Upper Eyelid Surgery

A cosmetic blepharoplasty (eyelid surgery) is the removal or re-positioning of skin, muscle, and fat of the upper eye lids. In the upper lid, the incision is made and hidden in the natural lid crease. Eyelid surgery can help reduce and/or eliminate the signs of aging such as crow’s feet, excess skin, dark circles, and eyelid droop.

Because excess skin, muscle, and fat are consequences of aging, most patients feel that blepharoplasty improves their appearance and makes them feel more youthful. It is important to recognize others may have difficulty adjusting to changes to their appearance. Carefully evaluate your goals and your ability to deal with changes to your appearance before agreeing to this surgery. During your consultation with Dr. Reiter, you will be given the opportunity to review your medical history, and discuss the results you expect to achieve with eyelid surgery.

Recovery time will vary from patient to patient, however most patients will be able to return to normal daily activities within a few days of surgery.  There can be some swelling, bleeding, and discoloration following the procedure, however Dr. Reiter will provide each patient with detailed information to make the recovery process as comfortable as possible.

1. How do I know if I am a candidate for a blepharoplasty?
Determining if you’re a candidate for a cosmetic blepharoplasty begins with a consultation with your physician of choice.  An oculoplastic surgeon is trained to operate in and around the structures of the eye while maintaining the integrity of the orbital area.  During your consultation, it is important to disclose your full medical history along with current and past medications and any medication allergies. Your full disclosure will allow a physician to make an informed decision regarding your care. Not everyone is a candidate for surgery. You may be a candidate if you possess the following:

  • Good general health
  • No previous eyelid or facial surgeries
  • You are prepared for the effects of surgery, downtime, and are willing to follow physician pre and post-operative instructions
  • Have realistic expectations for your surgical outcome
  • Have NOT been diagnosed with any psychiatric disorders such as depresseion, anxiety, schizophrenia, etc…

2. Where is surgery performed?
A cosmetic blepharoplasty can be performed in an in-office procedure room, or more commonly, an outpatient surgical center.  With your cosmetic blepharoplasty at Visione 360, patient safety and care is our main concern.  The location of your procedure will depend on your general health and the recommendations of the physician.  

3. Is anesthesia used for this procedure?
In most circumstances, a cosmetic blepharoplasty is done with moderate sedation and local anesthesia. This means that patients are given medication for comfort, either intraveineous or oral, and local anesthetic is injected into the surgical site. For some patients, depending on their health and physician recommendations, general anesthesia may be required to perform the procedure.  It is important prior to your cosmetic blepharoplasty with Dr. Reiter at Visione 360, that you disclose all health information and follow all of the physician recommendations.

4. Will there be scars after my cosmetic blepharoplasty?
Making any alteration to the natural appearance of our body may lead to scarring or discoloration. When a blepharoplasty is performed, the physician will try and reduce the appearance of scarring by placing the incision in the natural crease of your eyelid.  It is important to note, scarring varies from person to person, and your medical history may impact your surgical result. It is important to disclose all medical information to your physician prior to any surgical care.
5. How long is the recovery time following a cosmetic blepharoplasty?
Following a cosmetic blepharoplasty, patients can expect some mild bruising, swelling, and pain. Under the best circumstance, swelling, bruising, and pain will subside with 2-3 days following surgery, but can last for several weeks.  At visioné 360, you will see the physician 1 day following your cosmetic blepharoplasty, and then again in 1 week to remove stitches. The full healing process can last several months, but most patients can resume normal daily activities at about 3 weeks following surgery. For your customized treatment plan, Dr. Reiter and his staff will give you detailed post-operative instructions for your cosmetic blepharoplasty.

6. What are the major risks of a cosmetic blepharoplasty?
Risks of blepharoplasty include but are not limited to:  bleeding, infection, an asymmetric or unbalanced appearance, scarring, difficulty closing the eyes (which may cause damage to the underlying corneal surface), double vision, tearing or dry eye problems, inability to wear contact lenses, numbness and/or tingling near the eye or on the face, and, in rare cases, loss of vision. You may need additional treatment or surgery to treat these complications; the cost of the additional treatment or surgery is not included in the fee for this surgery. Due to individual differences in anatomy, response to surgery, and wound healing, no guarantees can be made as to your final result. For some patients, changes in appearance may lead to anger, anxiety, depression, or other emotional reactions.

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