One of the first elements of a personal refresh is NOT a facelift: it’s an upper blepharoplasty.
And cosmetic blepharoplasty is one the most common surgeries we perform.
In simple terms, the procedure:
- Removes sagging excess skin
- Addresses puffs that form in the inner and outer corners of the upper eyelids close to the nose
- Repositions a droopy lid
- Can lift lashes
It’s also a highly nuanced procedure with many details that need to be addressed in order to produce the most aesthetic result.
In women, an upper blepharoplasty also can reform and make more symmetric the upper eyelid crease—the point up to which eye shadow is worn.
In men, an eyelid crease can look bizarre—so, unless requested, we don’t do that.
In severe cases, the operation can improve vision by eliminating the weight of the drooping skin.
The procedure can be performed in the office or in an operative suite on an outpatient basis.
It’s continually taught that it’s not what you take out that matters—it’s what you leave behind. The eyelids need to close to protect the eye and to avoid any irritation.
How is upper blepharoplasty performed?
After cleaning the skin, the ideal eyelid crease is drawn by asking you to open and close your eyes. We compare both sides for symmetry using a microcaliper. We address asymmetries as well—sometimes there is more excess on one side than another. We decide how much to remove at that time to assure us that there won’t be any issues with eye closing after healing.
To minimize discomfort and bruising, we use a blunt cannula to administer long-acting local anesthesia.
No scalpel (knife) is used for surgery—either a light based energy device (laser) or a radiofrequency energy device (Renuvion) is used to create the incisions more precisely.
Fat is removed, sagging glands are repositioned, and if necessary, the eyelid muscles are tightened. The skin is then closed with sutures. You leave the procedure either with ice packs or with a pressure based device that markedly diminishes bruising.
We often perform this surgery with lower blepharoplasty, or with surgeries to beautify and rejuvenate the brows and cheeks such as browlift and midface lift. These accompanying procedures are done with invisible incisions hidden above the hairline.
What is the recovery like?
Bruising is possible with this procedure, but we have in office treatments that speed up their resolution.
Most patients are back to work, exercise and social activities within a week to nine days.
Sutures are either absorbable—they don’t need to come out and fall out on their own– or we remove them within a week.
Why choose us for this surgery?
We have performed thousands of these surgeries safely. Dr. Wulc is boarded in ophthalmology and plastic surgery and has training and certification as an oculoplastic surgeon.
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