Age, sun exposure and hereditary factors all contribute to wrinkles, deep lines and puffiness around the eyes.  This can create a tired or aged appearance.  An eyelid lift, or blepharoplasty, is designed to restore a more youthful and rested appearance to your eyes.   It can also improve your scope of vision if you have excessive upper eyelid skin that interferes with peripheral or superior vision.  A blepharoplasty can involve the upper lids, the lower lids, or both.

The surgery can be done under sedation or general anesthesia and can take 1-2 hours depending if just upper lids or upper and lower lids are being addressed.  Incisions are made in the natural creases in the upper and lower lids and are very well hidden once healed.  The surgery typically involves some skin removal and resuspension of the muscles and fat surrounding the lids.  While not a very painful operation, there is a fair amount of bruising and swelling which can last 1-2 weeks.  Sutures are generally removed 4-7 days after surgery and make up can be worn once the stitches are out.  Contact lenses can usually be worn again about 2 weeks after surgery.

Oculoplastic Procedures

Paces is unique in having an ophthalmologist on staff and several of the physicians have additional formal training in oculoplastics, or surgery of the eyelids and orbit. Primary cosmetic eyelid procedures as well as revision eyelid procedures to correct complications after eyelid surgery are performed on a regular basis by doctors at Paces Plastic Surgery. These factors make Paces one of the nation’s leading centers for eyelid surgery.
As with cosmetic eyelid surgery, these reconstructive procedures can be done under sedation or general anaesthesia and are most often outpatient procedures.  A ptosis repair is performed through an incision in the natural upper eyelid crease and involves tightening of the muscle that lifts the eyelids.  For lower lid procedures, the lids are typically elevated and tightened with a canthoplasty to resuspend them and reduce symptoms of redness and irritation from corneal exposure.  Because of the delicate nature of the surrounding tissues, there will often be bruising and swelling present for 1-2 weeks following surgery.  Ice, pain medications and lubricants are important components of the post operative care regimen.  Sutures are usually removed 7 days after the surgery.

Brow Lift

A browlift is done to raise the eyebrows and reduce ridges and furrows on the forehead, thus creating a smoother, more youthful appearance. This procedure is typically done with other facial surgeries, namely those on the eyelids. The originally described browlift involved an incision in the hairline extending from one ear to the other. More typically today, the browlift is performed endoscopically using 3-5 smaller incisions in the scalp and specialized instruments to elevate the skin and muscles of the forehead and resuspend them.
A browlift is done under general anesthesia and takes 1-1.5 hours. The upper eyelids can become bruised and swollen for 1-2 weeks following surgery. Most often there will staples and palpable screws in the scalp which are removed in the office 10-14 days after surgery. This is not painful.