View Our Before and After
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Eyelid
Surgery (Blepharoplasty)
View Dr. Stephen A. Goldstein's Before and After Photos.
View Dr. Gregory A. Buford's Before and After Photos.
Head & Neck Links:
Facelift: (rhytidectomy)
Forehead Lift: (browlift)
Eyelid Surgery (Blepharoplasty)
Rhinoplasty - (Nose surgery)
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Purpose:
To correct drooping eyelids or puffy bags below the eyes.
More than any other facial feature, your eyes reveal the most
about how you feel. When your eyes are bright and alert, you
appear energized, well rested, and in control. If you have
lower-eyelid puffiness, dark circles or drooping upper lids,
you may appear fatigued, angry or unhappy.
Is
cosmetic eyelid surgery right for me?
You may be a good candidate for eyelid surgery if you have
the following conditions:
Upper
eyelids:
- Excess
skin that hides the natural fold of the upper eyelids
- Loose
skin that hangs down over the upper eyelids
- Puffiness
in the upper eyelids that creates a tired look (see diagram
at right)
Lower
eyelids:
- Excess
skin and fine wrinkles of the lower eyelids
- Puffy
"bags" and, in some cases, dark circles
Eyelid surgery
needs to be approached with extra caution if you have the
following medical conditions:
- Thyroid
problems, such as hypothyroidism, or Grave's disease
- Lower
eyelids that droop significantly and reveal the white beneath
the iris (the eye's colored portion)
- Eye
problems such as "dry eye," a detached retina
or glaucoma
- High
blood pressure or other circulatory problems
- Cardiovascular
disease
- Diabetes
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How is cosmetic
eyelid surgery performed?
Excess
skin and fat may be removed from the upper and lower lids
with incisions that are generally well hidden and that fade
in time. This surgery is often utilized in conjunction with
chin implants.
Upper
eyelids:
The
incision begins within the natural crease of the eye's inside
corner and extends slightly beyond the outside corner into
the crow's feet or laugh lines. Through this incision, excess
skin and fatty tissue are removed. The incision line follows
the natural contour of the upper eyelid, and is camouflaged
when healed.

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Lower
eyelids:
The incision is concealed just below the lower lashes. Through
this incision, excess skin, muscle and fat may be removed.
Transconjunctival
blepharoplasty:
An incision is placed inside the lower eyelid. This technique
requires no external incision, but it cannot be used to remove excess
skin. Laser resurfacing or chemical peel is sometimes used in conjunction
with this procedure to tighten the skin and minimize fine wrinkles
near the eyes. (See diagram at left)
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