Surgical Facial » Eyelid Surgery (Blepharoplasty)

Seattle Eyelid Surgery – Blepharoplasty

Do you look in the mirror and, even though you’re not tired, you look exhausted? Maybe you have wrinkles that make you feel much older than you are. Whatever your personal need – to look more alert or more youthful, or to correct vision problems as a result of heavy lids – we will talk through the options with you to ensure your choice is the right one for you.

As we age, our eyes begin to show wrinkles, and we may develop excess skin or puffiness which often makes us look tired or disgruntled. Eyelid shape changes gradually as we age as gravity pulls tissues downward.

Upper lid surgery usually removes unneeded skin and fat through an incision designed to follow a natural skin crease. The incision may extend into a crow’s foot or laugh line at the side of the eyelid.

The lower eyelid may be approached either through an incision that is just beneath the lash line or from the inside of the lid. The inside approach (transconjunctival) leaves no visible scar. This works best in younger patients who do not need excess skin removed.

A blepharoplasty can be done alone or at the same time as a brow lift or face lift. The results of eyelid surgery can be much better if a brow lift is done at the same time to help reposition tissues where they belong anatomically.

Eyelid Surgery (Blepharoplasty) FAQs

How long will the bruising and swelling around the eyes/eyelids last?

Bruising and swelling are usually at their maximum at about 48 hours post-surgery and then start to subside. Do not be surprised if the swelling is worse in the lower eyelids, even if you have only had surgery on your upper eyelids. Gravity tends to pull the swelling down. Some residual bruising can last for six to eight weeks. It may take three to six months for swelling to completely disappear.

How and for how long should I ice my eyes?

Keep iced gauze compresses on your eyes for 24 to 48 hours after surgery. You can purchase gauze at your local drugstore (4 x 4 is a good size). Place the gauze in a bowl of ice water and then place several pieces of the gauze over your eyes. Do this for 20 minutes every hour while you are awake. You may keep the iced gauze on for longer periods if it feels good. You do not need to ice at night while you are sleeping. The more diligent you are with icing the less swelling and bruising you should have.

What should I do if my eyes are tearing and scratchy?

If your eyes feel irritated, artificial tears may be used.

How long will my eyes be sensitive to light?

The amount time your eyes are sensitive can vary but should resolve in one to two weeks. Consider wearing tinted glasses to make you more comfortable and hide some of the bruising.

How long should I keep my head elevated?

Sleep with your head elevated on several pillows the first few nights following surgery to help minimize swelling and bruising. Do not bend over with your head hanging down, especially during the first 48 hours post-operative. This increases the chance of bleeding.

When can I wear eye makeup, including mascara?

Lightly applied cover-up makeup can be used one week after surgery but avoid placing any directly on your incision lines. Regular eye makeup is okay two weeks after surgery if the healing is complete.

When can I use eye cream or lotion?

You may begin applying a light amount of eye cream or lotion to your eyes one week after surgery or, if you have visible stitches, wait until they have been removed. Do not use skin care products with strong chemicals.

Do you recommend any type of skin care product after surgery?

We carry several skin care products that can help reduce fine wrinkles and improve the quality of your skin. You can select from an array of easy maintenance products to more vigorous programs. The right program for you may enhance the outcome of your surgery.

Is there a product to conceal the bruising?

The best products we have found are Physician’s Formula Green Tint to cover up redness and Physician’s Formula Yellow Tint to hide blue. Physician’s Formula is available at local drugstores.

When can I wear contact lenses?

Do not attempt to wear contact lenses for two weeks following surgery. Dr. Peters will advise you how and when to gradually begin wearing them again.

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