Blepharoplasty - Eyelid Surgery


The eyes are the first to be affected by aging. The eyelid tissue is thin and delicate causing the skin to wrinkle, bag, and protrude. Depending on the genetics involved, it can begin at a disconcertingly young age, but usually somewhere in the early thirties people begin to notice changes and even earlier with sun exposure.

Cosmetic eyelid surgery is evolving right along with the rest of facial plastic surgery. At its simplest, blepharoplasty involves the removal of excess fat and redundant eyelid skin, either through an external incision just under the lash line or just inside the lower lid in the conjunctiva.  That's the transconjunctival incision area.

With endoscopic brow repositioning and cutaneous laser resurfacing most of the signs of aging in the upper eyelid can be corrected without a traditional upper blepharoplasty. "Rejuvenating the eyes with an endoscopic browlift is a wonderful breakthrough for many reasons," believes Dr. Szachowicz. The eyelid skin is very specialized. It's thin, delicate and irreplaceable. Removing this lid skin in an upper lid blepharoplasty can impair the blink function since what's now moving over the eye is thicker brow skin. Dry eyes can also be exacerbated, affecting reading, photography, and a whole host of pleasurable activities.

"Lower lid blepharoplasty has made exciting advances as well," says Dr. Szachowicz. "We're able to reposition fat and simultaneously tighten the skin, all without visible incisions." Those protruding pouches of flesh under the eye are most noticeable in the morning, when fluids are retained. But mother nature didn't give anyone too much eye fat. Traditional techniques of fat removal eventually lead to a hollow, sunken look. So instead of taking it out, the surgeon can use the fatty tissue to hide the bony orbital rim. Through an incision hidden inside the lid, the fat is repositioned and sutured into place. The result is a smooth, scar-free lower lid.

Article by
Minneapolis Facial Plastic Surgeon