Eyelid surgery is commonly performed on the upper and lower eyelids to rejuvenate the eye. With time, many people develop loose skin of the upper eyelid that can hang over the eyelid crease. There may also be pseudoherniation (or bilging) of the fat that surrounds the eye, making the eyes look “puffy.” Less frequently, there may be excessive hanging skin of the lower eyelid as well.
The best candidates are generally healthy people with reasonable expectations of surgery. A thorough examination of the eye is critical prior to eyelid surgery. Frequently, during lower eyelid surgery, the muscle surrounding the eye or the lower eyelid itself must be tightened. Patients with “dry eye” as determined by objective examination are not generally recommended cosmetic eyelid surgery.
Blepharoplasty will only be covered by your insurance company if there is a functional problem with your vision, such as extreme sagging of the skin blocking your peripheral vision. If there is a possibility that your vision may be affected, Dr. Liotta will refer you for visual field testing by an ophthalmologist. In this very simple and quick test, the degree of peripheral obstruction can be objectively measured. After reviewing the test results, Dr. Liotta can advise you whether insurance is likely to provide coverage.
Upper eyelid surgery can be performed in the office under local anesthesia. Lower eyelid surgery is performed in the operating room under general anesthesia. Dr. Liotta tailors each surgical plan to the specific needs of her patients, but in general, and pre-operative examination is needed to determine exactly which eyelid procedure will give you the best result..
Generally speaking, the downtime associated with eyelid surgery is approximately one week. During that time, you should expect bruising around the eye, and some mild swelling of the eyelids. Some patients also experience tearing in the initial 1-2 weeks after surgery. In general, eyelid surgery is not a very painful.