Eyelid Surgery (Blepharoplasty) Combined with Facelift
Often, patients are having multiple facial aesthetic conditions due to aging that only a facial plastic surgeon should evaluate and devise a way to improve their overall look in one surgical procedure. Sometimes, a facelift surgery by itself can not satisfy their needs. In cases where the patients also have a drooping eyelid problem, they may be suffering from vision obstacles and having a tired, angry and sad appearance. In this case, many patients can benefit from a combined facelift and eyelid surgery in order to create a fresh and younger look. These procedures can be performed at the same time and it is considered a common combination procedure.
Eyelid surgery (also called Blepharoplasty) is a type of facial plastic surgery procedure that targets the lower and/or upper eyelids. As we age, the skin and muscles around the eyes lose their elasticity. The patient's excess skin and fat can create puffiness or "hanging skin" in the upper eyelids and/or lower eyelids. Many times, drooping upper eyelids make people look older and lower eyelids’ bags make them have a tired look.
Potential candidates should check and see if any of the following signs applies to them, when considering a combination procedure of facelift and eyelid surgery:
- Puffiness and tired looking eyes (goldfish eyes)
- Hanging lower eyelids’ bags.
- Drooping skin that obstructs visual fields.
- Redundant fatty or excess skin on the upper eyelids that makes the eyes look unnatural.
The Eyelid surgery does not specifically solve the issue of dark circles, fine lines, crow feet or wrinkles around the eyes. When combined with a facelift, brow lift, plus some facial fillers such as Botox and Juvederm, these conditions can be taken care of as well, resulting in total harmonious facial expression and fresher looking eyes. In some patients that also suffer from sagging brows, a facial plastic surgeon might combine the eyelid surgery procedure with brow lift (forehead lift) in order to elevate the forehead region, therefore further opening the eyes.
According to facial cosmetic expert Our doctor, when performing a surgery on the upper eyelids, the surgeon draws the line along the patient’s natural folds in order to avoid any visible scars, and then makes the incision. After that, he/she will eliminate the excess fat and loose skin before carefully redraping the skin in place. There are two ways to perform a lower eyelid surgery – one option is to make the incision in an inconspicuous fashion by making an incision right along the lash line of the lower eyelids and then trimming the excess fatty tissues and loose skin before redraping it in place. Another option that Our doctor highlights and prefers to use when correcting lower eyelid puffiness (sagging bags) is called Transconjunctival Blepharoplasty. This technique is best for a scarless surgery since the incisions are made inside the lower eyelid. The surgeon removes the excess fatty tissues from the inside then uses a self-dissolving material to close the lower eyelids.
Approximately 75% of patients getting a facelift in Our doctor's practice usually also do an eyelift at the same time so the eyes and face are in harmony. It is essential that the eyes also match the aging level of the face. A mismatch between the age level of the eyes and face can look unnatural. Many patients also opt for the combined procedure since the eyes and face also have about the same healing period of 1 week each, so the recovery is combined.
Our doctor also sometimes injects fat in the crease between the lower eyelid and cheek area to address volume loss which can make the lower eyes look hollow. He also may sometimes redrape some of the lower eyelid fat into this crease (called nasojugal line) to fill this area and obtain a natual and youthful result. Our doctor is very conservative in fat excision in the upper and lower eyelids because he feels that the "hollow look" is not a "youthful look". The future of eyelid surgery, Our doctor explains, is not only in excising excess skin, but is in redraping some of the fat or injecting some fat in the lower eyelid to address volume loss.
An eyelid surgery is usually performed under local anesthesia and takes about forty five minutes to an hour operation time. As Our doctor explains, patients can return back to their normal activities within 7- 10 days after the surgery and look fresher and younger than ever. This procedure can be impressively long lasting, often remaining effective for ten to fifteen years after surgery.