Looking Tired All The Time?

Because the skin around our eyes is thin and even somewhat transparent, it often begins to show signs of aging long before other parts of our face and body. Lower eyelid droopiness, puffy upper eyelids, fine wrinkles, bags, and dark circles can all cause us to look older than our years.

A healthy diet, being well-hydrated, getting enough sleep, and avoiding eye irritants like cigarette smoke and dust can certainly go a long way to minimizing these problems. Yet, sometimes, more needs to be done to return the youthful look of one’s eyes.

Aesthetic eyelid surgery has become increasingly popular as the trend towards maintaining beauty through every age continues to grow. Also called blepharoplasty, eyelid surgery is commonly performed on both men and women who want to rejuvenate their appearance.

Before eyelid surgery is recommended, other non-surgical treatments are typically first considered. These can include Botox or chemical peels for smoothing out crow’s feet and dermal fillers to minimize the look of dark under eye circles.

If you are a good candidate for eyelid surgery, your doctor will evaluate your particular facial structure and make recommendations based on the amount of fat and skin in the eyelid area, the condition of the muscles around your eyelids, and the position of your eyebrows. Surgery may be recommended on just the upper or lower eyelids or both depending on your particular situation.

Upper Eyelid Surgery
This surgical procedure is frequently performed to remove loose skin hanging down from the upper eyelids. In some cases, the skin is impairing vision. Typically, an incision is hidden within the fold of the upper eyelid. Excess skin and tissue is removed through this incision.

Lower Eyelid Surgery
There are several different approaches that may be taken to lower eyelid surgery, all depending on the reasons your eyes look puffy.

If the cause of puffiness is extra fat, but not excess skin or wrinkling, a transconjunctival blepharoplasty can be performed. This is a minimally invasive procedure that has absolutely no external scarring. The treatment is performed on the interior of the eyelid and removes fat only, not skin or muscle. This is a simple procedure with nearly no down time.

If you have severe puffiness due to fat, excess skin, and wrinkling, a standard lower eyelid surgery is best. Similar to the upper eyelid surgery, an incision will be made along the lower eyelashes where extra skin and fat will be removed. In some cases, this type of surgery is also used in conjunction with a laser to tighten the skin.

Risks involved with upper and lower eyelid surgery are very rare. However, it’s always smart to discuss your concerns and medical health history with your surgeon prior to any procedure. To minimize risks, it’s also important to follow all advice and instructions of your surgeon both before and after eyelid surgery. To learn more, review a few of our patients’ before and after photos, and schedule a consultation with Dr. Shapiro today.


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