Eyelid  Surgery or Blepharoplasty (See also Facelift and Browlift) - Men

Aesthetic eyelid surgery, or blepharoplasty, is an operation to remove excess skin and fat on upper and lower eyelids.  It can eliminate conditions that give an individual a tired appearance, such as wrinkled folds of skin on upper eyelids, bags under the eyes and sagging eyebrows.  Reconstructive blepharoplasty can be performed to correct these conditions when they affect vision.

In younger individuals, blepharoplasty usually is performed to remove fatty tissue only.  In older patients, loss of skin tone will require excision of superfluous skin as well.  it is important that ocular problems that impeded vision or tear formation are recognized before surgery.  These conditions may need to be corrected by an ophthalmologist prior to eyelid surgery or, in some cases, can be modified during the blepharoplasty operation. 

Blepharoplasy typically is performed to remove excess folds of skin, ouches under the eyes and in some instances, is accompanied by an additional procedure to correct sagging eyebrows.  One or all of these changes can be made during a single operation.  The extent of the procedure depends on what changes are desired and what is deemed appropriate.

Blepharoplasty usually is performed first on the upper lid and then the lower.  In both areas, underlying compartments of fat will be removed.  Incisions in the upper and lower eyelids are made following natural lines and crease, and generally extend into the fine wrinkling, or crow's feet, at the eyes' outer edge.  Working through the incisions, the skin is separated from underlying fatty tissue and muscle and if indicated the underlying muscle may be tightened.  Exposed fat and excess skin are removed. Current trends involve much more conservative fat removal since muscle tightening often reduces the bags and avoids hollowing of the lower eyelids.

The number and type of sutures used to close the incisions vary.  Once healed, the hairline scar will fade and become barely visible within six to eight weeks.

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