Published by Dr. Brandon Richland, MD
Eyelid lift surgery, or blepharoplasty, addresses issues like sagging skin, excess fat, and droopy eyelids. The procedure improves both appearance and vision, restoring a youthful look and enhancing peripheral vision.
An eyelid lift, or blepharoplasty, is a surgical procedure that remove excess skin, fat, and sometimes muscle from the upper and lower eyelids. This surgery helps create a more defined natural crease and can reduce wrinkles, puffiness, and bags under the eyes.
Types of Blepharoplasty:
Sutures are often used to close incisions, maintaining the natural contour of the eyelids.
Newport Beach, CA, is a sought-after location for blepharoplasty eyelid surgery due to its high concentration of skilled plastic surgeons with extensive experience in cosmetic procedures.
The area is known for:
Eyelid lift Newport Beach provides a serene environment, aiding in relaxation and recovery.
Candidates for blepharoplasty are typically individuals with healthy facial tissue and muscles. Ideal candidates include those experiencing:
Good health, non-smoking status, and realistic expectations are essential. Age-related changes or hereditary factors often prompt people to seek this surgery. Before proceeding, a thorough evaluation by a qualified plastic surgeon is necessary to ensure the best outcomes.
Selecting the right plastic surgeon in Newport Beach, California (CA) for an eyelid lift (blepharoplasty) involves several crucial steps. Ensuring the surgeon’s credentials, experience, and patient reviews are essential in making an informed decision.
First, verify that the surgeon is board-certified. A board-certified plastic surgeon, especially one who is a member of the American Society of Plastic Surgeons (ASPS), meets rigorous standards in training and ethics. This certification ensures that the surgeon has proper education and expertise.
Experience is another critical factor. Look for a surgeon who specializes in eyelid surgery. An oculoplastic surgeon or an ophthalmologist with additional training in oculoplastic surgery can offer specialized care due to their deep understanding of the structures around the eye.
Finally, consider the hospital or clinic where the surgery will be performed. Ensure it has accredited facilities and a good reputation for patient care and safety. This can significantly influence the overall experience and results of the surgery.
An eyelid lift (blepharoplasty) consultation is crucial for anyone considering the surgery. It provides an opportunity to discuss goals, address medical history, and ensure a personalized treatment plan.
When meeting a plastic surgeon, patients should prepare a list of critical questions. These queries might include:
These questions help patients gain a clear understanding of the procedure and ensure they feel comfortable with the surgeon’s expertise.
During the consultation, the surgeon will conduct a detailed review of the patient’s medical history, noting any allergies, diabetes, or other relevant conditions. A thorough physical exam, focusing on the eyes and surrounding area, is essential.
The surgeon will likely discuss the patient’s goals, asking about specific concerns such as droopy upper lids or under-eye bags.
They will explain the surgical process, including the removal or redistribution of fat and the tightening of skin. Discussions on pre-surgery preparations, such as avoiding certain drugs or medications, typically follow.
Throughout the consultation, ample time is set aside to answer all your questions and guide you through each step, from initial evaluation to recovery. The surgeon’s goal is to ensure you feel informed and confident, with a clear understanding of what to expect and how the procedure will address your unique aesthetic needs.
Eyelid lift surgery, or blepharoplasty, focuses on enhancing the appearance of the upper and lower eyelids. This procedure can address cosmetic concerns as well as functional issues like impaired vision due to drooping eyelids.
Blepharoplasty: Surgery aimed at removing excess skin, muscle, and fat from the upper and lower eyelids.
Ptosis: A condition where the upper eyelid droops over the eye, sometimes requiring additional surgery.
Transconjunctival Incision: A method used in lower eyelid surgery rarely the incision is made inside the eyelid to avoid visible scars.
Local Anesthesia: Anesthesia that numbs a specific area of the body, often used in blepharoplasty.
General Anesthesia: Anesthesia that makes you completely unconscious during the procedure.
The choice between local and general anesthesia for eyelid lift surgery depends on the extent and complexity of the procedure.
Ultimately, your surgeon will assess your individual needs, medical history, and the details of your desired results to determine the most appropriate anesthesia option.
Upper Blepharoplasty: Focuses on the upper eyelids, removing excess skin that can hang over the eyes. This type can improve the field of vision when sagging skin impairs sight.
Lower Eyelid Surgery: Targets puffiness and bags under the eyes, often involving the removal or redistribution of fat. A transconjunctival incision is commonly used here to minimize visible scarring.
Combined Procedures: Sometimes, patients undergo both upper and lower blepharoplasty at the same time. This approach addresses comprehensive eyelid rejuvenation within a single surgery and recovery period.
Step 1: Anesthesia: The procedure begins with either local or general anesthesia to ensure patient comfort.
Step 2: Incisions: For upper blepharoplasty, incisions are usually made in the natural creases of the upper eyelids. In lower eyelid surgery, a transconjunctival incision inside the lower eyelid may be used to hide scars.
Step 3: Tissue Removal and Adjustment: Excess skin, muscle, and fat are removed or repositioned. For the lower eyelid, herniated fat might be redistributed to eliminate puffiness.
In many cases, the surgeon will address both the bulging fat that forms “bags” and the hollow “dark circles” beneath the eyes in one step. This is often done by making an incision discreetly inside the eyelid, which helps avoid any visible external scar. The fat from the puffy area is then gently moved from the “hill” into the “valley”, filling the hollow and creating a smoother, more youthful transition between the lower eyelid and the cheek. This technique not only refreshes the lower eyelid but also subtly rejuvenates the whole midface area.
Step 4: Suturing and Recovery: Incisions are closed with sutures. Post-surgery, patients spend time in a recovery room for monitoring and eventual discharge.
The financial aspect of eyelid lift surgery includes several factors such as the surgeon’s fee, anesthesia, and facility charges.
Surgeon’s Fees: The cost of eyelid lift (blepharoplasty) in Newport Beach, CA ranges from $3,000 to $4,950. Differences in price can depend on the surgeon’s expertise and the complexity of the procedure.
Additional Costs: Factors such as anesthesia and operating room facilities are separate expenses. These can add several hundred to over a thousand dollars to the total cost.
Insurance: Generally, cosmetic blepharoplasty isn’t covered by insurance, unless it’s deemed medically necessary to improve vision. Always check with both the surgeon’s office and your insurance provider for clarification.
Many individuals consider getting an eyelid lift (blepharoplasty) for both cosmetic and functional reasons. Understanding when and how insurance may cover this procedure can be crucial for planning and budgeting.
Insurance coverage for eyelid lift surgery largely depends on the specific circumstances of the patient. Generally, insurances are more likely to cover the procedure if it’s needed for medical reasons rather than for cosmetic enhancements.
Medical necessity often hinges on whether the excess eyelid skin interferes with the patient’s vision.
In many cases, upper eyelid blepharoplasty may be covered by insurance if you have documentation showing that excess skin is limiting your vision. This typically involves a formal visual field test and supporting photographs. Lower eyelid blepharoplasty, however, is almost always considered cosmetic and is not covered by insurance.
If approved, the coverage might still involve out-of-pocket expenses such as copayments and deductibles. Patients should check with their specific health insurance provider to understand the extent of coverage and any potential out-of-pocket costs. Additionally, it’s important to confirm whether your surgeon accepts your insurance or is within your network of providers, as this can affect your final costs.
For insurance to consider covering upper eyelid blepharoplasty, thorough documentation is crucial. Most providers, including well-known names like Blue Cross Blue Shield or Aetna, typically require:
Your surgeon’s office can guide you through gathering the appropriate paperwork and will also let you know if they’re in-network with your insurance.
For those not keen on undergoing surgery, several non-surgical alternatives can rejuvenate the eye area. These options include Botox, fillers, and laser treatments, each with distinct benefits.
Botox is an injectable treatment that temporarily relaxes the muscles causing wrinkles and fine lines. This can reduce frown lines, crow’s feet, and forehead wrinkles. Injecting Botox above the eyebrows can lift the brows, reducing upper eyelid droop.
Fillers add volume around the eye area, addressing hollow under-eyes and sunken cheeks. A single treatment can last about a year. Fillers are effective for mimicking the effects of an eyelid lift by smoothing and plumping the skin.
Laser treatments, such as laser skin resurfacing, use ablative lasers to remove upper skin layers. This encourages the growth of new, smoother skin, reducing wrinkles and improving skin texture. This option can address dark circles and an uneven skin tone.
When considering eyelid lift surgery, it’s common to explore other facial procedures that can enhance or complement your results. Some of the most frequently paired cosmetic surgeries include:
Combining these procedures with blepharoplasty can create comprehensive facial rejuvenation, tailored to your unique goals and anatomy.
Eyelid lift, or blepharoplasty, offers various benefits such as a youthful appearance and potential vision improvement. However, it also involves certain risks and recovery challenges that need consideration.
Pros:
Cons:
Eyelid lift (blepharoplasty) surgery can result in various side effects and complications. It’s vital to understand these aspects thoroughly for a well-informed decision.
Swelling and Bruising: Post-surgery, swelling and bruising are common. They typically subside within a few weeks but can last longer for some individuals. Applying cold compresses may help reduce these symptoms faster.
Pain and Discomfort: Pain is usually mild to moderate. Over-the-counter pain relievers or prescribed medications can manage discomfort effectively.
Bleeding and Infection: Although rare, bleeding or infection can occur. Following post-operative care guidelines and keeping the surgical site clean lowers these risks.
Scarring: Scars are generally minimal and fade over time. Proper wound care and avoiding sun exposure help in reducing the prominence of scars.
Blurred Vision and Dry Eye: Temporary blurred vision or dry eyes can happen post-surgery. Lubricating eye drops are often recommended to mitigate discomfort.
Injury and Ectropion: Rarely, complications such as eyelid malposition, including ectropion (outward turning of the eyelid) or lid lag (difficulty closing the eyelid), can occur. Additional corrective surgery might be required to address these issues.
Preparing for an eyelid lift requires careful planning to ensure a safe and successful procedure. Patients need to follow specific guidelines related to medications, lifestyle adjustments, and fasting protocols.
Patients should inform their surgeon about any medications they are currently taking, including prescription drugs, over-the-counter medications, and supplements. Aspirin and other anti-inflammatory drugs should typically be avoided as they can increase bleeding risks. It’s important to follow the surgeon’s advice on which medications to stop or adjust before surgery.
Smoking can impede the healing process and increase the risk of complications. Patients are typically advised to stop smoking several weeks before the surgery and to continue abstaining from smoking during the recovery period. Using nicotine patches instead of smoking is not advised, as nicotine itself can still affect wound healing.
Patients should avoid wearing contact lenses and makeup on the day of surgery. Contact lenses can irritate the eyes and make the surgical area more difficult to keep sterile. Makeup might harbor bacteria and increase the risk of infection, so it’s best to have a clean, makeup-free face.
Surgeons often require patients to fast for a specific amount of time before the procedure. This typically includes not eating or drinking anything, sometimes starting from midnight before the surgery.
By adhering to these guidelines, patients can help ensure a smoother surgical experience and aid in the healing process.
Eyelid lift recovery involves a combination of rest, proper care, and following specific medical advice to ensure a smooth healing process. Patients generally experience improved aesthetics and comfort after recovery.
The recovery following lower eyelid blepharoplasty can be a bit more involved than that of the upper eyelids. Swelling and bruising around the lower lids are often more pronounced, leaving the under-eye area black and blue in the first days after surgery. Some patients may find the lower eyelid area feels a little more sensitive or uncomfortable during early healing.
Depending on your specific surgical approach, you may or may not have sutures that need to be removed. If stitches are required, they’re generally taken out within the first week. Visible swelling and discoloration typically begin to subside by the end of the second week.
It’s important to note that refinement and subtle improvements around the lower eyelid region will continue for several months as residual swelling dissipates. Gentle care, head elevation when resting, and avoiding eye strain can support your recovery. Most people notice a gradual return to their natural appearance, with ongoing improvements in contour and comfort over time.
Following upper eyelid lift surgery, most patients find the recovery process manageable. It’s common to experience some bruising and swelling initially, which usually peaks in the first few days and then begins to subside. Sutures are typically removed about five to six days after the procedure.
Over the coming weeks, swelling gradually decreases, and the eyelids become more comfortable and natural-looking. While the majority of the visible recovery occurs within two weeks, subtle improvements, especially in the way scars soften and tissues settle, can continue for several months. Patience is important, as final results may become fully apparent up to six months post-surgery.
Recovery time for eyelid lift surgery generally spans 1-2 weeks. Initially, patients may experience bruising and swelling. Applying cold compresses aids in reducing these symptoms. Lubricating ointments and prescribed eye drops help in keeping the eyes moist and preventing infections.
During the first week, it’s crucial to limit strenuous activities and avoid bending over or heavy lifting. Sunglasses are recommended to protect the eyes from sunlight and wind. Stitches are usually removed 5-7 days post-surgery.
Follow-up checkups with the surgeon ensure that the healing process is on track. The patient should strictly adhere to the surgeon’s instructions regarding medications and care routines to expedite recovery. Although most normal activities can be resumed within two weeks, complete healing might take a few months.
Patients are typically able to resume wearing makeup the day after their stitches are removed, usually around five to seven days post-surgery. By this point, the incisions have sufficiently healed to reduce the risk of irritation or infection. It’s important to ensure the area is clean and to use fresh, hypoallergenic products, as older makeup can harbor bacteria. Always confirm with your surgeon before reintroducing cosmetics, and avoid applying products directly over any unhealed areas to support optimal recovery.
The longevity of eyelid lift results can vary depending on whether the procedure involves the upper or lower eyelids. It is influenced by factors such as the aging process and individual patient anatomy.
Upper eyelid surgery typically shows results that last for about five to seven years. This is due to the gradual aging process that may cause sagging and drooping over time. As skin elasticity decreases naturally with age, some patients might opt for a repeat procedure after several years.
Lower eyelid blepharoplasty surgery, on the other hand, tends to offer more lasting results. The removal or repositioning of excess fat achieves a relatively permanent solution. This makes the outcomes of lower blepharoplasty much more stable, often lasting a lifetime.
Eyelid lift surgery, or blepharoplasty, can offer a number of improvements, from reducing drooping skin to enhancing the overall appearance of the eye area. Patients typically see notable changes in their look, leading to higher satisfaction rates.
Patients can expect long-lasting results with an eyelid lift. Most will see a reduction in sagging skin around the eyes, giving a more youthful appearance. The procedure can also address issues like bags under the eyes and droopy upper lids.
Before and after comparisons often show a marked difference. While some initial swelling and bruising are common, these effects usually subside within two weeks.
Patient satisfaction tends to be high as people notice they look more refreshed and alert. Final results may take a few months to fully manifest, as the healing process continues.
Eyelid lift (blepharoplasty) surgery transforms the appearance of patients by addressing sagging or drooping eyelids. Before & After (B&A) Photos of eyelid lift (blepharoplasty) Surgery present an excellent way to visualize potential results and set realistic expectations for those considering the procedure.
Photos depicting patient results show the changes achieved through eyelid lift surgery. These images highlight various stages of recovery, from immediate postoperative results to several months out.
Patient galleries often include individuals of different ages and skin types, showcasing the procedure’s wide applicability. For instance, photos might show a young woman with hooded eyelids immediately following surgery, and later, the refined look achieved after healing.
These galleries, particularly those curated by professional organizations or certified surgeons, are essential in giving potential patients a realistic view of what to expect. The photos offer insights into the typical outcomes, helping individuals make informed decisions about undergo blepharoplasty.
Dr. Brandon Richland, MD is one of the best, most respected, top Board Certified Plastic Surgeons in Newport Beach, California specializing in cosmetic and reconstructive surgeries.
Driven by his passion for medicine, Dr. Richland obtained his Doctor of Medicine (M.D.) degree from the prestigious program at Saint Louis University (SLU) School of Medicine in 2013. His exceptional skills were recognized when he received the McGraw Hill / Lange Medical Student Academic Achievement Award, and graduated top of his class with Honors. For his undergraduate degree, he attended University of California, Los Angeles (UCLA) and graduated with Honors in 2009.
To further enhance his surgical expertise, Dr. Richland completed his Residency in Plastic Surgery at the University of California, Irvine (UCI) from 2013 to 2019 earning the Academic Achievement Award twice during this period. A total of 14 years in dedicated schooling and medical residency.
Dr. Richland is actively involved with healthcare and medical societies, as a Diplomate of the American Board of Plastic Surgery, a member of the American Society of Plastic Surgeons, American Society of Aesthetic Plastic Surgeons, and the California Society of Plastic Surgeons.
Contact Dr. Richland’s Newport Beach Plastic Surgery office today by calling 949-867-6005, or visit RichlandMD.com to schedule your personalized plastic surgery consultation in Newport Beach.
Cover Image Credit: Velesstudio / 123RF.com (Licensed). Photo Illustration by: Dr. Brandon Richland, MD.