The area surrounding the eyes is one of the first to show the signs of aging. Eyelid surgery, or blepharoplasty, corrects for sagging upper eyelids and for the bags that form just below the eyes. Eyelid surgery can wash away years of aging, giving your eyes a smoother, more natural and youthful appearance.

The Surgery

The surgeon begins by making incisions along the natural creases of the upper lid, and/or directly under the lower eyelashes. The skin is then separated from the underlying tissue and the excess fat, skin, and muscle are extracted. The surgeon then replaces and stitches the skin, leaving it smooth and tight. Blepharoplasty lasts anywhere from one to three hours and is usually performed on an outpatient basis.

Alternative Approaches

In some cases, a surgeon may opt for transconjunctival blepharoplasty. The surgeon makes several incisions on the lower eyelid and removes pockets of fat, but no skin. This procedure is ideal for patients with less pronounced bags under the eyes, and leaves no visible scar.

After Surgery

Following surgery, the eyelids are rubbed lightly with ointment and bandaged. The eyes will feel tight and sore, although medication alleviates much of this discomfort. The head should be kept elevated for several days. Application of a cold compress minimizes swelling and bruising. The sutures are removed within a week of the surgery. Most patients can return to work in seven to ten days, but must take care to protect the eyes from harmful contact and irritants.

Health Concerns

As with any cosmetic surgery procedure, complications are rare, but include a reaction to the anesthesia and infection. More minor complications include temporarily blurred vision and a slight disparity in the healing and/or scarring of the two eyes. Once the sutures are removed, tiny whiteheads may appear around the eyelids, but can be removed easily by your surgeon. To maximize the success of surgery and minimize the risk of complication, always follow your doctor's instructions for surgical preparation and postoperative care.