The decision to have plastic surgery is a difficult one to make without the proper help. A board certified plastic surgeon can help you with all your questions.

The blepharoplasty operation is designed to improve your appearance as much as possible. One must accept the judgment of your surgeon and realize that he or she will remove all the excess tissue to effect the optimum result for each patient. If a patient has very droopy brows, it may be impossible to obtain a significant improvement of upper eyelid appearance without first raising the brows. The blepharoplasty (without a browlift) does not affect droopy eyebrows. Your surgeon may suggest a browlift with you if he or she feels that your most significant problem is brow drooping.

For the upper eyelid surgery, an incision is made along the natural fold of the eyelid, extending from corner to corner, and excess fat and skin is removed. For the lower lids, the incision may be made right below the lower lash line and excess skin, fat and muscle removed. The underlying muscles may also be tightened by your plastic surgeon.

Eyelid surgery can make you look years younger and change one’s appearance from a tired, sad and angry look to an alert, rested and peaceful look. The eyelid lift operation is designed to remove excess skin and bagginess around the eye area. The wrinkles around the eyes are etched into the skin and cannot be removed by this procedure. A laser resurfacing procedure may be desired if the patient would like to decrease fine line wrinkles.

When cosmetic eyelid surgery is performed by a qualified plastic surgeon, complications are infrequent and usually minor. But you should always expect risks and discuss with your eyelid surgery plastic surgeon about the pros and cons involved.

1. The minor complications after the surgery include double or blurred vision for a few days.
2. Temporary swelling at the corner of the eyelids.
3. A slight asymmetry in healing or scarring.
4. Tiny whiteheads may appear after your stitches are taken out, which can be removed easily with a very fine needle.
5. Another complication is ectropion, a pulling down of the lower eyelid which requires further surgery.

The initial consultation with your surgeon regarding your eyelid surgery is very important. The surgeon will need your complete medical history, so check your own records ahead of time and be ready to provide this information. Be sure to inform your surgeon if you have any allergies; if you’re taking any vitamins, medications (prescription or over-the-counter), or other drugs; and if you smoke.
You and your surgeon should carefully discuss your goals and expectations for this surgery. You’ll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate.

Cosmetic eyelid surgery or blepharoplasty is done to improve the appearance of the upper or lower eyelids. The primary goal of upper eyelid surgery is to remove the excess skin and fat, whereas the goal of lower eyelid surgery is to remove mostly excess fat. The fat in the lower eyelids is a genetic trait and is referred to by many as puffiness. Typically, patients will say that they look older than they feel when they look in the mirror.

Blepharoplasty, also called an eyelid lift, is the most common facial plastic procedure performed in my office. The first signs of aging to appear in the mid to late 30’s are almost always related to the eyes. Furthermore, psychological studies show that 50 percent of our initial impression of a person is made on the basis of the appearance of the eyes. The eyes tell others if we are sad, happy, angry or tired. Blepharoplasty corrects the appearance of droopy upper eyelids and puffy bags of the lower eyelids, and it produces dramatic and predictable results. It is very common to hear family and friends of eyelid patients compliment them that they look more rested and relaxed. Quite often, even these close acquaintances do not realize that surgery was performed. The recovery is very rapid and you can resume a normal routine in one to two days. The sutures come out in four days, and makeup can be resumed on day five.

Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat–usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift.

An eyelid lift (eye surgery) otherwise known as blepharoplasty, focuses on the eyes, which occupy a very prominent part of our facial features. It is the surrounding skin, rather than the eyes themselves, that conveys emotion. The tissue, muscle, fat, hair and lashes all contribute to the wide array of expressions. Age, sun exposure and hereditary factors all contribute to wrinkles, deep lines and puffiness around the eyes.
The aging process can cause unwanted changes in expression, causing us to look permanently fatigued and older than we really are. These changes in appearance can cause emotional distress and sometimes even visual impairment. An eyelid lift is designed to restore a more youthful appearance to your eyes. It may involve the upper lids, the lower lids, or both.

The exotic look of a surgically revised asian eye has been perfected by some plastic surgeons. The procedure involves creating a pleasing double fold above the single eyelid. This procedure widens the eye into a beautifully shaped almond. Fine sutures leave no significant evidence of surgery.
I had no idea they had a completely different surgery for Asian eyelids. I wonder if it is more difficult than American eyelids. Has anyone had an experience with this that they would like to share?

Excess skin and fat around the eyelid area can negatively affect your appearance and, in extreme cases, impair vision. Removing excess fat and skin from the upper and lower eyelid area can create a more youthful and refreshed appearance. During the eyelid surgery, an incision is made in the crease of the eyelid and excess skin and fat are removed.

Blepharoplasty can correct drooping upper lids and puffy bags below your eyes. These are the features that make you look older and feel more tired than you are, and may even interfere with your vision. However, it will not remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as facelift or browlift.

Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat–usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.

There are essentially two major problems that affect the eyelids. One is the build up of excess fat behind the eyelids, especially in the lower eyelids. This pushes outward on the eyelid causing a bulge or “bag” to develop. Light, which most often comes from above us, will shine on the bulge and cause a shadow to form under the lid. This gives the appearance of dark circles and the tired-look. A board certified plastic surgeon can answer any questions about eyelid surgery that you may have.

Eyelid surgery is also called blepharoplasty. This involves the removal of fat usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes. These features may make you look older and more tired than you feel, and may even interfere with your vision. This procedure doesn’t involve crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows.

Blepharoplasty, also called an eyelid lift, is the most common facial plastic procedure performed at the Cosmetic Plastic Surgery Center Of San Diego. The first signs of aging to appear in the mid to late 30’s are almost always related to the eyes. Furthermore, psychological studies show that 50 percent of our initial impression of a person is made on the basis of the appearance of the eyes.

Eyelid surgery is a procedure to correct drooping of the upper eyelids and puffy bags and wrinkles around the lower eyelids. With age, the muscles around the eyes weaken and the skin becomes increasingly loose and puffy, which can cause patients to look older and more tired than they actually feel. Eyelid surgery helps restore a youthful appearance by removing or redraping excess fat, muscle and skin from the upper and lower eyelids. Either alone or combined with other facial rejuvenation procedures, eyelid surgery can drastically reduce the signs of aging.

There are essentially two major problems that affect the eyelids. One is the build up of excess fat behind the eyelids, especially in the lower eyelids. This pushes outward on the eyelid causing a bulge or “bag” to develop. Light, which most often comes from above us, will shine on the bulge and cause a shadow to form under the lid. This gives the appearance of dark circles and the tired-look.

The second major problem affecting eyelids is wrinkling of the skin. This is due to a loss of the skin’s natural elastic properties, which can be as a result of the aging process, sun damage and cigarette smoking. The excess skin can become redundant and hang down, especially on the upper lids, adding to that tired or aged appearance. Excessive drooping of the upper eyelids can even obstruct vision.

Surgical treatment, called a Blepharoplasty, is directed at each of these problems. A Beverly Hills Plastic Surgeon has been a pioneer in developing a remarkable method of Blepharoplasty, which employs the use of the laser. This ultra skilled approach represents a blend of the highest level of safety with the best aesthetic results.

Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat–usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift.

If you’re interested in creating a whole new you, a Board Certified Plastic Surgeon can help you design a complete makeover.

Has anyone ever had a blepharoplasty procedure performed on them?

Plastic surgeons use facial implants to improve and enhance facial contours. Frequently, these implants will help provide a more harmonious balance to your face and features so that you feel better about the way you look.

Cheek implant surgery usually takes about 30 to 45 minutes. When cheek implants are being placed in conjunction with another cosmetic procedure, such as a facelift, forehead lift or eyelid surgery, the implants may be inserted through the incisions made for those procedures. Otherwise, an incision will be made either inside your upper lip or your lower eyelid. A pocket is then formed and an implant is inserted.

After surgery, a dressing will be applied to minimize discomfort and swelling. The severity and duration of such side effects may vary, especially if another cosmetic procedure was performed at the same time.

If you are considering cheek augmentation in Phoenix Arizona contact cosmetic surgeon Robert Marouk. Facial plastic surgery procedures offered at the Cosmetic Surgical Art Center in Phoenix Arizona include facelift surgery, rhinoplasty, neck lift surgery, blepharoplasty, lip augmentation and ear surgery.

As people age, effects of gravity to the sun, and the stresses of daily life can be seen in their faces. Deep creases form between the nose and mouth, the jaw line grows slack and jowly, folds and fat deposits appear around the neck. One should know that the face lift can’t stop the aging process. It can only “set back the clock”, improving the most visible signs of aging by removing excess fat, Tightening underlying muscles and re draping the skin of your face and neck. A face lift can also be done along with other procedures such as forehead lift, eyelid surgery or nose reshaping.
Suitable candidate for face lift:
* A man or a woman whose face and neck have began to sag but whose skin still has some elasticity.
* Whose patients bone structure is strong and well defined.
* Most patients are in their forties to sixties. But face lift can be done successfully on people in their seventies or eighties as well.
* A face lift can make you look younger and fresher may enhance your self confidence in the process. But it can’t give you a totally different look, nor can it restore the healthy and vitality of your youth.
Risks involved:
* When a facelift is performed by a qualified plastic surgeon, the complications and risks involved are minor. By following the doctors advise closely you can reduce your risks.
* Hematoma C a collection of blood under the skin that most be removed by the surgeon.
* Injury to the nerves that control facial muscles which are usually temporary.
* Infection and reactions to anesthesia.
* Smokers are usually affected by poor healing.

What is a blepharoplasty?
Over time, during normal aging or even with weight loss, the face will change resulting in excess skin laxity, joweling, wrinkling and even elongation of the facial skeleton itself compelling patients to seek correction. In addition, the skin of the eyelids may also sag resulting even in obstruction of vision. Eyelid surgery aims to restore the eyelid by removing excess skin, fat, and muscle. Dr. Kayser is a Michigan Plastic Surgeon who is Board Certified in Plastic surgery. As a perfectionist, Dr. Kayser will take all measures necessary to ensure that your results are the best that he can offer.

How long does a blepharoplasty last?
Although aging will always continue, one can expect long term changes with their eyelid surgery.

In addition, as the face ages, it actually looses volume and current trends in facial rejuvenation include the actual transfer of your own fat to help restore the natural contours of youth. This can also be applied to the periorbital region (the area around the eye) whereby the fat that is normally removed can actually be used to replace the volume lost in the upper cheek. Read Dr. Kayser’s article on fat grafting (Lipostructure) or call Dr. Kayser for a complete consultation to answer all your questions.

Can other procedures be combined with a blepharoplasty?
The face can actually be divided into thirds with the upper third including the forehead the middle portion including the eyes and lower third including the cheeks and jowels. These areas can easily be combined with eyelid surgery and actually help to maintain a uniform appearance.

How can I schedule a consultation with Dr. Kayser?
Considering a blepharoplasty is usually a well thought out process and, at Image by Design Plastic Surgery, we strive to ensure that all your questions are fully answered. Indeed, it is Dr. Kayser himself who conducts the entire consultation - a complete and thorough evaluation dedicated to each patient by the plastic surgeon that will be performing the procedure. This may take more time but it is essential so that each patient can make a fully informed decision.

The chemical peel is a widely accepted procedure to eradicate fine wrinkles in the skin. The procedure can be performed alone or at a later date after face lift or eyelid surgery.

Patients with fair complexions are better candidates as the chemical peel can remove pigment from the skin creating a line of demarcation between treated and untreated skin in patients with darker complexions.

The chemical peel creates a raw surface which heals in approximately ten days. Once healed, makeup can be applied. The peeled skin is initially red and rapidly fades to pink. This pink color may last for several months. Care must be taken to protect this skin from sun exposure by using a sun screen for at least six months.

Light chemical peels can be performed in the office. Deeper or full face peels are performed on an outpatient basis in a surgical center.

A forehead lift addresses the area of the upper face. It restores a more youthful, refreshed look to the area, making you look less tired, angry, or sad, by correcting drooping brows and improving the horizontal lines on your forehead. It is frequently performed with an upper lid blepharoplasty and can be performed with a face lift to provide facial balance and harmony.

The goal of the procedure is to raise the brow to a more aesthetically appealing position. It will also improve fullness over the outside corner of the lid, a scowling appearance of the eyes and horizontal frown lines of the forehead. It is not intended to create a look of surprise or what is commonly called the “deer in the headlights” look. Botox is not a substitute for a forehead lift, it can give you an idea of what to expect. Dr. Friedlander will show you potential areas of benefit during your consultation.

Several different approaches may be used, such as an endoscopic approach, a lateral brow and transblepharoplasy approach and rarely a coronal approach. Most often, only small incisions are required. The procedure is often performed with face lift and/or blepharoplasty. There may be some postoperative swelling or bruising, which resolves relatively quickly. You are able to return to work in a week if no other surgery is being performed.

The new CO2 pulse lasers are effective for treating fine wrinkles that occur with aging and exposure to the elements. We are using them for blepharoplasty and facial resurfacing either with or without facelift surgery. The laser also treats the vertical wrinkles that occur in the upper lip area. This new method for Laser Skin Resurfacing takes advantage of the abilitt of the laser to penetrate the skin to a precise depth. The consistency and degree of penetration affords an even effect over the entire treated area. The superficial skin is shed and new skin regenerates, providing a fresher, smoother appearance.

After the treatment the skin resembles a deep sunburn for about ten days. The redness fades and turns pink within a few weeks. Makeup can easily camouflage the pink color which disappears in one to three months.

During the healing process, we advise that patients avoid prolonged exposure to the sun.

Potential postoperative complications of pigmentary changes of the skin are managed through the preoperative and postoperative use of hydraquinone and retinoid creams. Hypertrophic scars and keloids are other problems for which the laser has application. The laser also removes small blood vessels, birthmarks, and tatoos from the skin.

For Laser Skin Resurfacing in Los Angeles Contact Board Certified Plastic Surgeon Dr. Keyes.

Eyelid surgery (technically called blepharoplasty) is a procedure to remove fat–usually along with excess skin and muscle from the upper and lower eyelids. Eyelid surgery can correct drooping upper lids and puffy bags below your eyes - features that make you look older and more tired than you feel, and may even interfere with your vision. However, it won’t remove crow’s feet or other wrinkles, eliminate dark circles under your eyes, or lift sagging eyebrows. While it can add an upper eyelid crease to Asian eyes, it will not erase evidence of your ethnic or racial heritage. Blepharoplasty can be done alone, or in conjunction with other facial surgery procedures such as a facelift or browlift.

If you’re considering eyelid surgery, this information will give you a basic understanding of the procedure-when it can help, how it’s performed, and what results you can expect. It can’t answer all of your questions, since a lot depends on the individual patient and the surgeon. Please ask your surgeon about anything you don’t understand.

Your New Look
Healing is a gradual process, and your scars may remain slightly pink for six months or more after surgery. Eventually, though, they’ll fade to a thin, nearly invisible white line.

On the other hand, the positive results of your eyelid surgery-the more alert and youthful look-will last for years. For many people, these results are permanent.