Blepharoplasty (Eyelid Surgery) New Jersey
The area around the eyes is often one of the first to show signs of aging in both men and women as it begins to give the appearance of being tired and/or sad. The eyes are one of the main focal points of the face and have a profound influence on the overall appearance. Patients benefit not only from a more youthful appearance, but also a more refreshed one. While it may seem as simple as removing a little extra skin, there is much more to this very delicate and refined surgery.
|PATIENT GOALS:||Younger and Refreshed appearance of the eyes|
|SURGICAL GOALS:||1. Remove extra skin of the Upper and/or Lower Eyelids
2. Remove excess protruding fat
3. Move excess fat into areas of hollowing
4. Improve support of the lower eyelid
5. Suspend the fat pad of the brow
|ANESTHESIA / SURGICAL LOCATION OPTIONS||General (Hospital or Surgery Center)
Local with IV Sedation (Hospital or Surgery Center)
Local (In Office)
|PROCEDURE LENGTH||1-2 hours|
|RECOVERY TIME||1-2 Weeks|
Blepharoplasty Before & After Photos
View before-and-after pictures of real patients of Dr. Ruslan Zhuravsky
Blepharoplasty Frequently Asked Questions
What Is (Eyelid Surgery) Blepharoplasty Surgery?
Blepharoplasty is surgery of the upper and/or lower eyelids that removes excess skin and fat around the eyes. Like all other plastic surgery procedures, there is no one size fits all approach and each patient is treated on an individual basis. The trend in Blepharoplasty surgery has moved away from excessive fat removal and more toward repositioning, thus achieving a more naturally youthful appearance without a hollowed appearance.
How Is Blepharoplasty Performed?
This surgery can be performed with the patient awake or under general anesthesia. The choice of techniques depends on the surgeon as well as the patient’s specific needs. In just about all cases of upper lid surgery, the extra skin is removed with the incision placed in the natural crease above the eyelid. Additionally, the excess fat located toward the most medial portion of the lid is reduced, sparing the remaining fat in order to avoid a hollowed appearance. Often times, Dr. Z will also suspend the brow pad and/or the corner of the eye (canthus) through the same incision, which can add a very nice improvement in the eyelid contour.
The lower eyelids are approached through an incision just below the eyelash line, hiding this within the natural crease. Dr. Z believes in sparing the muscle just under the lid and so he meticulously elevates the skin that is to be removed. However, the lower eyelid is more are the excess fat that begins to bulge and creates a groove (and shadow) underneath itself. It is very important remove all of this fat, and instead to transpose (move) it into the groove below. This avoids a hollowed appearance of the lower lid and fills the groove at the same time.
What Can I Expect After Blepharoplasty and During the Recovery Period?
Contrary to popular misconception, this is not a very painful surgery. While stronger pain medication is provided as a precaution, some patients take only Tylenol during the first few days. The upper and lower eyelids do have a fair amount of swelling and bruising following most procedures (depending on the surgery) and this gradually decreases over the course of 1 -2 weeks. There is a mild amount of swelling (especially with transposition of fat) that may take longer to fully resolve, but the lower lids will generally look better than before surgery at this point. The incisions lines will have sutures that are removed 6 – 7 days after surgery. Patients apply an ointment to these and keep them clean the week after surgery. The surgery itself does not affect vision, but blurriness can be encountered for several days after surgery as a result of swelling, tearing, ointment, and dry eyes.
Most patients return to work after 1 week, but this is dependent on the line of work, how much work was done during surgery, as well as individual recovery factors.
How Long Before a Major Event (Wedding, Party, Gala Etc..) Should I Have Blepharoplasty?
While most of the recovery is in the first 2 weeks, most patients are advised to have the surgery at least 4-8 weeks before the event.
What Is Laser Assisted Blepharoplasty?
One very important thing to note is that this is different from laser resurfacing of the skin. The laser in such cases is used for cutting the skin as an alternative to a scalpel, a bovie, or other radiofrequency device. The laser is not performing the magic of the surgery, it is just the manner in which the surgeon is choosing to cut the skin. Dr. Z prefers the precision of the scalpel without the added dangers of using a laser for such purposes.
What Are the Alternatives to Blepharoplasty?
While surgery is able to provide the most comprehensive and absolutely approach for most issues, some alternative treatments are able to improve upon specific problems that may be most bothersome to an individual.
Fillers can be used for the lower eye lids in order to fill in the grooves, and disguise the protruding fat. This is harder to do in more severe cases but will still lead to some improvement for those not prepared for surgery.
Lasers and some radiofrequency technologies can help tighten the skin around the eyes. This cannot remove larger amounts of skin, nor can it remove/reposition the fat, but it can lead to some significant improvement for those that need mild to sometimes moderate tightening.
What Issues Are Not Treated (Adequately) With Blepharoplasty?
Fine wrinkles are tough to treat with surgery alone. Although we are removing excess skin, we avoid pulling and tightening it to a degree that would reduce a lot of the fine wrinkles, as this would lead to significant functional issues.
The crow’s feet (fine lines in the corners) can be treated with botulinum toxin products that weaken the muscle causing them. The fine lines underneath the eyes can be treated with resurfacing such as laser peels, chemical peels, or micro needling.