One of the most common procedures that, I do here is upper eyelid surgery or medically known as upper blepharoplasty, I get approached about this question very frequently because the eyes are one of the earliest places where you see signs of facial aging, and so a lot of patients who are requesting facial rejuvenation will first focus on the eyes because that’s really where they first see some of the changes specifically what oftentimes patients notice is that they have a little bit of sagging like extra skin in this upper eyelid area, and it gives them they feel a little bit of a tired appearance and so often times patients will come saying you know I feel my eyes look tired but I don’t feel tired.
I’d just like to look a little bit more refreshed and kind of like to look more how I feel so this is very commonly what I hear from these patients In these patients actually often times if I take a look you’ll see a little extra skin here patients who’ve waited on this for a while who have for example more severe sagging you’ll actually see the excess skin being so much that it would actually even sit down on the eyelashes and can actually can impair their visual field and actually make it more difficult to open their eyes so there’s really a variety of degrees to which you’ll see this In terms of rejuvenation, typically I just see patients who have just a little bit of excess and they’d just like to get a little bit of improvement in that area.
In terms of best candidates for the procedure, since the procedure really involves removing a little bit of excess skin and really trying to reshape that eyelid fold a little bit such that it looks a little more rejuvenated Best candidates are really patients who specifically have that exact problem where you know oftentimes patients when they come to see me they say you know i look in the mirror and feel that if I could just tuck this in here, or if I just pull this specific area of skin.
if I could just remove it that would be great Those are great candidates for the procedure because it is very straightforward there’s a very specific anatomical surgical goal in terms of what we want to do and so patients get very nice results if that’s the case there’s actually a subset of patients who are good candidates for upper blepharoplasty who actually also have a separate issue which is that their eyelids can actually droop oftentimes this is confused with well I have extra skin here and it looks like it’s drooping but in some of these patients with this condition called eyelid ptosis, the issue is that their eyelid margin actually sits a little bit down over their pupils kind of like this.
For those of you who may know like the cartoon Garfield a lot of times I’ll tell patients these are patientswho have a Garfield eyes the way Garfield’s eyes are drawn a little bit down over the pupils those are patients who have eyelid ptosis. That is a separate issue that can be addressed at the same time as upper blepharoplasty but it is a separate issue and so it’s important during the examination for for me for example to really assess and see the eyes and really see if the patient has excess skin and if they have in addition eyelid ptosis.
Those are two separate issues that have to be addressed surgically In terms of procedure, the procedure itself is very straightforward it’s usually about an hour and a half long. There’s a little extra time required if there’s a ptosis repair that needs to be done as well It’s under local anesthesia and pretty well tolerated. Patients essentially are draped surgically and prepared surgically but they are awake during the procedure with local anesthesia.
They’re very comfortable In terms of post procedure recovery afterwards you can expect a little bruising and swelling to persist probably most of it goes away by about two weeks or so but if there’s any residual it does continue to improve over the first six weeks to six months but really in terms of being comfortable going out and about I say most of my patients are comfortable going out at about two weeks I do have a number of patients who are comfortable at about one week going out but I always tell patients just give yourself two weeks to make sure you have enough time to recover so in case you do need extra time you won’t feel rushed or anxious waiting for things to recover more quickly In terms of what to do after the procedure I tell patients afterward I’d like you to keep your head in bed elevated for a while usually especially for the first 48 hours I do happen do have them ice the areas we do the operation 20 minutes with ice on and 20 minutes off have them do that for the first 12 hours and if they can for the first 2 days Overall the procedure is very well tolerated I’d say that again it’s probably one of the 2 most common procedures I do here in my clinic and we get very nice results Patients are very happy with it, it gives them a nice rejuvenated appearance and it’s a very straightforward and simple procedure