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Eyelid Plastic Surgery: Blepharoplasty

From Premium Lens Implants to Blepharoplasty and Refractive Surgery our surgeons are experts on the safest and most state-of-the-art technology.

The surgeons at Atlantic Eye Institute are able to help our patients with improvements in their appearance as well as in their vision. They have unique knowledge of the eyelid and orbital anatomy as ophthalmologists trained in oculo-plastic surgery and have done thousands of upper and lower lid blepharoplasties, brow lifts and ptosis procedures–on male and female patients–with natural, not artificial-looking, results.

How We Can Help Excess eyelid skin may interfere with vision or contribute to infections as bacteria is trapped in the skin folds and at the lid margins. Removing this excess skin usually clears susceptibility to blepharitis and immediately produces a younger, more rested appearance. Our practice also assists older patients who have developed entropion (turning in of the lower lid usually with eye irritation from inturning eyelashes) or ectropion (turning out of the lower lid exposing both the lower eyeball and lid conjunctiva). Both of these conditions can predispose a patient to infection. Entropions, ectropions and lid drooping (ptosis) are repaired expertly at Atlantic Eye Institute. Eyelid wound or trauma, cancer of the lids or orbit, and revision of prior, unsatisfactory lid surgery can be successfully addressed by our surgeons.


Blepharoplasty is plastic surgery of the eyelids. In this common procedure for both men and women, excess skin and fatty tissue are removed from around the eyes. Drooping eyebrows can also be corrected at the same time.

Why is blepharoplasty performed?
Blepharoplasty can be done to improve both visual function and cosmetic appearance. Excessive upper eyelid tissue can block the upper field of vision. Correction of overhanging skin folds will improve the function of the upper eyelid and peripheral vision. Even if vision is not affected, blepharoplasty may be performed to improve a sagging, tired appearance.

What causes the excess eyelid tissue to form?
Due to the effects of the sun, diet, pollutants, gravity, heredity, aging, and the simple act of blinking, the skin around they eyes begins to loosen and relax. Over time, sagging occurs from the force of gravity pulling the eyelid tissue. Changes also occur in the fatty tissue located just beneath the skin. These normally firm fat pads begin to protrude, causing bulges or “bags” to form under the eye.

What are the symptoms that indicate blepharoplasty is needed?
Sagging, drooping eyelids can interfere with vision and appearance. Removing this tissue can improve vision and make a person look dramatically younger and more energetic. In addition to changes in appearance and limited field of vision, excess eyelid tissue can cause discomfort, brow ache, and fatigue. In some cases, excess skin may even cause the eyelashes to turn in and irritate the eye.

How is blepharoplasty performed?
Excess skin and fatty tissue are removed from around the eyes. Upper and lower incision lines are marked along the natural skin folds of the eyelids. The fine incisions made are hidden in the natural skin folds or lash lines of the eyelids and are almost invisible during healing. Fine sutures used to close incisions will either dissolve on their own or may be removed several days after surgery. In surgery on the lower eyelids, the incision is made on the inside of the eyelid making it completely invisible after surgery. Blepharoplasty is usually performed on an outpatient basis under local anesthesia, depending on the amount of reconstruction needed, the patient’s preference, and health. After surgery quiet rest with the head elevated is recommended to relieve any soreness or discomfort. Cold compresses are applied to reduce swelling and bruising which may last several days. You will need to keep the eyelids clean and use antibiotic ointments after your blepharoplasty procedure.

What are the results of blepharoplasty?
The results of blepharoplasty can be quite dramatic, with the final outcome dependant on many factors including the extent of reconstructive work required, the patients skin structure, age, and the healing process. Expected benefits and risks should be discussed with the doctor prior to having surgery. Incision lines which are hidden in the natural skin folds of the upper eyelids may initially appear as fine red lines which fade over time. Ultimately the fine, hairline scars become virtually unnoticeable. In most cases blepharoplasty is can successfully improve visual function and physical appearance.

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