Facial plastic surgery is commonly done on the eyelid, and is called blepharoplasty. Blepharoplasty lifts the eyelids to make the skin around the eyes look tighter and improve the overall look of the face. Eyelid surgery can be done as upper eyelid surgery, lower eyelid surgery, or double eyelid surgery. This face surgery can be combined with other procedures such as cheek lift or forehead lift.
Upper eyelid surgery is done to remove loose skin and fat deposits, fix puffiness of eyes, or fix drooping eyelids. If this interferes with vision, your procedure is a medical Blepharoplasty not a cosmetic one. Droopy eyebrows may also be present, and can be fixed by an accompanying eyebrow lift. Incisions are made along the length of the eyelid fold where skin and fat is removed. Scarring is minimal because the incision is along the natural eyelid fold.
Lower eyelid surgery removes puffiness, wrinkles and lid bags to smoothen the skin under the eyes. This can be combined with a cheek lift to reduce under-eye circles and eliminate the appearance of being stressed and tired. If there is excess skin to be removed, a transcutaneous incision is made on the outside of the eyelid. This incision is also allowed for a cheek lift. If there is no skin to be removed, a transconjunctival incision is made along the inner eyelid which hides the scar.
Double eyelid procedure is also called Asian surgery. This creates a crease in the upper eyelid to form a double eyelid. Those of Asian descent typically have single eyelids that naturally do not have creases, which is why this is called Asian eyelid surgery. It is a cosmetic procedure that corrects the epicanthal fold over the inner portion of the eye and removes periorbital fat around the eye. Doing both of these widens the eyelid opening to create a crease.
The benefits of facial plastic surgery is that it makes the face appear more youthful. Removal of excess skin eliminates drooping and sagging that adds age to the face. Patients also look more rested and fresh-faced. Eyelid surgery can be performed within a few hours under local anesthesia and does not require a hospital stay. Recovery is quick as well, with soreness and swelling reducing after a few days.
Lasting complications of blepharoplasty are not common. The most frequently seen complications are dry eyes and irritation after surgery. Risks include drooping caused by the skin being pulled down, scarring, damage to underlying eyelid tissues, impaired eyelid function, vision loss, and hematoma.