Blepharoplasty is a surgical procedure used to address sagging or puffy eyelids offered by Dr. Baucom. For many people, the eyes are the feature they are most proud of. Everything from color to shape defines the attractiveness of the eye. The eyelids can also profoundly the look of the eyes. Many people complain that their eyelids make them look “tired” or that they have dark circles under the eyes.
From placing cucumber slices to using eye drops to to using various cosmetics that relax the eyes, people try everything to restore an alert appearance. These attempts are often ineffective. At Baucom & Mina Derm Surgery, LLC, we offer a number of treatment approaches to refreshing the eye area, including blepharoplasty.
We believe that every patient has different needs, and based on their needs, we offer the treatment that best suits them. We emphasize that a customized approach to each patient is necessary to address his or her concerns. Individual procedures from the following list may be utilized or, frequently, some procedures are combined to provide the best result.
Blepharoplasty (or “eyelid lift”)
Sagging eyelids and bags under the eye are very common as you age. When you age, the muscles supporting your eyelids weaken and start to stretch. Excess fat starts to accumulate above and below the eyelids, leading to bags under the eyes and droopy eyelids. Apart from making you look old and tired, severely sagging skin can also reduce your peripheral vision.
Most commonly performed on the upper lids, eyelid surgery removes excess skin and possibly protruding fat to recontour the lid. Blepharoplasty can not only make your eyes appear younger and brighter, it can also reduce or even eliminate vision problems.
The procedure is done to address the following concerns:
- Puffy bags under the eyes
- Excess skin on the lower lids
- Excess skin on the upper lids that interferes with the vision
Blepharoplasty can be performed along with other procedures such as a facelift, brow lift, or even skin resurfacing.
At Baucom & Mina Derm Surgery, LLC, the procedure will start with a consultation with an experienced doctor, who will determine whether you are a suitable candidate for the procedure.
We perform eyelid surgery using local anesthetics and some medication to help the patient relax; we thus avoid the risks associated with general anesthesia. Small incisions are created in the upper and/or lower eyelids, and then tissues are adjusted as needed. Finally, the incisions are closed using dissolvable sutures.
As a relaxing medication has been given and the eyelids can be swollen following the surgery, the patient is required to have someone drive him or her home. The incision heals in about 5 days and the sutures dissolve. Patients considering this procedure should expect some degree of bruising and swelling that may be noticeable for a week or so.
Before and After
Non-Surgical Alternatives to Blepharoplasty
Blepharoplasty is not the only solution to eye and eyelid issues. We also offer non-surgical alternatives, including the following:
Botox – Botulinum toxin is a neurotoxic protein that is produced by the bacterium Clostridium Botulinum and related species. It is a prescription chemical that is used to reduce the appearance of wrinkles and fine lines. Botox injections block signals from the nerve into the muscle, temporarily paralyzing your muscle activity and relax your facial muscles. Botulinum toxin can be carefully injected around the eye and brow area to reduce dynamic squinting and “crow’s feet;” often one can obtain a modest lift of the lateral brow if this is desired.
Chemical and laser peeling – A chemical peel is a technique in which a chemical is applied to the skin, making dead and damaged skin cells blister and peel off. The treatment removes the outermost layer of the skin and leaves behind smoother and less wrinkled skin. Laser peeling achieves a similar result using laser energy. Resurfacing procedures are used to improve the overall texture and quality of the skin itself. Many sun spots and fine lines are significantly improved with these procedures. Typically, the entire face is addressed at the same time to provide a unified enhancement.
Fillers and fat grafting – Dark circles under the eyes are often really grooved with shadows. These grooves (or “tear troughs”) can be inherited or can develop as part of the volume loss that occurs in the face as part of aging. Limited cases can often be addressed with an injectable filler agent, commonly a hyaluronic acid gel such as Juvederm and Restylane. More extensive volume loss will be more appropriately corrected with a fat transfer/fat grafting procedure where fat is suctioned from one area and injected to another.
Retinoids and sunblocks – A topical skin care regimen may also be prescribed to improve the skin. We, of course, recommend a daily sunblock with a minimum SPF of 15. Retinoid creams (Retin-A, Renova, etc…) are utilized to stimulate the skin to manufacture new collagen and to refresh the surface of the skin. These are prescription agents that are applied at night.
Other Facial Plastic Surgery
Some patients will have cosmetic issues that are better approached with a more extensive surgical approach. For example, some patients will complain of heavy upper lids but in reality have brows that have sagged and need to be lifted. Other patients will have such skin laxity that some sort of facelift procedure is indicated. We will assist in referring you to facial plastic or general plastic physicians that have specific experience in these procedures. If you would like to schedule an appointment for more information you can contact us here.