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Eyelid Surgery

Eyelid Surgery - Blepharoplasty - Manhattan, NY

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Changes around the eyes are some of the earliest evidence that occur in the face showing signs of the aging process. The changes are influenced by eyebrow position, eyelid anatomy, genetics, sun exposure and smoking. As noted in the discussion on brow lift it is important to have the eyebrow in the right position in order to get the best results with eyelid surgery.

Upper Eyelid Blepharoplasty

For most patients, the changes on the upper eyelids are due to the appearance of excessive skin and bulging due to fat accumulation behind the eyelid skin and muscle. In addition, the loss of some fat along the orbital rims produces the appearance of aging around the upper eyelid for some patients.  When that is the case, small amounts of fat can be injected along the orbital rim to improve the contour. In the majority of patients, removal of excess skin and some upper eyelid fat is necessary to give the patient a more youthful contour. The upper eyelid contour can actually be sculptured to give a wide range of appearances depending on the desire of the patient and surgeon. New York Eyelid Surgeon, Dr. Aston will discuss with you exactly the changes you would like to have made on your upper eyelid, and then he will perform the procedure that is appropriate based on your anatomy and desires.  Some patients have significant asymmetry of their upper eyelids due to their underlying anatomical structure and genetics. In those cases, Dr. Aston may perform techniques on each eyelid that are slightly different in order to help correct the asymmetry.

The upper eyelid incisions are made on the natural skin crease of the lid. The incisions on the upper eyelids heal extremely well and after 2 or 3 weeks are barely seen or easily hidden with makeup.

Lower Eyelid Blepharoplasty

Lower eyelid puffiness due to bulging fat is the most common problem. Many patients state that they have had some fat pad bulge of their lower lids most of their life, as this condition is often inherited and is pasted from generation to generation. When the primary problem is budging fat, it can be removed by an incision that is hidden on the inside of the lower eyelid (transconjunctival). If there is excess skin and or excess muscle on the lower eyelid, a small incision just beneath the eyelashes is required. The stitches are usually removed 2 days following surgery from the lower eyelid and the scar heals so it is almost imperceptible in most patients. Some patients need a combination of fat removal and fat repositioning on the lower eyelid in order to correct what is known as a tear trough deformity. Visually, this is seen as a grove or depression beneath the bulging fat.  In some patients fillers or fat injections can correct the tear trough deformity and fat removal is unnecessary.

Following upper eyelid surgery the sutures are usually removed on the 2nd and 5th post-operative day and the sutures on the lower eyelid, when there is an incision just below the lashes are removed on the 2nd or 3rd post-operative day. Bruising following eyelid surgery varies from person to person.  Usually bruising is gone in 7 to 10 days. Makeup can be applied to the eyes 24 hours following the removal of sutures. When the transconjunctival approach is used to remove fat from the lower eyelids there are no sutures to be removed.

The policy of our office is to preserve patient confidentiality. During your consultation, you will be able to view pre-operative and post-operative photographs of patients who have given us permission to show their photographs.

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