How Long Should a Blepharoplasty Last Before Undergoing Another Eyelift?

Question

How Long Should a Blepharoplasty Last Before Undergoing Another Eyelift

Kenneth D. Steinsapir, MD · Answer

Nothing lasts forever.  It is not that unusual to benefit from revisional eyelid surgery or alternate procedures like a forehead lift.  Ultimately your needs must be assessed by a properly qualified cosmetic surgeon.  There are no absolutes about this.  How you feel about having more surgery and achieve your aesthetic goals is perhaps the most important consideration here.

Cameron Chesnut, MD, FAAD, FACMS · Answer

This is a really great question that comes up often in cosmetic consultations: What is the duration and durability of a cosmetic surgery?
Most of that answer depends on your own, inherent physiology and anatomy. For example, an older patient will often get less durability out of the surgery as their tissues just do not respond as well as a younger person. Your genetic predisposition to agent will also play significant role.
I always tell patients that we can turn back the hands of time, but we cannot stop them from taking forwards. Basically, you will always be aging from a new point, as you continue to age after your surgery, you will always have that Headstart having begun that process from a better starting point, so you always look better than had you not had the surgery.
The type of surgery is also important; an eyelid surgery does not tend to have as much tension placed on it as say a facelift, so inherent genetic changes can play more of a role with duration there. Treatments like Botox or Dysport can definitely be preventative and prolong the need for surgery by helping to take tension off of the tissue. I always encourage my post operative patients to preserve their results with Botox or Dysport, just as we encourage young patients to start early and preserve what they already have!
To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these “core four” cosmetic specialties. Membership in organizations like the American Academy of Facial Plastic and Reconstructive Surgery help to identify a highly trained surgeon.
Cameron Chesnut
#realself500 Physician

Michael Horn, MD · Answer

Hi,

	The amount of time a blepharoplasty lasts varies in depending on the individual. Generally speaking it should last  ten years or so. Your skin elasticity will play a role in how long it will last for you. It tends to last longer in younger patients. Your heredity has some influence. Ways to get the most out of your surgery include avoiding smoking and sun exposure, and to maintain a youthful appearance with good skin care products. Botox is a terrific adjunct to blepharoplasty help to prolong a  more youthful look.

Philip S. Schoenfeld, MD, FACS · Answer

I tell my patients that ten years is a reasonable amount of time before a second blepharoplasty should need to be performed.  Like all other areas of the face, factors such as smoking, sun exposure, skin care, and even nutrition will have some effect on the eyelid skin and you may desire a second blepharoplasty sooner if your face ages more quickly.

Robert L. Kraft, MD, FACS · Answer

Everyone ages differently but, in general, a blepharoplasty should last for up to 10 years.  However, particularly in the upper lids, it is important to know whether an eye lift, rather than a brow lift, is the appropriate procedure.  If what the patient truly needs is elevation of the brows but has an upper eyelid lift instead, they may report dissatisfaction within months of the surgery.  This is one example where giving a patient what they think they want rather than what they need is counterproductive.

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