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Blepharoplasty (Eyelid Surgery)

Achieving Youthful Eyelids At Almost Any Age

Blepharoplasty, or eyelid surgery, can make you look years younger by reducing the appearance of wrinkles, skin laxity and puffiness around the eyes that can make you appear upset or tired. Dr. Mourad customizes procedures for each patient based on their individual needs to achieve a natural and long-lasting result with techniques that allow patients to recover quickly. Dr. Mourad performs many different types of eyelid surgery to maintain the unique beauty of your eyes.

As we age, the skin and muscle of the eyelids start to relax and drop. There is a tendency for the fat that cushions the eye to push out from under the eye which can cause puffiness and dark circles. Dr. Mourad tightens the skin and muscle creating a more youthful contour. He works under the muscle to reposition or remove extra fat to make the eyes look more rested. This technique results in less bruising and swelling since he works beneath the muscle. Skin heals better because there is no tension on superficial layers. The eyes reclaim a more youthful and natural look. Scars are nearly invisible as they are hidden in the natural creases of the eyelids. Most patients resume their normal routines within seven to ten days of surgery. Dr. Mourad uses the combination of vitamin C, arnica montana, and probiotics to expedite healing and keep the body in balance during recovery.

 

Eyelid Anatomy

Understanding the eyes can give insight into treatments that are effective. The key to a natural look is preserving normal anatomy. The major areas that are corrected by eyelid rejuvenation are addressed below:

Normal Eyelid Anatomy is seen below. The upper and lower eyelids are the main areas of concern for most patients. Eyebrow position is addressed by brow lift techniques. The lateral hooding area is corrected by temporal lifting.

The Shape of the Eye should be maintained. Each corner of the eye is called a canthus. The medial canthus near the nose is lower than the lateral canthus near the cheekbone. The area below the eye should be a smooth contour and not pulled down. Attention to these details in eyelid surgery will create a natural and rejuvenated appearance.

Hidden Incisions are very important. Eyelid skin is the thinnest skin on the face and heals very well. Incisions are placed in the natural creases of the eyelids and below the lower eyelid lash line. Frequently, no external incisions are needed in the lower eyelid when the only concern is puffiness.

Upper eyelid folds (Dermatochalasis) are caused by laxity of skin and muscle and are more often noticed in the upper eyelid. Extra skin may obscure the natural folds of the upper eyelids or even block vision. Conservative removal of the extra tissue makes the eyes feel and look less tired.

Extra eyelid fat (Steatoblepharon) is more often noticed in the lower eyelid although there may be a small area of puffiness near the nose on the upper eyelid. Removal or repositioning of this fat makes the eyes look younger and more rested. Lower eyelid fat can be removed without external incisions. No tension is placed on the skin resulting in a rested but not operated on appearance.

Lower Eyelid Rounding is caused by stretching over time of the lower eyelid ligament and can cause dry eyes. Previous surgery without tightening the lateral tendon or with the removal of too much lower eyelid skin can also cause rounding. Conservative removal of extra ligament and a slightly higher lateral repositioning will bring a natural contour to the lower eyelid.

Crow’s Feet are the fine lines at the corners of the eyes caused by repetitive movement of the lateral eyelid muscles. Eyelid tightening may soften the lines a little bit better results are obtained by Botox cosmetic to relax the muscles and prevent the lines from forming.

 

Good Candidates For Eyelid Lift Surgery

Eyelid puffiness and laxity can occur very rapidly in just a year or two. The youthful features we remember may be hidden by sagging eyebrows or temporal hooding. Realistic expectations are very important with respect to what blepharoplasty eyelid rejuvenation can do for you. The best candidates for eyelid surgery:

– Have one or more of the aging features shown above
– Are generally healthy
– Men or women
– Have realistic expectations
– Would like to look as good as they feel
– Desire eyelid surgery for themselves and not to please another person

Patients want eyelid rejuvenation for many different reasons. If you feel that the above describes you then you may be ready for eyelid surgery, or a blepharoplasty.

 

Your Eyelid Rejuvenation Consultation

Dr. Mourad individualizes every patient’s care. A minimum of an hour is needed to get a complete history and evaluation of your face and to fully understand your expectations. Knowing what to expect will make the entire experience more pleasant and increase your satisfaction with the surgical results. We will review your photos from different angles to make sure we are on the same page. Dr. Mourad will discuss your questions in detail to make sure all of your questions are answered.

 

What To Expect From The Blepharoplasty Procedure

Knowing what to expect will make for a smoother and more enjoyable experience. The procedure is performed at Lenox Hill Hospital or at The Gramercy Surgery Center, an East Side state of the art ambulatory surgical facility. You will arrive one hour before your case is scheduled and will speak to a nurse and Board Certified Anesthesiologist. Dr. Mourad will review your photos and discuss your treatment and goals with you again before you receive any medications. You will then receive some medicine to relax you followed most times by a general anesthetic. You will leave the ambulatory center with your escort about an hour after surgery. Dr. Mourad’s blepharoplasty techniques minimize the recovery period and allow most patients to return to a normal routine the week after surgery.

 

The Week After Eyelid Surgery

The eyes will feel better using cold compresses for the first couple of days after surgery. You will be given some prescription pain medicine although most patients just have one dose and then switch to Tylenol. You will place drops in the eyes during the day and ointment in the eyes at night. You may have bruising and swelling of the eyelids and cheeks that will start to resolve within a few days. Most swelling resolves in a couple of weeks but subtle changes in the eyes can continue for a year or more. You will return to the office at one week and then as needed to have your healing followed. It is important to avoid strenuous exercise for 3 weeks for best results.

 

Eyelid Surgery Techniques

Eyelid rejuvenation should be individualized for every patient. Patients have different cosmetic concerns and show aging in different ways. Your blepharoplasty will be customized to provide the techniques needed to obtain the best results for you. Dr. Mourad employs many different surgical techniques to sculpt attractive and natural appearing eyes with a rapid recovery. These concepts are the basis for an excellent long-term outcome.

Elliptical Blepharoplasty

Upper eyelids will frequently have excess skin and muscle. An ellipse is contoured to the upper eyelid to remove excess folds of skin. The incisions are placed in natural creases as well placed incisions are nearly invisible. An elliptical blepharoplasty is the removal of extra skin and muscle will eliminate the crepe folds of skin of the upper eyelids. Patients can go out and appear more rested in as little as a week.  Dr. Mourad’s technique can have you more rested looking in just a few days.

Transconjunctival Fat Removal

No external incisions are used to remove the puffiness under the eye. Because the excision is completely hidden there is no external scarring and healing is even more rapid than normal.

Skin Pinch

Excess lower eyelid skin is tented to flatten and tighten the lower lid skin and then removed. Sutures are placed that are removed in five to seven days.

Skin-Muscle Flap

Conservative removal of a small strip of the bulging muscle underneath the lower eyelid along with tightening wrinkled lower eyelid skin will prevent a telltale bump from showing underneath the lower lid lash.

Eyelid Tightening (Tarsal Strip Procedure)

This corrects rounding of the outer lower eyelid. The tendon that holds the lower eyelid is shortened and repositioned slightly higher and tighter to the eye. This restores the more youthful shape of the lower eyelid.

Blepharoplasty (Eyelid Lift Surgery) combined with a Brow Lift or Temporal Lift

Sometimes the eyes will look heavier from the eyebrows being too heavy or extra skin from the temples hooding over the sides of the eyes. In these situations, eyelid surgery can be combined with a Brow Lift to raise the heavy eyebrows over the eyes or a Temple lift to reduce the extra tissue that can block vision above and lateral to the eyes.

 

Complimentary Cosmetic Procedures

Adjunctive procedures may be performed at the same time as eyelid surgery. They will not be appropriate for all patients.

Rhinoplasty, especially with a nose that is drooping, can enhance eyelid surgery Facial features that are out of balance may seem more noticeable to patients after the eyes look refreshed and rejuvenated.

Brow Lifts will open the eyes if the eyebrows are very heavy or blocking vision. This can be performed endoscopically with no visible scar or using incisions that allow extra forehead skin to be removed. There is a trend towards a fuller and heavier brow at this time and more conservative brow elevation if any is generally appropriate.

Temporal Lifts raise the extra skin that hoods over the lateral side of each eye. The outside of the eyebrow becomes more elevated and the eyes appear healthier and more rested. The incisions are hidden behind the hairline.

Chin Implants can give definition to the jawline and will make the neck appear tighter. An additional benefit is that chin implants create the illusion that a nose is smaller.

Cheek Implants can give definition to the upper face and elevate flattened cheekbones. They will also slightly tighten the skin lower and lateral to the eyes.

A Facelift (Rhytidectomy) tightens the sagging facial tissue and removes the excess skin that makes the face look aged.

Lasers or chemical peels will soften fine wrinkles around the mouth, eyes, or the entire face and can reverse sun damage.

Fillers like Restylane and Juvederm can plump the areas that have deeper folds. This can improve facial rejuvenation results.

Botox Cosmetic will relax the superficial muscles and allow the skin to heal with less creasing. This can be performed in the office or at the time of surgery.

 

How Can Dr. Mourad Help You?

When you contact our office, our friendly staff will ask for your basic information and set up an appointment time that is convenient for you. If there is an insurance component to your visit we will check your benefits and let you know what they are. We have a no surprise billing policy and will let you know your responsibility. Dr. Mourad has extensive eyelid and facial surgery experience to address your aesthetic needs. If you feel that you would like an evaluation of your eyes or other facial features please feel free to contact our office.

Meet Dr. Moustafa Mourad, MD, FACS

Moustafa Mourad, MD, FACS is board-certified in head and neck surgery and highly-trained in cosmetic plastic surgery and facial reconstruction. Dr. Mourad is also a Fellow of the American College of Surgeons. He treats many conditions, both cosmetic and complex, that affect the head, neck and entire facial area. Learn More »