About Eyelid Surgery
They say that the eyes are the window to the soul. Your eyes attract immediate attention and should be the most attractive aspect of your face, as they can elicit either a negative or positive first impression. For instance, heavy, droopy upper eyelids can make individuals appear not just older, but also sad and tired. Lower eyelid bags and dark circles can also render a similar unflattering appearance.
Double board-certified plastic surgeon Dr. George A. Toledo performs blepharoplasty, also known as eyelid surgery, to lift and tighten the upper or lower eyelid and create a more youthful, refreshed look. In the last 30 years, hundreds of men and women have undergone eyelid surgery at the Highland Park Plastic Surgery Center; this procedure can create a softer, younger appearance and can produce subtle, yet striking, improvements.
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Ideal Candidates
The best candidates for eyelid surgery are men and women in their 30s or older who are unhappy with the appearance of dark, puffy under-eye bags or sagging upper eyelids. It is important for patients to be in good health and to disclose any medical conditions or medications to Dr. Toledo prior to treatment. Individuals with diabetes, thyroid problems and dry eye may not be suitable for this procedure. It is also important for patients to have realistic expectations regarding the outcome of surgery. Although an eyelid lift can address existing signs of aging, it cannot stop the aging process altogether. Those individuals who are seeking a more comprehensive change may pursue additional cosmetic procedures such as a facelift or a forehead lift.
Surgical Technique
Dr. Toledo’s philosophy on eyelid surgery is to achieve conservative restoration of the original shape and contour of the eyelids. Over-resection of skin, muscle, and fat-which was common practice 20 to 30 years ago-should be avoided. Dr. Toledo carefully preserves and repositions the fat.
Dr. Toledo performs eyelid surgery at his state-of-the-art facility, the Highland Park Plastic Surgery Center, using the latest surgical techniques. Depending on the extent of the blepharoplasty, either general anesthesia or IV sedation will be used. Eyelid surgery can be performed on just the upper or lower lids, but frequently both are operated on together.
Upper blepharoplasty reduces the loose skin that droops over the eye to create a more flattering look. An incision is usually made along the natural crease to remove loose skin and muscle. Excess fat can be removed or repositioned as needed.
Lower blepharoplasty will address both the excess bulging fat and loose wrinkly skin. Some patients have a deep “tear trough” that will accentuate the appearance of the overlaying fat pocket. There are two distinctly different techniques for rejuvenating the lower eyelids.
- Open Lower Blepharoplasty – This approach is more extensive and utilizes incisions along the eyelashes extending into the crow’s feet lines. With this procedure all aging issues can be addressed. Excess skin is removed and tightened, and excess fat is either trimmed or preferably redistributed into the tear troughs and upper cheeks.
- Transconjunctival Lower Blepharoplasty – This procedure is indicated when the overlying skin is firm, and the primary issue is bulging fat. Transconjunctival blepharoplasties are commonly performed on younger patients or ethnic patients with thicker, tighter skin. An incision is placed on the inside of the lower lid avoiding external scars.
What to Expect
Dr. Toledo is committed to providing a safe, comfortable and positive surgical experience to his patients by providing thorough post-operative instructions. In addition, he and his professional, attentive staff are available to address any questions or concerns that may arise during the recovery period. Most blepharoplasty patients are able to return to work within six days. The results of the eyelid lift surgery become apparent in the days after surgery as swelling begins to subside. The procedure results in a youthful, refreshed appearance and often helps patients improve their overall self-confidence.
Frequently Asked Questions
What other procedures are frequently performed with eyelid surgery?
As you age, the forehead, brow complex will sag and droop giving the upper eyelid the appearance of having excess skin when the real problem is the fallen brow. Likewise, a sagging cheek will pull down the lower eyelid, deepening the tear trough and accentuating the fat bulges. The sagging face will pull down and elongate the lower lid, which is not a youthful look. Therefore, a brow or forehead lift and mid facelift are sometimes necessary to achieve the optimal rejuvenation to the eyes.
What are some other benefits of an eyelid lift?
Blepharoplasty not only helps to refresh your appearance, but it can also improve other aspects of your life. You may notice your field of vision expanding after the excess, hanging skin from your upper eyelid is removed. It can also be much easier to apply eye makeup when your upper eyelid is smooth.
Will an eyelid lift fix wrinkles and Crow's feet?
Crow’s feet and forehead wrinkles may be better treated with a facelift or forehead lift as the results of the eyelid surgery are confined to the eyelids alone. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance. During your consultation, Dr. Toledo will create your unique treatment plan based on your needs and goals.
What about nonsurgical treatments instead of eye surgery?
Nonsurgical skin tightening such as laser treatments and chemical peels are effective for minimal skin laxity, wrinkles, and discoloration. However, if you have moderate to severe sagging skin or want long-lasting results, eyelid surgery or blepharoplasty is a much better option. Dr. Toledo may suggest combining both surgical and nonsurgical procedures for your best results
Younger-Looking Eyes
Dr. Toledo approaches each eyelid surgery consultation with the understanding that no two patients are alike. He treats all patients with the same respect and attention that he would expect from a medical professional, and he will take time to evaluate your facial features and understand your goals and motivations for cosmetic surgery. Dr. Toledo also addresses any questions or concerns you may have so that you can feel completely comfortable about your decision to undergo eyelid lift surgery. If you are interested in rejuvenating your eyes, schedule a consultation with Dr. Toledo at the Highland Park Plastic Surgery Center in Dallas, Texas.
