Eyelid Surgery

Eyelid Surgery by Cosmetic Surgeon Dr. Michael Warner can correct the folds of relaxed skin and bags in the upper and lower lid areas. Eyelid surgery is performed by Dr. Warner at his practice’s Arlington, Fort Worth and Weatherford locations. Dr. Warner has provided eyelid surgery for his patients for more than 10 years. Your eyelid surgery will be performed personally by Dr. Warner in the comfort of our on-site surgical suite. The benefits of eyelid surgery are a more youthful and rested appearance, as well as a relief of fatigue around your eyes and an improved field of vision. Many of Dr. Warner’s patients elect for eye lid surgery with other facial cosmetic procedures performed at the same time.

Dr. Warner can perform your eyelid surgery in just two appointments. At your first appointment, he will discuss your wrinkles, the goal you want to achieve, answer your questions, and discuss pre-operative instructions. Dr. Warner will perform your surgery on your second visit.

About Eyelid Surgery (Blepharoplasty)

Definition. Blepharoplasty (eyelid surgery): a restorative and cosmetic surgery to remove fat, usually along with excess skin and muscle from the upper and lower eyelids.

The skin around our eyes tells our age. Eyelid skin is thinner than the other skin on the face. Over time the skin around the eyes loses its elasticity and begins to droop. Fat becomes stored below the eyes, causing an old and tired look.

Eyelid surgery is a one- to three-hour outpatient procedure affecting upper and lower eyelids, providing a younger, friendlier appearance with an improved field of vision. This procedure alone can help erase many years of aging. Eyelid surgery can be performed alone or with other cosmetic procedures such as a facelift or browlift.

Candidates. While most patients presenting themselves for eyelid surgery are over 35, those with inherited traits may seek surgery in their 20’s. Eyelid surgery was the fourth most popular elective cosmetic procedure performed this year. The amount of excess fat and skin in the eyelid areas, the position of the eyebrows, and the condition of the muscles around the eyelids will indicate the need for this procedure.

Candidates must be in good general health. The health of the skin is also taken into consideration. If you smoke, your doctor will probably ask you to stop for several months before and after surgery. The chemicals in cigarettes hasten collagen breakdown, leaving your skin badly lined, and rob your body of oxygen it needs for healing. Moisturized skin that has been protected from the sun responds best to eyelid surgery. Your doctor will asses your candidacy for this procedure.

Causes:
  • Aging and gravity
  • Exposure to sun and wind
  • Heredity
  • Tobacco and alcohol use
  • Weight gain
  • Eyelid skin is thin, has fewer oil glands, weaker internal support, and is exercised constantly
  • Accident or trauma
Outcome:
  • Increased self-confidence
  • Improved self-esteem
  • Younger, friendlier, more rested appearance
  • Improved outlook
  • Unobstructed field of vision

Procedure. Eyelid surgery is performed as an outpatient procedure, either in the physician’s surgical suite or at the hospital. It will be performed under local anesthesia with the patient awake. A sedative may be administered to relax the patient. If performed with a facelift, the patient will be asleep under general anesthesia administered by an anesthetist or anesthesiologist.

Your surgeon will carefully plan the incision line using a marking pen. The upper eyelids are done first. Fine incisions will be made in the crease above each eye, removing a thin crescent-shape of loose skin and muscle. Tiny sutures will close the incisions. For the lower eyes, incisions are made inside the lower eyelid through which the surgeon will remove fatty deposits and muscle. Fat may be redistributed to eliminate puffiness or bulges by making an incision just below the lower eyelash. Tiny sutures will close the incisions. In some cases where excessive skin droops below the eye, crescent shaped incisions will be placed in the natural crease below the lower lashes. Following surgery, the doctor will apply an ointment for lubrication as well as a bandage.

Recovery. You should arrange for a loved one to drive you home following surgery. Plan to rest with your head elevated the first evening. Your physician may instruct you to apply a cold compress to your eyelids. Most patients experience only minimal discomfort, easily controlled with oral medication.

After one week, your eyes will have recovered enough to go back in public, but the area around the eyes will appear bruised and swollen for about two weeks. You may apply make-up after the first week to conceal bruises, and contacts may worn again after two weeks. Strenuous activities should be avoided for at least a month. Once healed, the resulting scars will follow the natural contour of the eyelids and will be unnoticeable within two months. Your result is a subtle, refreshing improvement in your appearance that others will notice, yet not be able to define.