Your eyes are often the first part of your appearance to make an impression on others. Unfortunately, our eyes and, specifically, our eyelids are especially vulnerable to the signs of aging. Drooping, puffiness and a sleepy appearance are symptoms of aging that have impacted the appearances of the eyes and can have a dramatic effect on your overall impression.
With the blepharoplasty, you can push back the clock on aging and refresh your appearance by treating drooping, puffiness and other aging symptoms of the eyelids. The blepharoplasty, or eyelid lift, is a safe, surgical option that gives you long-term results for a refreshed, alert and youthful appearance.
Contact Dr. Short and The Gillian Institute to schedule your consultation.
Dr. Kimberly Short – Oculoplastic Surgery
Dr. Kimberly Short, a board-certified plastic surgeon, performs facial rejuvenation procedures with a goal to shape and contour the facial area by providing a refreshed facial appearance, not an unnatural appearance. Dr. Kimberly Short is experienced with many cosmetic surgical techniques on the cutting edge of technology including special training in the field of oculoplastic surgery (surgical treatments pertaining to the eyelid, tear ducts and face.)
Dr. Short completed a six-month fellowship in Oculoplastic Surgery and Aesthetic Facial Surgery with internationally-renowned eyelid specialist, Dr. James Carraway. Dr. Kimberly Short also completed a three-month fellowship in Facial Rejuvenation in Miami, Florida. In addition to her fellowships, Dr. Short was given the opportunity to train with Dr. Ramirez, who pioneered endoscopic plastic surgery and designed many of the instruments widely used in today. Dr. Short performed endoscopic facial surgery in France as well as Great Britain at the Moorefield Eye Hospital for concentrated experience in aesthetic and reconstructive eyelid surgery.
With Dr. Kimberly Short, her training guarantees your treatment will be world-class and her practice philosophy and gentle approach ensure each patient is comfortable and confident throughout their experience.
About Eyelid Surgery
The eyelids are often the first area of the face the give the impression of aging. This is due to the natural thinness of the skin that makes up the upper and lower eyelids.
Thin skin leaves the eyelids especially vulnerable to the effects of time. Chronically tired eyes, drooping upper eyelids, and bagginess of the lower eyelids are all common symptoms of eyelids that have prematurely aged.
Skin laxity is a major cause of drooping eyelids and eyelid aging. Skin laxity, or loose skin, develops over time naturally, but may also develop more quickly due to stress, smoking, and overexposure to the sun. Sun damage is especially problematic for the skin, as repeated, large-scale clinical studies have demonstrated. Unfortunately, there is little that an individual can do on their own to solve skin laxity.
When the skin becomes lax, it loses its ability to hold firm, retain smoothness, and bounce back from stretching. As the thin skin of the eyelids become weaker, they become prone to drooping and sagging. Developing fatty deposits result in puffiness and bags under the lower eyelids. The final result is a constant sleepy, exhausted, and aloof appearance.
At a glance, the eyelid surgery addresses aging symptoms such as skin laxity, age, and puffiness by removing excess skin and fat deposits. After excess tissues are removed, the remaining tissues are sutured in a lifted, youthful position.
When to Consider Eyelid Surgery
- Overhanging skin in the upper eyelids or lower eyelids.
- Excess upper lid or lower lid skin and/or excess fat.
- “Droopy” eyelids.
- Puffiness to the eyelids; “Bags” to the lower eyelids.
- Entropion, where the lower eyelids weaken and flip inward, causing irritation and sensitivity in the eyes.
- Ectropion, where the lower eyelids flip outward, leaving the eyes exposed and vulnerable to the elements
Eyelid Surgery Information
The blepharoplasty or eyelid lift procedure removes excess skin, fat, and muscle from the upper and lower eyelids. The eyelid surgery will give you a more rested, alert, youthful appearance. The eyelids will be more refreshed, with a younger, firmer eye area. The blepharoplasty procedure will help define the eyelid crease but it will not remove lines and wrinkles around the eyes, nor can it change the position of the brows.
Dr. Kimberly Short performs each eyelid surgery to achieve the patient’s goals, but also to create the best result that is natural and appropriate to their body. Treatments that produce obvious enhancements that are not in harmony with the patient’s features are old fashioned. During a consultation, each patient receives a customized surgical plan that may or may not involve the following techniques:
- Upper Blepharoplasty
- Lower Blepharoplasty
- Transconjunctival Lower Eyelid Surgery
- Brow Lift or browpexy
Eyelid Surgery Information
Eyelid Surgery at a Glance:
- Duration: 1.5 – 2 Hours or 3 – 4.5 Hours for Eyelid and Brow Lift Combo
- Outpatient: Patients can go home the day of their treatment
- General Anesthesia: Medication that ensures the patient is comfortable during the entire treatment.
- Recovery Time: A week to 10 days off work, returning to light, normal activity after ten days or more.
The procedure is performed on an outpatient basis under general anesthesia. The procedure takes approximately 1.5 to 2 hours for an upper or lower blepharoplasty and 3 to 4.5 hours for eyelid surgery with a brow lift, depending on the incision placement.
In upper eyelid surgery, the incision is well-concealed in the upper eyelid crease.
During the preoperative markings, we will use an outline to mark the upper lid crease to keep the scars as invisible as possible along your natural folds. The incision is made, excess fat and muscle are removed along with the loose skin. Very small, fine sutures are used to close the incisions and are removed within 3 days after surgery to minimize the appearance of the scar.
In lower eyelid surgery, the incision is made along the lash line. This incision allows our surgeons to remove excess fat and muscle. The excess skin is then excised before closing the incision with very small, fine sutures.
Lower eyelid puffiness is caused primarily by excess fat and may be corrected by a transconjunctival blepharoplasty.
The incision for a transconjunctival lower eyelid surgery is made inside the lower eyelid. This approach does not require any sutures for closure. Therefore, no visible scar is seen. In many patients older than 40 years of age and depending on the lower eyelid muscle laxity, a transconjunctival approach may be recommended to prevent a complication called ectropion, where the lower eyelid may turn outward after surgery.
Preparing for Eyelid Surgery
The blepharoplasty, though relatively straightforward, is still a surgical procedure that requires preparation. In the weeks leading up to treatment, we recommend patients take the following steps to ensure they have the best, safest experience possible:
- Arrange transportation to and from the treatment center as you will be unable to drive due to the effects of anesthesia and blurred vision.
- Arrange for assistance in the first 48 hours around the house and place essential items in convenient areas.
- We recommend wearing button-down clothing for the day of your treatment to avoid the risk of damaging the treatment area when pulling clothing over your head.
You will need to take 7 to 10 days off from work after an eyelid surgery. Seven to fourteen days is typical for swelling and bruising to subside. Depending on the incision that was used, the sutures will be removed within 2 to 4 days from the eyelid crease. Typically, steri-strips, small surgical tapes, are used to keep the ends of the suture down for sutures located at the ends of the eyelid crease.
An ointment (Puralube or Lacrilube) will be prescribed to prevent dryness to the eyes and is to be used primarily at night. Blurred vision may be present for the first week until the swelling resolves. You will need someone to care for you for the first 36-72 hours after the procedure. You will require a driver for the first 7 days postoperative.
Lower eyelid massage following surgery is recommended for the first few weeks to allow the lower eyelids to heal properly by keeping the underlying connective tissue soft and supple to prevent scar tissue.
- A more refreshed, youthful appearance to the upper portion of the face.
- A more rested appearance to the eyelids.
- Remove excess skin, puffiness, and bags under the eyelids.
- Enhances ability to see in the peripheral field.
- Ability to apply eyeshadow and eyeliner without difficulty.
Note: It is important to address any concerns with The Gillian Institute at the time of your consultation. There is some risk, as with any surgical procedure. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual. Our doctors can explain the procedure and potential complications to you in detail, and Dr. Short can help you determine if blepharoplasty is right for you. To reduce surgical risk, no smoking will be a requirement for at least three weeks before the surgery date. Any anti-inflammatory medications or history of medication must be discussed during your consultation to determine the best course of action for treatment.