Surgical options include upper and lower eyelid blepharoplasty, ptosis (eyelid droop) repair, and brow lift.
Blepharoplasty (Blepharo- means “eyelid”, and –plasty means “change”) is the most commonly performed facial plastic surgery procedure. This is because the eyelids account for a large part of the expressiveness of the face. When you look at someone, you look at his or her eyes. If the eyelids are sagging, droopy, or puffy, the face will look fatigued, sad, and tired despite good health and adequate rest. If the eyes look bright and alert, an otherwise aging face will appear rejuvenated. Thus, blepharoplasty is a procedure that can rejuvenate the face as well as the eyes.
Years ago, treatment focused on aggressive skin and fat removal on every patient. This approach has lead to unnecessary complications, such as lid retraction after excessive skin removal causing chronically irritated eyes, and a sunken (skeletonized) appearance to the eye socket after excessive fat removal. These results, unfortunately, create a more aged appearance - the direct opposite what was intended.
Today, blepharoplasty is tailored individually for each patient. The right combination of skin removal, skin resurfacing, fat removal, fat repositioning, and lid tightening is applied to achieve a more rejuvenated and youthful appearance in each individual patient. Sometimes, less is more.