Charles Perry, MD, Plastic Surgeon
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Eyelid Surgery

What is eyelid surgery?

Eyelid surgery, medically referred to as blepharoplasty, is a procedure designed to rejuvenate the upper eyelids, lower eyelids, or both. This procedure offers both aesthetic and (in certain cases) functional benefits and can help patients look and feel younger and more confident. During the natural aging process, eyelids begin to sag and under-eye bags can develop and remain even after a restful sleep. It is possible to address these common concerns with eyelid surgery, a procedure that can restore a smooth, alert appearance to the eye area by excising excess skin, fat, and muscle from the upper eyelid and sometimes the lower eyelid as well. While mainly a cosmetic procedure, health insurance may cover part of the cost of blepharoplasty if extreme hooding of the upper eyelids is obscuring vision.

Blepharoplasty is a highly customizable procedure. Eyelid surgery can address the upper eyelids, lower eyelids, or both, utilizing various techniques to address the extent and location of excess tissue.

Eyelid surgery at our practice is often combined with facelift or brow lift surgery for more comprehensive facial rejuvenation.

Patient Before-And-After Photos*

What Makes Someone a Good Candidate for Eyelid Surgery?

Eyelid surgery (blepharoplasty) is helpful for men and women who have sagging of the eyelids as a result of aging or genetics. While most patients who undergo eyelid surgery are over the age of 35, eyelid surgery can be performed at nearly any age. Good candidates for eyelid surgery are healthy, mentally stable, and understanding of the procedure’s limitations.

During your blepharoplasty consultation with our board certified plastic surgeon, Dr. Charles Perry will advise you on which type of procedure can give your eye area the look you desire. In some cases, a patient’s cosmetic complaints are best addressed with a browlift rather than eyelid surgery. As a general rule, if your eyelids have excess skin and fat, either with our without under-eye bags, you are an ideal candidate for eyelid surgery; if your primary problem is drooping eyebrows, browlift surgery may be the better choice.

Eyelid surgery is not recommended for:

  • Individuals suffering from certain medical conditions – Medical issues including diabetes, dry eyes, high blood pressure, cardiovascular disease, hypothyroidism, Graves’ disease, detached retina, or glaucoma could cause complications. In many cases, these medical conditions will not disqualify you from undergoing eyelid surgery, but you should discuss them with your surgeon and eye doctor.
  • Individuals with unrealistic cosmetic expectations
  • Individuals wishing to address wrinkles, dark under-eye bags, or sagging eyebrows – These conditions are best addressed with BOTOX® Cosmetic, browlift surgery, and other procedures.

How is eyelid surgery performed?

Blepharoplasty is most often performed under a combination of local anesthesia and oral or intravenous sedation. This approach best allows the surgeon to assess the progress of the surgery. In some cases, however, eyelid surgery is performed under general anesthesia. Eyelid surgery is an outpatient surgery, meaning you should be able to return home the same day. There are many techniques that can be used to address the upper and lower eyelids. For the upper eyelids, Dr. Perry typically makes an incision in the crease of the eyelid fold, where a scar should be unnoticeable once properly healed. For the lower eyelids, he may be able to place the incision along the lash line or within the lower eyelid. This latter approach is also known as a transconjunctival incision. In both cases, the resulting scar is almost completely imperceptible.

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What is eyelid surgery recovery like?

We take great care to ensure our patients have as smooth a recovery experience as possible. We will provide prescription medication to help you feel more comfortable and reduce pain. Most patients take a week or two off from work to heal, and you can wear sunglasses during this period and beyond to cover the visible effects of surgery, such as bruising and swelling. These symptoms should gradually fade as you heal. We urge individuals to avoid strenuous exercise and activities for at least four to six weeks after the operation. Additionally, eye drops will be prescribed to address any dry eye symptoms that may occur until they have passed.

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What will eyelid surgery scars look like?

Well-healed scars are almost completely unnoticeable for most patients, and depending on the technique used, you may not be able to identify where the incisions were placed once fully healed. Dr. Perry takes great care when performing surgery to leave as few lasting marks as possible. He will discuss the anticipated outcome of your unique treatment plan during your initial consultation.

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How much does eyelid surgery cost?

If you are electing to have eyelid surgery for purely cosmetic reasons, medical insurance will not cover the cost of treatment. In this case, the full cost will be your responsibility. The price of eyelid surgery will vary depending on the details of your individual treatment plan, which Dr. Perry will review with you. According to the American Society of Plastic Surgeons, the average surgeon’s fee for blepharoplasty in 2016 was $3,022. It’s important to understand this only refers to the surgeon’s fee, and the final total will include fees for anesthesiology, the hospital facility, and other incidentals. While the cost of a procedure should not be your primary concern, we understand that this is a matter of interest for most patients. It is our belief that patients can make the best decisions for their treatment when they have as much information as possible, so we will provide an overview of the expected total price during your consultation. To further assist you, we work with a reputable plastic surgery financing company, which offers qualified applicants low- and no-interest payment plans with appealing terms.

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Things to Consider Before Undergoing Eyelid Surgery

Financial responsibilities

Fees for blepharoplasty are not covered by health insurance. Surgical fees include the cost of anesthesia, lab tests, medications, cost of surgical supplies, surgery center charges, and more. If complications develop, you will incur additional charges. However, if the complication poses a health risk, your health plan will cover hospitalization, anesthesia, and/or secondary surgery.

Risks of Eyelid Surgery

Eyelid surgery , just like any surgical procedure, carries some risks. Patients should be aware that it is possible to experience one or more complications following blepharoplasty, and their incidence is usually impossible to predict. Be aware that the following list is not comprehensive; Dr. Perry will discuss other potential risks at your consultation.

Bleeding

Though unlikely, it is possible for eyelid surgery to cause excessive bleeding, either during or after surgery. To decrease the chance of bleeding, avoid aspirin, anti-inflammatory medications, nonprescription herbs, and dietary supplements, as directed by Dr. Perry. High blood pressure can also predispose a patient to bleeding.

Infection

The eyeball’s abundant blood supply makes infection extremely rare, though it is possible. In the case of infection, additional treatment, such as the prescription of antibiotics and hospitalization, may be required.

Scarring

It is possible for abnormal scarring to occur in the eyelid and the deeper tissues following blepharoplasty. In addition, sutures can cause cysts or visible marks along the eyelid. Scarring may necessitate additional treatment.

Damage to the eye’s structures

The eye is delicate, and eyelid surgery is a complicated surgery that involves a great deal of skill. Even when undergoing eyelid surgery with the most experienced surgeon, it’s possible for deeper structures — eye muscles, nerves, blood vessels, etc. — to be damaged. This injury can be temporary or lasting. Eyelash loss, double vision, and drooping of the eyelid can occur, as well as blindness.

Dry eye problems

Dry eye problems caused by decreased tear production are a possible complication of eyelid surgery. This side effect is rare and impossible to predict, and can be treated with eye drops and ointments. If you suffer from dry eyes, mention this to Dr. Perry when considering eyelid surgery, as it may affect your candidacy.

Asymmetry

Just as the eyelids are usually naturally asymmetrical, they may still be asymmetrical following eyelid surgery. While surgeons take care to give the same treatment to each eyelid, symmetry is impossible to predict.

Double vision

This is rare and usually resolved in six weeks.

Drooping of the upper eyelid

This is rare and usually resolves as post-surgery swelling goes down, but if this drooping persists for more than three months, additional surgery may be necessary.

Undercorrection (residual skin folds)

Many surgeons approach eyelid surgery conservatively. As a result, some residual skin folds may remain. These can be easily addressed, whereas removing too much skin during eyelid surgery is much more difficult to repair. In some cases, residual skin folds may indicate the need for browlift surgery.

Eyelash loss

Eyelash loss in the lower lid area following blepharoplasty is impossible to predict and can be either temporary or permanent.

Unsatisfactory result

A poor blepharoplasty result can stem from visible deformities, loss of eyesight, wound disruption, loss of sensation, and other factors. In rare cases, additional surgery, possibly browlift, may be necessary to improve results. Additionally, long-term alterations in the eyelids’ appearance can occur.

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Complete Pre- and Post-operative Instructions for Eyelid Surgery Patients

To make your eyelid surgery experience at our practice a positive one, we have prepared this comprehensive list of instructions. We recommend that you read them over as soon as your surgery day is scheduled. On your surgery day, please print them out and bring them with you.

Eyelid Surgery (blepharoplasty) Instructions (printer-friendly)

Those who are interested in blepharoplasty should contact our practice today for more information about the procedure or schedule a consultation with Dr. Perry.

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*Individual Results May Vary

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