The eyes are the central focus of the face. They command attention, communicate emotion, and can convey everything from excitement to fatigue. An important key to a youthful face, the upper and lower eyelids themselves exhibit hallmark changes due to heredity and the aging process. Additionally important is the relationship of the eyes to the brow and midface. Eyelid surgery at Dilworth Facial Plastic Surgery, also known as a blepharoplasty, is a surgical procedure that rejuvenates the eyes and leads to a refreshed, more rested appearance. The procedure can be performed as an upper eye lift, a lower eye lift, or both.
Periorbital (around the eye) aging involves changes to the eyelid skin, laxity (looseness) of the deeper tissues of the eyes, fullness/bulging of the fat around the eyes (particularly in the lower eyelid), and descent (drooping) of the soft tissues of the cheeks.
The end result is excess fullness of the upper eyelids, the development of lower eyelid “bags,” and tear trough formation (hollowing, which often appears as dark circles) where the eyelids meet the cheek. Drooping of the eyebrows can also hood the upper eyelids. These changes often occur with age, but can also be hereditary and occur in younger patients.
When rejuvenating the eyes, Dr. Andrea Garcia and Dr. Josh Surowitz assess the entire face, determining how the eyes relate to other nearby facial structures, including the brows and cheeks. The goal with eyelid surgery is to create a refreshed, youthful contour to the upper and lower eyelids, while also creating a smooth transition from the brows to the upper eyelids and from the lower eyelids to the cheeks.
Browse our gallery of patient before-and-after photos to see examples of our results. Additional before-and-after results are also available for review at the time of consultation.
Dual board-certified and fellowship-trained facial plastic surgeons, Dr. Garcia and Dr. Surowitz have dedicated their skills to performing cosmetic and reconstructive surgery of the face, eyes, ears, neck, and nose. As experts in periorbital rejuvenation (blepharoplasty), our surgeons have comprehensive training in the subtle nuances of eyelid surgery.
Dr. Garcia and Dr. Surowitz have extensively studied the complexities of the eyes and their proportions in relation to the rest of the face. Their knowledge and years of experience with facial rejuvenation allow them to approach each patient as an individual with unique needs and desires. Our surgeons pride themselves on delivering long-lasting, natural results.
Who Is a Candidate for Eyelid Surgery?
Patients who wish to improve the contour and appearance of the upper and/or lower eyelids commonly seek out Dilworth Facial Plastic Surgery to deliver masterful rejuvenation of the eyelids. Common areas of concern include:
- Sagging, heavy upper lids with excess skin (in some cases this may also affect visual fields)
- Puffy lower lids
- Lower eyelid bags
- Deep grooves where the eyelids meet the cheeks (tear troughs)
- Bunching or wrinkling skin on or immediately around the eyes
Men and women looking for a solution to upper-lid sagging may also consider a brow lift, since sagging tissue of the forehead and brows can weigh down the upper eyelids and aggravate the appearance of heavy, full upper eyelids.
What is the Eyelid Surgery Procedure?
The Eyelid Surgery Consultation
The specifics of your blepharoplasty will be discussed at your consultation and will depend on which eyelid surgery you are considering: upper lid, lower lid, or both. Dr. Garcia and Dr. Surowitz make their before-and-after photos available so patients can see the dramatic difference eyelid surgery can make.
Upper Eyelid Surgery
Upper lid blepharoplasty may be performed under local anesthesia, sedation, or general anesthesia, depending upon patient preference, and surgery will take approximately one hour. The incisions are symmetrically placed in the crease of the upper eyelids, naturally camouflaging any scar during the healing process. A small amount of fatty tissue may be removed or repositioned, and the skin will be tightened and repositioned over the new contours. Sutures will hold the tissues in place while they heal, and these are generally removed in three to five days.
Dr. Andrea Garcia and Dr. Josh Surowitz are dual board certified surgeons.
Lower Eyelid Surgery
Lower eyelid blepharoplasty is generally performed under sedation or general anesthesia, and surgery will last between one and two hours. The procedure may be performed using incisions behind the eyelid (transconjunctival incision) or just below the eyelashes on the outside of the eyelid (external incision). The decision regarding the necessary approach will be made based upon each patient’s individual needs. Excess fat may be removed, contoured, and in some cases may be repositioned to fill the tear troughs. If necessary, excess skin is removed, and the remaining muscle and skin are tightened. Sutures are used to close any external skin incisions, and these are generally removed in three to five days.
Double Eyelid Surgery
Depending on a variety of factors, including the degree of correction desired, Dr. Garcia and Dr. Surowitz may recommend combined upper and lower lid blepharoplasty to rejuvenate the entire periorbital area. Surgical techniques as described above will be employed, tailoring the techniques to your personal needs.
I had become concerned about the bags under my eyes were aging me. My plastic surgeon, Dr. Surowitz recommended that I have lower blepharoplasty. I'm so please that I decided go ahead and have the procedure done. It has been six months since I had the operation and my eyes look refreshed and younger and the bags are gone. So worth it! I highly recommend the procedure to anyone who has concerns about eye bags.*
Dr. Surowitz and staff are wonderful. They explained the procedure in detail and what to expect the in days after the procedure. Very profession and caring. As I said I'm so pleased with my results. I highly recommend Dr. Surowitz.*
What Will Post-Eyelid Surgery Recovery Be Like?
Patients may typically go home immediately after surgery. Recovery after eyelid surgery can take two to three weeks, depending on the scope of the procedure and your unique healing characteristics. Bruising and swelling can be lessened with rest and cool compresses. Patients often feel ready to return to their normal daily lives between seven and 10 days after their blepharoplasty. It is common for patients’ eye areas to feel sore or tight in the days following their surgery, but these sensations will fade over a few weeks’ time.
What Does Eyelid Surgery Cost?
Cost for eyelid surgery will be discussed during your consultation. The cost will vary based upon the type of surgery performed or if upper and lower eyelid surgery will be performed together.
Looking for More Than Eyelid Surgery in Charlotte?
While eyelid surgery impacts the eyes themselves, patients also often want to address signs of aging in the areas immediately above and below their eyes to ensure an overall look of rejuvenation and facial balance. A brow lift can correct drooping of the forehead and eyebrows, while the midface can be addressed with a mid facelift, cheek implants, fat transfer, or dermal filler. The midface is a common area that needs to be addressed during lower eyelid surgery in order to lift sagging cheeks and bring harmony to the transition between the lower eyelids and the cheeks.
Creases on the forehead, between the eyebrows, around the outside of the eyes (crow’s feet), and fine wrinkles of the lower eyelids can be temporarily smoothed out with injections of BOTOX® Cosmetic. Our surgeons may also recommend dermal fillers to fill in wrinkles or creases to complement your blepharoplasty and further deliver a refreshed look.