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.
"Outstanding doctor and staff I cant say enough about Dr Aston's skills as a surgeon and an artist. I cant wait to see the final results after the stitches are out He is so professional and so caring. After consulting with many plastic surgeons, I am so happy I chose him"- J.M. / Google / May 29, 2016
"Dr Aston is amazing! He took fantastic care of me and is a true artist. I could not be happier with my nose!"- J.H. / Google / Jun 15, 2016
"dr aston has truly perfected his craft. beyond extatic with my results. would highly recomened him for any facial procedures."- A.H. / Google / Jun 05, 2016
"i love that there are nosurprises. i was made aware of everything that was going to happen and why. the staff was amazing and no question to small. ifelt totally comfortable and safe with Dr Aston and his incredible staff."- A.W. / Vitals / Apr 23, 2016
"Dr. Aston was amazing! He made me very comfortable during my consultstion and leading up to the surgery. I am so happy with the results of my surgery, and it is not even completely healed yet!"- A.S. / Google / May 26, 2016
Upper Eyelid Blepharoplasty@headingTag>
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. 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@headingTag>
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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