Eyelid surgery, or blepharoplasty, is a cosmetic procedure to remove excess fat and skin from the eyelid to make the appearance more youthful. Many of these operations are completed at Bay Area Plastic Surgery each year by board-certified cosmetic surgeon, Dr. Leonard Gray. In the upper eyelid area, either a scalpel or a laser can be used as a cutting instrument. It is important to place the incisions precisely and symmetrically so that they lie in the crease and make any scarring difficult to detect. Dr. Gray always uses magnification telescopes and calipers to ensure accuracy during this cosmetic procedure.
Lower eyelid surgery is by nature a conservative cosmetic operation. Over the past 5 years, Dr. Gray has made an effort to remove less fat or no fat from the lower lid unless there is significant excess. Fat repositioning can be performed. Quite often Dr. Gray uses a filler, such as Belotero®, to fill the depression under the lower lid, and to restore the original contour to the lower lid area. Fat can be used as well in this area but it is less precise and predictable, and has a significantly longer recovery time.
"This was a great, professional experience - Dr. Gray was very knowledgeable and thorough when we came in for the consultation. He explained all of the different breast implant types and what they would look like depending on what was the desired outcome. Great bedside manner an he gave great advice, made us feel very comfortable and we love the results."- A. / RealSelf / Apr 08, 2017
"I was referred to Dr. Leonard Gray by a friend who has had work done and he was the second I went to see for consultation. I booked my surgery day a few days after that day. I'm so glad that I find Dr. Leonard practice! I absolutely love his staff. They are extremely nice, patient and helpful! I'm so thankful and satisfied with his work."- S.Z. / Yelp / Mar 21, 2017
"AMAZING!! Dr. Gray and staff are the best! I had a revision breast augmentation that required the best surgeon to repair. Dr. Gray is that surgeon. The results have exceeded my expectations. Not one bruise...proof that Dr. Gray is meticulous during surgery. The staff is very caring and accommodating, I could not have asked for more. Thank you for taking such great care of me."- D.M. / Yelp / Mar 18, 2017
"INCREDIBLE DOCTOR AND STAFF! Highly recommended! - Incredible. AMAZING. I cannot say enough good things about this doctor. I wrote a review about my procedure (and am in the process of finishing it, since I am only 6 days post-op), so I won't be repetitive here. But I HIGHLY recommend Dr. Gray and his staff! I had a breast implant removal. His bedside manner was incredible, I felt like i knew these people forever. The RN's are wonderful and so sweet, and the anesthesiologist is out of this world. I would honestly do my procedure ALL OVER AGAIN! :)"- S. / RealSelf / Feb 26, 2017
"575 Cc Sientra Moderate Profile - Dr. Gray came highly recommended to me by a work colleague. I ended up making an appointment with him and knew he was going to be the doctor for me. He was extremely patient, knowledgeable, and no pressure. After he explained the procedure to me and answered all my questions, I got to try on various implant sizes. He carries Allergan, Mentor, and Sientra. He never made me feel rushed while trying on the different implants and never pushed me in any particular direction. It was important to him that I liked what I saw in the mirror. I can't say enough good things about Dr. Gray and his staff."- S. / RealSelf / Feb 13, 2017
The procedure may either be performed on the upper eyelid only 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 cosmetic 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.
Upper Eyelid Surgery@headingTag>
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. The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Dr. Gray will remove a conservative amount of fat to improve the appearance but not so much to make the eye appear sunken. He buries his stitches along the suture line to avoid any stitch marks.
Lower Eyelid Surgery@headingTag>
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. Skin excision from this area also has to be conservative. Often times, Dr. Gray will use the Fractional CO2 Resurfacing laser to tighten the skin, remove fine wrinkles, and eliminate a crepe-like skin appearance. This resurfacing procedure, done in stages, can tighten the skin 3mm and is commonly known as the Madonna Eyelid Lift. 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.
Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1 – 2 hours to complete the operation. The patient will be sent home for recovery. 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. Strenuous activities must also be restricted.
Plan Your Procedure
- Average Cost
- $4,000 - $6,000
- Recovery Time
- 4 Weeks
- Average Procedure Time
- 2-3 Hours
- Post-op Follow-up
- 4 Months
- Procedure Recovery Location
Eyelid Surgery FAQs@headingTag>
Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Wrinkles and Crow's Feet?@headingTag>
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.
Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.