Is Eyelid Surgery (Blepharoplasty) Right For You?

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One of the first things people notice about you is your eyes. They can help you convey unspoken emotion or betray your age through wrinkles or sagging skin. However, just because you are of a certain age doesn’t mean you’re doomed to look “old”. Sagging eyelids is a widespread problem among middle-aged and senior individuals.

According to a recent study, 17.8 percent of participants suffered from moderate to severe sagging eyelids. Beyond appearances, sagging eyelids can also negatively affect your vision. If your sagging eyelids are affecting your self-esteem or making it difficult to see, blepharoplasty may be an appropriate treatment for you.

Before and After Blepharoplasty

What Is Blepharoplasty?

Cosmetic eyelid surgery – also known as blepharoplasty – is a common surgery that results in a more rested, refreshed and alert appearance for many patients. According to the American Society for Aesthetic Plastic Surgery (ASAPS), it was the third most popular cosmetic surgery performed by member doctors in 2011, with more than 147,500 people undergoing it.

Your eyelid is a flexible area of skin designed to accommodate the movements of your eye and your facial expressions. As we age, however, the muscles around our eyes weaken and the skin stretches out from decades of use. Tired, worn skin allows room for fat deposits to gather, further exaggerating the sagging appearance of the eyelids.

Blepharoplasty is an outpatient procedure during which excess fat around the eyes is removed and skin is tightened to simulate a more youthful, alert appearance.

During the surgery, your surgeon will administer local anesthetic around your eyes and IV anesthesia or sedative medication to help you relax. They will then make an incision along the natural fold of your eyelid to decrease the risk of conspicuous scarring. From the incision, your surgeon can redistribute or remove fat deposits, remove excess skin and tighten the muscles supporting the eyelid. The eyelid incisions are then sutured or glued closed with medical-grade skin glue.

Post-operative care can vary from patient to patient, but will often include application of cold compresses and lubricant. Patients often report immediate bruising, swelling, redness or irritation. Ask your surgeon how you can best manage your discomfort afterwards. They will also likely urge you to practice sun safety by using high SPF sunscreen around the eyes or wearing large sunglasses at all times during the healing process. Healing can range from a week or two to a few months. With vigilant post-operative care, you’ll recover more quickly and with fewer complications.

Am I a Good Candidate?

If you’re interested in blepharoplasty, your best course of action would be to schedule a consultation with a cosmetic surgeon to determine if you are a qualifying candidate and to discuss the process overall. Because the procedure itself is minimally invasive and requires little downtime, most people can undergo blepharoplasty without issue. The ideal candidate is:

  • Healthy with no pre-existing medical conditions that slow or stall healing,
  • A nonsmoker,
  • Realistic in their goals for their appearance, and
  • Free of any detrimental eye conditions that could be aggravated by surgery.

Keep in mind that some sagging skin around your eyes may actually be a result of weakening muscles in other areas of your face such as your cheeks or forehead. During your consultation with your surgeon, you can discuss your experiences and expectations, and they will help you decide if your situation is best remedied by blepharoplasty or another cosmetic procedure.

Before undergoing blepharoplasty, your surgeon may request you submit to a physical and vision examination to support your claim for insurance-provided financial assistance. Upper eyelid blepharoplasty may be deemed reconstructive in nature if sagging eyelids are negatively affecting your vision, meaning your insurance may cover the procedure, unlike purely cosmetic surgeries. You will also be photographed from various angles to help the surgeon plan for the surgery.

If you’re on any medication or herbal supplement that can thin the blood, such as warfarin, ibuprofen or naproxen, you’ll need to ask your primary care physician how far in advance you can stop taking them before your appointment. If you’re a smoker, quit cigarettes at least three weeks in advance, as smoking slows your body’s natural healing ability. Because you’ll be placed under anesthesia or sedation during your procedure, you’ll also require a ride to and from the office and a friend to help you during your first night home.

Undergoing Upper or Lower Eyelid Surgery

Both upper and lower eyelid surgery are performed on an outpatient basis under intravenous (IV) sedation or general anesthesia. You will discuss sedation options during your consultation with Dr. Vendetti. The procedure involves removing excess fat deposits, cutting away excess skin, and tightening up loose skin around the delicate eye areas. Incisions are typically made in the natural eyelid crease, or inside the lids and they are virtually undetectable. Most of the swelling and sensitivity you experience after surgery will subside within 2-3 days.

We may recommend other procedures or fillers in conjunction with eyelid surgery to further enhance your look. Dr. Vendetti will prepare a custom treatment plan based on your goals and provide both surgical and non-surgical options to help you achieve the results you want.

If you are ready to restore your youthful look, schedule your blepharoplasty consultation with Dr. Vendetti today.

What To Expect After Eyelid Surgery

Patients should know what to expect post-surgery.

Those who have eyelid surgery in Virginia beach, VA may experience some discomfort and blurry vision immediately following the procedure. This is due to an ointment that is put on the eyes to protect them while the surgery is being performed, and is only temporary.

Mild discomfort can be expected in the first week to ten days post-surgery. However, pain medication should help alleviate discomfort. Individuals are also encouraged to take an antibiotic, if prescribed by their physician, to reduce the risk of infection.

Doctors say many patients may have trouble sleeping and should keep their heads elevated in order to minimize swelling.  Wearing a special eye mask when sleeping may also be advised.

Those who wear eyeglasses can resume wearing them immediately after the surgery, but contact lens use isn’t recommended for at least two weeks. Wearing eye makeup also isn’t advised until about a week or two later.

“Most people are able to go back to work within 10 days after their blepharoplasty surgery in Virginia Beach, but certain tasks such as reading may be challenging due to blurred vision,” according to “You will likely be able to watch TV after a few days. Do not participate in strenuous activities for at least three weeks. Avoid contact sports until your surgeon gives you the all-clear.”

It’s also important to protect the eyes and the incisions from the sun with sunglasses and sunblock ointment. Your doctor will advise you on how to do this safely. Additionally, patients are encouraged to follow their doctors instructions on cleaning and caring for the eyes while recovering.

While it’s important to follow your doctor’s orders before and after any surgery, one of the most important precautions patients can take is to choose a licensed, board-certified cosmetic surgeon for this and any other type of cosmetic procedure. This will not only ensure the patient’s safety, it will also help ensure a positive outcome.

Rediscover Your Confidence With Virginia Surgical Arts

If your vision is suffering or you’re no longer feeling like yourself as a result of sagging, droopy eyelids, blepharoplasty may be right for you. Improving your health, appearance and confidence is easy when you work with an experienced team of licensed cosmetic surgeons.

At Virginia Surgical Arts, we believe every patient should look like their youthful, beautiful self at every stage of their life. We specialize in facial and body rejuvenation to help Hampton Roads residents look and feel their best for years to come. Contact our incredible team online or call (757) 430-7690 to schedule your consultation today!

Written By Virginia Surgical Arts

Our oral and cosmetic surgery facility in Virginia Beach serves all of Hampton Roads and offers oral/facial reconstruction, bone grafting, and facial and body rejuvenation. We are fully licensed and accredited. When you are ready to begin truly appreciating and evoking the real you, Virginia Surgical Arts is here–ready to work with you.