Type of Surgery
Information

Last updated: 11/24/2009
Unfortunately it is very difficult to change the eyelids or even the puffiness under the eyes without surgery. Diet and weight loss do not tighten the eyelids or reduce “bags” under the eye to any real degree. Clever use of eye makeup can...
be used to minimize dark areas and puffiness. Wrinkle-reducing procedures do not specifically improve sagging eyelids or under eye puffiness. Depending on its area of effect, a forehead lift or facelift may be able to minimize the appearance of baggy eyelids, but it is not a direct substitute for blepharoplasty.
be used to minimize dark areas and puffiness. Wrinkle-reducing procedures do not specifically improve sagging eyelids or under eye puffiness. Depending on its area of effect, a forehead lift or facelift may be able to minimize the appearance of baggy eyelids, but it is not a direct substitute for blepharoplasty.
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A graphic animation of what causes fat and sagging eyelids. The video describes what takes place during eyelid surgery (blepharoplasty).
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Blepharoplasty can be both a functional and cosmetic surgical procedure intended to reshape the upper eyelid or lower eyelid by the removal or repositioning of excess tissue as well as by reinforcement of surrounding muscles and tendons. When an advanced amount of upper eyelid skin is present, the skin may hang over the eyelashes and cause a loss of peripheral vision. The outer and upper parts of the visual field are most commonly affected and the condition may cause difficulty with activities such as driving or reading. In this circumstance, upper eyelid blepharoplasty is performed to improve peripheral vision. Patients with a less severe amount of excess skin may have a similar procedure performed for cosmetic reasons. Lower eyelid blepharoplasty is almost always done for cosmetic reasons, to improve puffy lower eyelid "bags" and reduce the wrinkling of skin.
Blepharoplasty is performed through external incisions made along the natural skin lines of the eyelids, such as the creases of the upper lids and below the lashes of the lower lids, or from the inside surface of the lower eyelid. Initial swelling and bruising take one to two weeks to resolve but at least several months are needed until the final result becomes stable. Depending upon the scope of the procedure, the operation takes one to three hours to complete.
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