Eyelid surgery (known as blepharoplasty) enhances or repairs cosmetic issues of the eyelids. Wrinkles and pouches beneath the eyes and sagging skin on the upper lids are the two most common reasons why patients come to our Sarasota plastic surgery center to have an upper or lower blepharoplasty. Both cosmetic concerns occur with aging and genetics and can be corrected with eyelid rejuvenation. This surgery removes excess skin, fat and tissue on the upper or lower eyelid, and tightens the underlying muscles to create an awakened look. Our Sarasota plastic surgeons are experts in eyelid surgery and can help patients look more alert, softer and younger.
Eyelid Surgery Reviews
"Excellent Plastic Surgeon, Very Caring and Very Professional - Sarasota, FL - RealSelf.comExcellent plastic surgeon, very caring and very professional. He was very concerned about my wife's pain level and kept making sure she was not in pain. Also he was very cautious about doing the proceedure making sure she would not have any other complications as she has other underlying medical conditions. Excellent doctor! - - RealSelf.comExcellent plastic surgeon, very caring and very professional. He was very concerned about my wife's pain level and kept making sure she was not in pain. Also he was very cautious about doing the proceedure making sure she would not have any other complications as she has other underlying medical conditions. Excellent doctor!"- S. / RealSelf / Apr 03, 2013
"42 Year Old with Wrinkles on Lower Eyelids - Sarasota, FL - Dr Scott Engel was very professional and truly listened to my questions. He was very knowledgable and spoke to me in a manner where I understood the procedures. He made me feel very comfortable and not so afraid of surgery. I am very pleased with Dr. Engel!! - - I can't say enough wonderful things about Dr. Scott Engel and his staff. He is a very compassionate person. He listened to my concerns and then made his recommendations. He suggested I have a Lower Blepharoplasty with Fat Injections to the hollow areas in the lower eyelid region. I proceeded with the procedures and I am extremely happy. My eyes look wonderful. My whole face has a more youthful appearance. Thank you Dr. Engel!!!"- S. / RealSelf / Jul 15, 2014
"Dr. Derby was professional and overall awesome with the procedure I had completed. I was a little nervous at first, but he walked me through every step during the initial consultation. He also did the same during the procedure. His staff was friendly and the procedure was affordable. "- M.L. / Google / Sep 20, 2015
"My Eyes - Sarasota, FL - I don't look "plastic" but like a gently youthful 67 yr old. The work is conservative and not overdone. Dr Derby's reputation for being meticulous and proficient along with having a great demeaner are truly accurate! The results are marvelous! Thank YOU! Dr Derby - - I have worked as a RN in OR for 16 years and know these surgeons well. I witness pre-op, surgery, and post-op. I'd let any of them (and have) perform surgery on me. I chose Dr. Derby, deciding I needed someone who will not retire as I approach my senior years. As years passed, bags and wrinkles became prominent, so I had eyelid surgery and fat injections in the hollows of my face. People don't notice the changes; the tell me I look rested. I don't hide behind sunglasses anymore!"- A. / RealSelf / Feb 23, 2016
"It was virtually pain free and a very relaxing experience due to staff and Dr. I knew the quality of the work would be worth the surgery and indeed I was correct. All work came out better than I ever expected without the look of plastic surgery being done."- Anonymous / RealPatientRatings / Aug 30, 2015
The procedure may either be performed on the upper eyelid only or the lower lid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar; removing any loose skin or tissue, and extracting or repositioning the fat deposit. There will also be separate incisions spots. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined, for example the use of BOTOX®, to create a maximized outcome.
Upper Eyelid Surgery
The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient. The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised.
Lower Eyelid Surgery
There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised. If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure such as a chemical peel or an injectable filler.
Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1-2 hours to complete the operation. The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.
Plan Your Procedure
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 1 Hour
- Post-op Follow-up
- Procedure Recovery Location
Eyelid Surgery FAQs
Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Wrinkles and Crow's Feet?
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.
Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.