The number of surgical and minimally invasive cosmetic procedures continues to rise, according to the American Society of Plastic Surgeons (ASPS). Eyelid surgery, or blepharoplasty, is one of the top five cosmetic procedures performed in the United States as people look for ways to retain youthfulness and improve the appearance of the area around their eyes.
Surgical options exist for the following problems:
• Puffiness caused by fatty deposits around the eyelids
• Droopy eyelids
• Under-eye bags
• Excess or loose skin and wrinkles around the eye
Your doctor may decide to perform one of the procedures described below.
• Cosmetic Blepharoplasty
This is an elective surgery, one that you choose to have done rather than one that is medically necessary. The goal is to achieve a more youthful or attractive appearance. Most cosmetic eyelid surgeries are performed to relieve signs of aging.
As we age the skin around our eyes weakens and stretches, we lose fat deposits under the skin. Sometimes our eyelids and eyebrows begin to sag and droop. When these changes cause us to feel self-conscious, we can have a surgeon try to restore our look.
• Functional Blepharoplasty
This is eyelid surgery that is medically necessary. It’s usually performed to remove loose skin from the upper eyelid that has started to interfere with your vision or interferes with wearing contacts and glasses.
Functional eyelid surgery may also be performed to reduce strain on the forehead caused by muscles working too hard when lifting sagging brows, or when there’s irritation caused by excess skin in the area rubbing together.
• Lower Eyelid Surgery
Lower eyelid surgery addresses sagging, bags under your eyes that give the impression you aren’t well rested. These sags are usually formed by pockets of fat that accumulate under the eyes; these pockets become noticeable as the skin in that location loses its elasticity.
An incision is created just under the eyelashes then the skin and fat are repositioned and smoothed. Often the process includes removing some material to achieve the desired results.
• Ptosis Surgery
Ptosis (TOE-sis) is the technical term for when your upper eyelid droops to where it covers your pupil. This is usually a result of a nearby tension stretching; the muscle attached to it no longer properly lifts the eyelid.
It can affect one or both eyes. Most cases result from age-related issues, but it can sometimes be congenital. It’s not uncommon for ptosis to occur after cataract surgery or even a stroke.
Surgery to correct this defect involves repairing the elongated tendon responsible for lifting the eyelid.
Lots of options exist, but the best eyelid surgery is not the same for everyone. Consult with a board-certified surgeon to determine which procedure will deliver your expectations.