Eyelid Surgery

The procedure may either be performed on the upper eyelid or the lower lid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar; removing any loose skin or tissue, and extracting or repositioning the fat deposit. There will also be separate incisions spots. It is important to understand that this will not help with other aesthetic issues such as crow’s feet, wrinkles or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined, for example the use of BOTOX®, to create a maximized outcome or fat transfer to restore loss of facial volume.

Upper Eyelid Surgery

The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient. Dr. Khoobehi  will create an incision along the natural fold of the eyelid and extract any excess fat tissue to remove any bulges. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised.

Lower Eyelid Surgery

There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised. If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. Dr. Khoobehi may recommend combining a lower blepharoplasty with another procedure such as a chemical peel,tear trough implants or fat transfer.

During/After Surgery

Eyelid surgery is performed under local at Dr. Khoobehi accredited surgical suite or general anesthesia at Outpatient Surgical Center. If the procedure involves both upper and lower eyelids, Dr. Khoobehi will typically manage the upper eyelid first. On average, it takes 1-2 hours to complete the operation. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort.