Eyelid Surgery

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Eyelid surgery (Blepharoplasty) removes excess skin, fat and tissue from the eyelids to correct conditions of aging. The surgeons at Einstein's Division of Plastic Surgery are skilled in the specialized procedures that correct sagging eyebrows, droopy eyelids and bags under the eyes.

How Does Eyelid Surgery Work?

Eyelid surgery can involve the upper eyelids, lower eyelids, or both eyelids. If you have surgery on your upper and lower eyelids, the surgeon generally works on your upper lids first.

Upper eyelid surgery involves the placement of incisions in the natural crease of the upper lid, making them well hidden when the eyes are open. The excess skin and protruding fat are removed and the incision is closed.

On the lower lid, the surgeon makes a cut just below the lashes in your eye's natural crease or inside the lower lid. Excess skin in the lower eyelid is removed through this incision. The lower eyelids may also be tightened in addition to removing skin or fat. Once the surgeon removes or redistributes excess fat, muscle and sagging skin, the cut is closed.

What Can I Expect During and After the Procedure?

Your physician will provide you with detailed information about your procedure, but in general:

  • Your surgeon will inject numbing medication into your eyelids and administer intravenous medication to help you relax. In some cases, general anesthesia will be used, which means you will be asleep during surgery.
  • The procedure usually takes between one and two hours and is usually done on an outpatient basis.
  • After surgery you may temporarily experience blurred vision, watering eyes, light sensitivity, puffy numb eyelids and some pain.
  • After you go home, be sure to gently clean your eyelids, use prescribed eye drops or ointments and apply cool compresses to reduce swelling.
  • If you use contact lenses, don't put them in for about two weeks after surgery.
  • Wear darkly tinted sunglasses to protect the skin of your eyelids from sun and wind.
  • Sleep with your head raised higher than your chest for a few days.

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