Our eyes are one of the most visible and expressive areas of our face. Your eyes and the area around your eyes can heavily influence other people's perception of your mood, alertness and age. When you have puffy, saggy or droopy eyelids (scientifically known as ptosis), it can create a tired, aged appearance with which you may not be happy. The blepharoplasty (eyelid surgery) procedure can restore the youthful appearance of your eyes. To schedule a consultation to find out if you are a good candidate for our Manhattan and New York City eyelid surgery procedure or another facial cosmetic surgery procedure, please call our office at 212-308-1566.
Please see our Blepharoplsaty before-and-after gallery.
Signs You May Be a Good Candidate for Eyelid Surgery
If you are unhappy with any of the following, you may be a good candidate for blepharoplasty:
- Skin hanging over the natural fold of the eyelid
- Skin drooping or bulging over the eyelashes
- Puffy upper or lower eyelid skin
- Deep furrows beneath your eyes
- Bags beneath your eyes
- Lower eyelids drooping downward
These changes to our face are not at all uncommon as we age. Oftentimes the eyelid sagging and puffiness can be caused by genetics and natural changes that take place in aging. Other factors that can worsen and accelerate these changes are excessive sun exposure, smoking, poor diet and alcohol consumption.
Eyelid surgery provides improvement that can be both cosmetic and functional—cosmetic because it can enhance the appearance of your entire face, and functional because excess, hanging upper eyelid skin can interfere with your peripheral vision. In some cases, particularly in congenital ptosis, drooping eyelids could cause other eye-related problems such as strabismus (crossed eye) and amblyopia (lazy eye). Additionally, neurological conditions such as Horner Syndrome can cause eyelid falling or swelling.
A blepharoplasty can alleviate these vision issues associated with ptosis, especially in children with severe drooping eyelids that impact their ocular motility. This is why it's important to have a thorough evaluation with a board-certified ophthalmologist. Our medical director at Manhattan Surgical Care, Dr. Pakeman, is not only a board-certified ophthalmologist, but also a cosmetic surgeon who specializes in oculofacial surgery. When you undergo eyelid surgery at our NYC office, you can trust that you are in skilled, experienced hands.
Dr. Pakeman also offers Asian eyelid surgery which creates an eyelid fold parallel to the eyelash line.
Eyelid surgery does not address a sagging brow, crow's feet or other types of wrinkles. For a comprehensive rejuvenation effect, some people choose to combine their blepharoplasty with BOTOX® or facial surgeries.
The Eyelid Surgery Procedure
The procedure takes about an hour to a few hours, depending on what you and Dr. Pakeman decide to accomplish during your eyelid procedure. It involves making inconspicuous incisions in the contour of the upper eyelid or right below the lash line of the lower eyelid. If skin is not being removed, incisions may instead be made on the inside of the lower eyelid. Through these incisions, fat and muscle are repositioned and adjusted, and excess skin and fat is removed. The incisions are closed with fine sutures.
The results of your eyelid surgery will last a long time. The only reason the results are not permanent is because the effects of aging cannot be stopped by this procedure. Your skin can continue to lose its elasticity as you grow older. For most people, any return to sagging or puffy upper eyelids is because of a descending brow, which can be raised with a brow lift.
If you live in New York City and want to find out if you are a good candidate for eyelid surgery, please contact Manhattan Surgical Care to schedule a consultation with experienced cosmetic oculofacial surgeon Dr. Basil Pakeman.