What Does Blepharoplasty Treat?

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by Dr. Steven Wallach

Blepharoplasty, or eyelid surgery, is a cosmetic or medically necessary procedure that addresses the appearance of the eyelids. Excess skin and fat deposits causing droopy or hooded eyelids can make us look tired, older, or even impair our vision. ⁽¹⁾ This phenomenon can occur due to a multitude of conditions related to eyelid muscle strength, connective tissue weakening, thinning of eyelid skin, and the effects of aging.

Steven Wallach, MD, FACS, a board-certified plastic surgeon with years of experience, specializes in performing blepharoplasty procedures to help patients achieve more refreshed, rejuvenated, and alert-looking eyes. Whether you require upper eyelid surgery, lower eyelid surgery, or a combination of both, Dr. Wallach’s expertise and attention to detail will ensure natural-looking results that beautifully enhance your overall appearance.

If you find yourself looking older or more tired than you feel, a blepharoplasty may be the solution. Take the first step towards brighter, more youthful eyes by scheduling a consultation with Dr. Steven Wallach. Contact our office at (212) 861-6400 to arrange your appointment or fill out an inquiry form to learn more.

Why Do People Get Eyelid Surgery?

Eyelid problems can occur for many reasons, including the natural aging of the face, medical conditions, and facial trauma. In particular, the delicate skin around the eyes is prone to sagging as we age. Excess fat deposits may also develop over time, further contributing to a droopy eyelid appearance. Blepharoplasty can address common functional and aesthetic eyelid concerns, which can include the following.

PTOSIS

Blepharoptosis, also known as droopy eyelids, or simply ptosis, is a condition characterized by the sagging or drooping of the upper eyelid caused by weakened eyelid muscles. This can occur in one or both eyes and can be present at birth (congenital) or acquired later in life.

Congenital Ptosis

In congenital ptosis, the muscles responsible for lifting the eyelid are weak or underdeveloped, causing the eyelid to hang lower than it should. This can result in a tired or sleepy appearance and can sometimes obstruct vision if the drooping is severe.

Acquired Ptosis

Acquired ptosis occurs due to age-related changes, trauma, muscle weakness, nerve damage, or certain medical conditions. It can also be a side effect of certain medications or surgeries. Acquired ptosis may develop gradually over time or suddenly, depending on the underlying cause.

DERMATOCHALASIS

Dermatochalasis, a condition characterized by excess skin and/or fat on the eyelids, can be attributed to various factors. Aging is a primary cause, as the natural aging process leads to a loss of elasticity in the skin. Additionally, genetics play a role, as some individuals are more predisposed to developing dermatochalasis due to their inherited traits. ⁽²⁾

ECTROPION

Ectropion is when the lower eyelid turns outward, away from the eye, instead of resting against it as it should. This can lead to various uncomfortable symptoms, impacting both the functional and aesthetic aspects of the eye. The causes of ectropion can vary, but the most common factors include aging, skin laxity, muscle weakness, scarring from previous surgeries or trauma, and certain medical conditions such as Bell’s palsy. 

ENTROPION

Entropion occurs when the lower eyelid turns inward, causing the eyelashes and skin to rub against the eye’s surface. This constant friction can lead to irritation, discomfort, and potential damage to the surface of the eye. Symptoms include a sensation of something in the eye, excessive tearing, redness, sensitivity to light, and a constant feeling of eye irritation. These symptoms can significantly impact one’s quality of life and overall visual health.

Monolid to Double Lid

Roughly 50% of Asian people have monolid eyelids. ⁽²⁾ Double lid surgery is a cosmetic procedure that aims to create a natural-looking crease on the upper eyelid for individuals with monolids. This surgical transformation can enhance the eyes and provide a more open and defined look, while still respecting and preserving the unique beauty of Asian features.

The surgery itself involves making incisions along the predetermined crease line, typically within the natural fold of the eyelid. Excess skin, fat, and tissue may be removed or repositioned to create a more defined and aesthetically pleasing appearance. Sutures are then used to close the incisions, and specialized techniques are employed to minimize scarring and achieve optimal results.

Aims of Blepharoplasty

EXCESS SKIN REMOVAL

One of the primary goals of blepharoplasty is to remove excess skin that contributes to the sagging and drooping of the eyelids. This excess skin is carefully excised, taking into consideration the patient’s unique anatomy and desired outcome. By removing the redundant skin, the eyelids appear more lifted, creating a more vibrant and energetic appearance.

FAT REPOSITIONING

In addition to excess skin, fat deposits can also contribute to the aged appearance of the eyelids. During a blepharoplasty procedure, these fat deposits can be repositioned or removed to restore a more youthful contour. By redistributing or eliminating the fat, the eyes regain their natural shape and prominence, reducing the appearance of puffiness and under-eye bags.

MUSCLE TIGHTENING

To achieve optimal results, it may be necessary to tighten the underlying muscles of the eyelids. This step helps to create a more defined and rejuvenated eye area. By addressing muscle laxity, the eyelids regain their strength and support, ensuring long-lasting and natural-looking results.

Benefits of Eyelid Surgery

Blepharoplasty offers a multitude of benefits that go beyond just improving the appearance of the eyes. Here are some comprehensive benefits you can expect from undergoing a blepharoplasty procedure with Dr. Wallach:

Candidates

Candidates for a blepharoplasty encompass a wide range of individuals seeking various improvements to their eyelids. Men and women who are bothered by aesthetic issues or functional problems can consider a blepharoplasty as an effective solution. The ideal candidate is in good overall health, a non-smoker, and has realistic expectations for the outcomes of the procedure.

Personal Consultation

The best way to find out if blepharoplasty is right for you is to schedule a one-on-one appointment with Dr. Wallach. During your consultation, he will assess your specific concerns and discuss the different options available to address them. There are many avenues for treatment and he will ensure you are well-informed about those that are relevant to your needs. Whether you require an upper eyelid procedure, lower eyelid procedure, eyelid skin tightening, or eyelid fat removal, Dr. Wallach will tailor your treatment to meet your desired goals.

Blepharoplasty Techniques

UPPER LID BLEPHAROPLASTY

For those who have excess skin that hangs over their upper eyelids, an upper eyelid blepharoplasty can effectively remove the unwanted tissue. The procedure begins with carefully planned incisions made within the natural creases of the eyelids. This ensures that any resulting scars are well-concealed. Through these incisions, excess skin and fat are then removed, and if necessary, the underlying muscle is tightened. By removing the excess tissue, the upper eyelids regain their natural contour and definition, providing a more open and rejuvenated appearance.

LOWER LID BLEPHAROPLASTY

If you struggle with under-eye bags, puffiness, or loose skin in the lower eyelid area, a lower eyelid lift can address these concerns. In some cases, this is known as canthopexy, or eyelid tightening, a cosmetic procedure designed to address sagging in the lower lids. Similar to the upper eyelid lift, incisions are made along the lower lash line or inside the lower eyelid, depending on the patient’s specific needs. Excess fat is carefully repositioned or removed, and any excess skin is trimmed away. In some cases, the underlying muscles may also be tightened to further enhance the results. By addressing these issues, the lower eyelids become smoother, firmer, and more youthful-looking.

Cost of Eyelid Surgery in New York

The cost of a blepharoplasty procedure can vary depending on several factors, including the complexity of the case and the specific treatment plan determined during your consultation with Dr. Wallach. Financing is available. It is also important to note that health insurance may cover a portion of the costs if the procedure is deemed medically necessary.

To learn more about blepharoplasty or to schedule your consultation with Dr. Wallach, please contact our office at (212) 861-6400 or send us a completed online inquiry form. We are ready to assist you and answer any questions you may have. Don’t wait any longer to transform your appearance and enhance your self-confidence.

References

1. Shahzad B, Siccardi MA. Ptosis. PubMed. Published 2020. https://www.ncbi.nlm.nih.gov/books/NBK546705/ 
2. Nguyen M, Hsu P, Dinh T. Asian Blepharoplasty. Seminars in Plastic Surgery. 2009;23(03):185-197. doi:https://doi.org/10.1055/s-0029-1224798