Eyelid Lift - Dr. Danielle DeLuca-Pytell M.D. » Dr. Danielle DeLuca-Pytell M.D.

Eyelid Lift

“When you’re tired of looking tired, an eyelid lift may be right for you.”

Common name – Eyelid Lift. Technical name/also known as – Blepharoplasty.

Benefits of an Eyelid Lift

As people get older, the appearance of the eye changes. For the upper eyelid, the skin may loosen and obscure part (or, in severe cases, all) of the lid. Some eyelids may even rest on the eyelashes. There may be heaviness seen on either side of the nose as the fat which surrounds the eyeball becomes more prominent. For those with a heavy upper eyelid, called dermatochalasia, an eyelid lift may be indicated.

Sometimes, the excess skin of the upper eyelid may be caused by dropping of the eyebrow, called brow ptosis. In this case, a browlift would be indicated. Depending on the amount of excess upper eyelid skin, an eyelid lift may or may not be needed in addition to a browlift.

For the lower eyelid, the skin may loosen, but in this area, fat is often responsible for the tired and puffy look of the lower eyelid. Some of the deep structures around the eye relaxes with age allowing the fat to protrude. Prominence of the tear trough (the groove from the middle corner of the eye which follows the bottom of the lower eyelid ) can also be seen as the fat appears to rest above it.

How it is done: How the eyelids are lifted

For an upper eyelid lift, an incision is planned along the natural crease of the eyelid. The excess skin is marked and removed. Through this incision, the excess fat is identified and carefully removed. The scar hides inconspicuously in the eyelid crease and out towards the smile lines around the eyes.

For a lower eyelid lift, several techniques may be used. In the fat redraping technique, an incision is made underneath the lower eyelash line. The excess fat of the lower eyelid is contoured and draped over the lower orbital rim to blend the lower eyelid and cheek skin. Excess skin is removed as needed. Another technique is to remove the fat via a transconjunctival incision (inside the lid) and skin through an incision below the lash line if skin removal is needed.

Upside

Eyelid lifts, both upper and lower, give the eyes a more refreshed look.   In those with a significant amount of excess upper eyelid skin, this operation usually also improves peripheral vision. People report looking as good as they feel when previously they looked tired despite being well rested.

Downside

The tradeoff to facial surgery is always downtime. For the first two weeks at least, the eyelids may appear swollen. Bruising for some may also last up to several weeks. This may be difficult to conceal when out among others. Initially the eyes may feel dry, irritated, or sensitive. If both upper and lower eyelid surgery is done at the same time, those side effects are more likely. Some patients require prescription drops in their eyes for relief. Moisturizing drops and ointments are recommended for everyone. Color of the lower eyelid skin and wrinkles in the eyelid are not usually improved by a blepharoplasty.

Who pays for this

For some patients with loss of peripheral vision due to excess upper eyelid skin, health insurance may cover a portion of the procedure. It almost always requires precertification, meaning there is a list of qualifications that must be met in order to meet criteria the insurance company puts forth to meet medical necessity. A visual field test will be required and can be performed by an ophthalmologist. If criteria are not met, cosmetic pricing is offered. Lower eyelid lift surgery is always considered cosmetic.

What to expect

Length of operation

1-4 hours, depending on extent of procedure.

Anesthesia used

General anesthesia, you will be asleep and monitored the entire time.  Some select patients may be able to have upper blepharoplasty only under local anesthesia.

In or out patient

This is same day or outpatient surgery.

Time until final appearance

2-3 months for swelling to resolve. Scars will take 6-12 months to fade.

Side effects

Temporary bruising and swelling, pain, incomplete eyelid closing may initially occur.

Side effects

Temporary swelling and pain. The implants will not have their final appearance initially. For women with slight breast droop, this can be accentuated early in recovery but is expected to improve with time if a lift was not recommended. Cording, inflammation of the lymphatic channels, can sometimes be seen below the incision appearing like fishing line and may be uncomfortable. The breasts may be very sensitive.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.  Pain, bleeding, infection, damage to surrounding structures, need for other operations, recurrence, incomplete eye closing, sensitivity to sunlight, asymmetry, incomplete improvement, loss of vision, double vision, scarring, corneal exposure, dry eye, dissatisfaction with the result.

If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:

Smoking and Plastic Surgery

“I love when patients tell me they look as well rested as they feel!”

– Dr. Danielle DeLuca-Pytell

Your Next Step

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number

Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to noon.

248-273-7700

Our email address

You can also email us anytime with questions.

info@delucapytell.com

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Testimonials for Dr. Danielle DeLuca-Pytell

 

See what Dr. DeLuca-Pytell’s patients have to say about their surgical experience.

Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

Before and After Gallery

When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

Side effects

Temporary bruising and swelling, pain, incomplete eyelid closing may occur intially.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.  Pain, bleeding, infection, damage to surrounding structures, need for other operations, recurrence, incomplete eye closing, sensitivity to sunlight, asymmetry, incomplete improvement, loss of vision, double vision, scarring, corneal exposure, dry eye, dissatisfaction with the result.

If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:   Smoking and Plastic Surgery

Recovery time

If healing proceeds as expected:

For the first two weeks, no lifting, strenuous activity, housework, or exercise. It is ok to wear eye makeup once scabs have resolved. Sunglasses are recommended to be worn outdoors during this time to protect the eye from sun and debris.

2-4 weeks, return to gentle exercise, gradually increasing activity

After 6 weeks, return to all activity

Returning to Work

This depends on the type of work that you do and how comfortable you are that you might be seen looking bruised or swollen. For people with the flexibility to work remotely at a sedentary job, you can resume work when you feel up to it, usually a week to 10 days. It may be tiring to read initially. Having a backup plan is helpful in the event you do not feel up to returning to work.  Most feel comfortable being seen in public two to three weeks after surgery. If your work is strenuous, you will need four to six weeks off from work or return to work light duty only.

Length of results

Should be long lasting, but varies by patient.

 

Other information

It is best to sleep with the head elevated for the first few days after the procedure to help reduce swelling. Cool compresses may also be used during this time. Lubricating ointments are used along the suture line for comfort to reduce pulling on the skin from scabs. It is also used in the eyes during sleep to help protect the cornea as the eyelids may not completely close after surgery because of swelling (this is temporary). Saline drops should be used frequently during the day to increase eye comfort as well. Reading and prolonged computer time may also make the eyes more tired more quickly following surgery. Contact lenses should be avoided until the sutures are out and all scabbing has resolved. Lower eyelid massage will be demonstrated once the sutures are removed for those who have lower eyelid surgery.

Your appointment with Dr. DeLuca-Pytell

When you visit the office for your appointment, we will talk about the side effects and risks of this procedure. You will have the chance to ask any questions you might have.

Don’t forget: it is your body!  There is no such thing as a bad or silly question!

Contact us

Give us a call to schedule your appointment.

Our phone number

  • 248-273-7700