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 was able to be exposed to many techniques which were on the cutting edge of technology. Dr. Short completed a six-month fellowship in Oculoplastic Surgery and Aesthetic Facial Surgery. 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 the instruments used today. Dr. Short performed endoscopic facial surgery in France as well as Great Britain as the Moorefield Eye Hospital for concentrated experience in aesthetic and reconstructive eyelid surgery.
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.
Eyelid Surgery Information
The procedure is performed on an outpatient basis under general anesthesia. The procedure takes approximately 1.5-2 hours for an upper or lower blepharoplasty and 3-4.5 hours for eyelid surgery with a brow lift, depending on the incision placement.
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.
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 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, muscle, and skin is then excised before closing the incision with very small, fine sutures. Lower eyelid puffiness caused primarily by excess fat 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. 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 preventing scar tissue.
You will need to take 7-10 days off from work for eyelid surgery. 7-14 days is typical for swelling and bruising. Depending on the incision that was used, the sutures will be removed within 2-4 to the eyelid crease. Typically steri-strips, small tapes are used to keep the ends of the suture down for suture ends at the eyelid crease. Most of the swelling and bruising will subside within 7-10 days. An ointment (Puralube or Lacrilube) will be prescribed to prevent dryness to the eyes, used primarily at night. Blurred vision may be present for the first week until the swelling resolves. Lower lid massage will be recommended after 2-3 days, following suture removal. 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 post operative
- 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 she can help you determine if blepharoplasty is right for you.