Blepharoplasty

Eyelid surgery is a delicate procedure and should be performed by a board certified plastic surgeon. The upper and lower lids age differently. Upper lid heaviness can result in visual changes as the lid prevents light from entering the eye and decreased vision. If you have a functional problem (documented on an eye exam), the RAMQ may cover the procedure for your upper lids after requesting a special authorization. This is not the case for the lower lid surgery.

Upper Lid Blepharoplasty

As the upper eyelid ages, excess skin starts to weight down on the lid. This can be combined with aging of the levator muscle of the eyelid that results in ptosis (droopy upper lid). Some people may also get herniation of fat that looks like a bulge in their upper lid. These different components need to be evaluated and corrected during the surgery.  Upper eyelid surgery can often be done under local anesthetic (freezing only) and patients can go home the same day. The scar is placed in the upper lid fold and recovery is usually 2-3 weeks.

Good candidates for an upper blepharoplasty:

  • Don’t’ have serious medical problems
  • Do not take blood thinners
  • Do not smoke
  • Do not have dryness or other medical conditions of the eye ball
  • Can have decrease in vision due to decrease in entry of light
  • Feel like they always look tired
  • Have a sensation of heavy eyelids

Lower Lid Blepharoplasty

Aging of the lower lid is associated with laxity of the lower eyelid resulting in more eyeball showing. There can also be bulging of fat in the skin pocket under the eye. These can be corrected during the surgery. Lower eyelid surgery is often done under sedation as it can be more painful than the upper eyelid. The scar is placed under the lash line and recovery is usually 2-3 weeks.

Good candidates for a lower blepharoplasty:

  • Don’t have serious medical problems
  • Do not take blood thinners
  • Do not smoke
  • Do not have dryness or other medical conditions of the eye ball
  • Feel like they always have bags under their eyes

More on Blepharoplasty:

Request a consultation with Dr. Perry for more information.