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Blepharoplasty is eyelid surgery that involves removing extra skin, muscle, and (sometimes) fat from the upper and lower eyelids. Collagen and elastin production and overall face orientation drops with aging, resulting in extra skin on both upper and lower eyes and bulging fat around the eyes.
Apart from making you appear older, excessively sagging skin around the eyes can hinder peripheral vision (side vision), particularly in the upper and front portions of your range of view. Blepharoplasty can help alleviate or remove these vision difficulties while making your eyes appear more youthful and alert. Patients also comment on how much lighter their eyelids feel!
Let's dig into the entire detailed notion of this treatment to discover what you can expect and weigh the benefits and risks of blepharoplasty. Also, by the end of this read, you will be crystal clear if blepharoplasty is appropriate for you or not.
Eyelid surgery is frequently requested by people who are seeking long-lasting anti-aging treatments.
Blepharoplasty could be an excellent solution if you have any of the following:
While sagging skin around the eyes is a natural aspect of aging, you may consider eyelid surgery if these aging indicators become unpleasant. Removing extra fat and tissues from your upper and lower eyelids helps you look younger and refreshed.
An important consideration when talking about eye appearance, especially upper eyelids is the eyebrows. Repositioning eyebrows is not typically included in blepharoplasty. However, some candidates will benefit from a brow lift in conjunction with an upper blepharoplasty. Someone who may benefit from both generally has a flat eyebrow shape and the outside part of their eyelid has more extra skin, called “lateral hooding”
Additionally, the ideal age for blepharoplasty is 30 and above. Occasionally it can be done on people who are younger, but those patients are less common and absolutely need a personalized consultation with an expert surgeon to see if they’ve got the right anatomy.
Preparing for an eyelid surgery is not complicated. To begin, you'll need to schedule the first appointment with Dr. Couvillion to discuss your eyelid concerns and desired objectives. Additionally, don’t forget to inquire about credentials and expertise performing this sort of operation.
We need to perform some tests to determine if you’re a good candidate for surgery. These tests include:
Moreover, Dr. Couvillion will ask you for certain things like;
Your medical background: Your surgeon will ask you about previous surgeries and past or current conditions such as glaucoma, watering, dry eyes, allergies, circulatory issues, thyroid issues, and diabetes. Your specialist would also inquire about the prescriptions, food, herbal supplements, alcohol, nicotine, and narcotics you use.
Your goals for the surgery: An open and honest discussion about your surgical goals and motivations can help you and your surgeon set better goals. If you’re 70, you’re not going to look like a 20 year old model after the surgery! It wouldn’t be in harmony with the rest of your face and frankly would look strange.
Directions You'll be Asked to Follow
Blepharoplasties are done as an outpatient procedure. That implies you'll be able to return home soon following the surgery. Only a few people require general anesthesia and these are generally patients who have high blood pressure or do not want the procedure done in the office. Most patients take some medication by mouth to help relax prior to receiving numbing medicine.
Prior to the procedure, you get detailed instructions about what to expect afterwards. You also get some prescriptions to make the process go smoothly.
Markings are made with you sitting up to decide how much skin will be removed.
If you are going to have surgery on your upper and lower eyelids, we often begin with the upper lids. After the eyelid is numb, an incision is made on the eyelid, excess skin is removed, then muscle and fat may then be removed. The skin is then closed with stitches. A cooling jelly pack is then placed over your eyes.
On the lower lid there are different surgeries for different anatomy. Most commonly, an incision is made just below the lashes. Dr. Couvillion then may remove or redistribute excess fat, muscle, and sagging skin and close the incision.
Post-surgery, you’re monitored until you’re ready to go home.
Following surgery, you may have the temporary symptoms listed below:
These should all resolve within a few days.
All surgical procedures have a risk of bleeding, swelling, and infection. There’s also going to be a scar – you had surgery!
Additional dangers and problems include the following:
It is essential to discuss these risks with Dr. Couvillion in advance. Moreover, inform him if you have had previous difficulties with any surgery or medications.
You are always able to contact our office if you have any concerns after surgery.
Recovery varies from person to person and often depends on how much they bruise. It also depends on what they want to be recovered to do. For example, you can sit at a desk and work very soon after surgery. If you’re going to go rock climbing or sky diving, the recovery is a bit longer.
The results can persist for a long time. In general, most people never return to the appearance that they had before the procedure. That said, some patients may want another surgery at about 10 years, but overall this is relatively rare. Sometimes when patients return, a brow lift may be more beneficial than further eyelid surgery.
The cost of upper eyelid surgery varies significantly from one patient to another. The average cost of the surgery in 2018 was $3,163, according to the American Society of Plastic Surgeons. Some operations, on the other hand, can cost as little as $2,000 and as much as $7,000 or more. It really depends on how extensive the procedure is and if it’s going to require anesthesia in a hospital.
The cost of upper eyelid surgery may be covered entirely or partially by your insurance plan in some instances. The procedure may be appropriate for patients with severe drooping of the upper lid, making it challenging to perform daily life tasks, especially driving. Make sure to consult with your insurance carrier in advance to better grasp what is and is not covered by your policy. These procedures are generally performed by an ophthalmologist, as they require things like visual field testing and insurance pre-approval. Insurance does not cover lower eyelid surgery.
Eyelid surgery is often a one-time procedure. Patients are generally very pleased with their blepharoplasty final results, including a more rested and youthful appearance with increased self-esteem and confidence. Moreover, a blepharoplasty is often added to other facial rejuvenation procedures such as a facelift or necklift.
If you’re interested in talking to Dr. Couvillion about a blepharoplasty, give us a call today at 713.850.0240 x. 1146 or book here!
Dr. Ryan Couvillion is an experienced Houston, TX plastic surgeon specializing in cosmetic and reconstructive procedures for the breasts, body, face, and skin. A native Houstonian, Dr. Couvillion has been recognized for his passion and dedication in achieving the best possible results for his patients and is proud to return to Houston and build his practice in his hometown. His drive to pursue training in the field of plastic and reconstructive surgery began at a young age, and he is honored to have been mentored by some of the nation’s most recognized surgeons. Read his full bio here.