All About Eyelid Surgery – Blepharoplasty
If the eyes are the windows to the soul, you may be wondering why you look so much older than you feel. Well, the eyelids are also the doorway to our personal interactions. The structures around our eyes, such as eyebrows and eyelids (surgeons call this the “periorbital” area), send nonverbal messages.
Others interpret the shape of our periorbital structures as friendly, happy, youthful, angry, sad or tired. When we greet other people, our eyes meet to initiate and monitor our conversations. Our emotions and attentiveness – and therefore our interactions – with others are usually communicated though our eyes.
What Happens to Our Eyes as We Age
As we age, our faces change in predictable ways. Our skin and the soft tissues beneath it lose some of their key biochemical components such as collagen and elastin. This loss of structural integrity allows gravity, in addition to years of facial expression, to loosen and stretch the skin and the underlying soft tissues, such as fat, muscle and tendons. Clean, crisp youthful-appearing eyelids with a smooth contour extending from the lower eyelashes to the cheek becomes altered, causing shadows and give a tired, aged appearance.
Many options currently exist to treat the area around the eyes, called the periorbital area, and continue to expand. The many available options can often be confusing to a patient. During your initial consultation with Dr. Parker, he will listen to what bothers you, take a medical history, and perform a physical examination of your entire face, focusing on the peri orbital areas.
He will assess your eyebrow position, upper eyelid skin excess, and the lower eyelid’s skin quality, muscle laxity, fat herniation, and integrity. Dr. Parker will then review his findings with you as well as the various options for treatment. This will allow him to customize a treatment plan along with you based on your age, individual anatomy, particular desires, resources, and time available for recovery.
In considering treatment options for the periorbital area, we first think of non surgical options. Neurotoxins such as BOTOX® and Dysport® can be used to elevate the outer aspect of the eyebrows, soften or eliminate wrinkling between the eyebrows and in the forehead. Injectable fillers can be used to plump out the depression in the “tear trough” area on the lower eyelids and create better blending from the lower eyelid into the cheek. Crepiness and discoloration of the lower eyelid skin may be able to be improved to a certain extent with skin care products, a chemical peel, or laser resurfacing.
During your initial consultation, Dr. Parker will review options for periorbital (eyelid) rejuvenation, which will likely include eyelid or blepharoplasty surgery. He can perform procedures on the upper eyelids, lower eyelids, or both during the same operation. Dr. Parker will be able to determine which procedure or procedures will help you get the results you want while still looking naturally younger and more refreshed.
Upper Eyelid Procedures
Excess skin of the upper eyelid is probably the earliest and most common sign of facial aging, causing a tired, sad look. Upper eyelid procedures are relatively simple and can be very effective for helping you look younger, well-rested, and more alert. Options include procedures to lift and remove excess skin that has begun to sag over and around the upper eyelid, removal of muscles that contribute to premature wrinkling and brow furrows, or a combination of procedures to improve the overall appearance of your face.
Lower Eyelid Procedure Options
Lower eyelid blepharoplasty can address sagging or drooping skin around the lower eyelids, remove or reposition fat that has “herniated” and caused puffiness underneath your eyes, or tighten the skin and lift the tendons around the lower eyelids. The procedure(s) that Dr. Parker performs to improve the appearance of the lower eyelid area vary significantly among individual patients. Dr. Parker will help you decide on the best option for you based on your goals and his evaluation of the structure and appearance of your skin, fat, muscle and eyelid/cheek junction.