Eyelid

Before and After Pictures of Eyelid by Dr. LaTrenta

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General Info

As we age, loose skin and fatty deposits around the eye begin to accumulate and become more visible.

Some patients with crepey, wrinkled eyelid skin are able to benefit from Dr. LaTrenta’s non-invasive Ultherapy and Botox® treatments. (Read more about Ultherapy under the Laser category.)

However, the most spectacular improvements to the appearance of the upper and lower eyelids are achieved through eyelid surgery (blepharoplasty).

The eyelid can be compared to a window dressing. The window dressing is composed of skin, muscle and fat. Modern day blepharoplasty is very different from surgery that was performed over a decade ago in that support surgery for the eyelid (canthopexy) is now performed on virtually every operative candidate. This type of support surgery enhances the natural contours of the eye and contributes to a natural, more rested  appearance without producing a tight or pulled look typical of earlier blepharoplasty procedures.

Best Candidate

You may want to consider eyelid surgery if you have:

Excess skin obscuring the natural fold of the upper eyelids.

Loose skin hanging down from the upper eyelids, perhaps impairing vision.

A puffy appearance to the upper and lower eyelids, making the eyes look tired.

Excess skin and fine, crepey wrinkles of the lower eyelids.

Bags and dark circles under the eyes, often with a depression along the bony border of the lower eyelids.

Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye).

 

Please make certain to have a good opthamologic exam before surgery to verify that your eye is in good health.

The Procedure

For upper eyelid surgery, generally an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin and fatty tissue are removed. Because the incision follows the natural contour of the upper eyelid, it will be well camouflaged when healed.

For lower eyelid surgery, often an incision is hidden just below the lower lashes or in the inside red surface (conjunctiva) of the lower eyelid. Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate puffiness or bulges. Other adjustments to correct special problems such as muscle and eyelid (tarsal) laxity may be performed.

Eyelid surgery is best performed under intravenous sedation given the sensitivity of the eyelid. It can be combined with eyebrow surgery for appropriate candidates.

The procedure usually takes 1 to 2 hours.

Recovery Time

Initial healing may include some swelling, bruising, irritation or dry eyes and discomfort that can be controlled with medication, cold compresses and ointment.

Most eyelid surgery patients are able to resume most of their normal activities within a week. You might feel like going back to work a few days after surgery. Straining, bending and lifting should be avoided during the early postoperative period, however most patients are able to resume exercise and sports within two weeks.

Your vision may be slightly blurry in the first few days which could make reading or other paperwork difficult. This will clear after a few days. You should not wear contact lenses for a week or two.

Dr. LaTrenta recommends that you apply sun protection and use darkly tinted sunglasses until the healing process is fully complete.

General Info

As we age, loose skin and fatty deposits around the eye begin to accumulate and become more visible.

Some patients with crepey, wrinkled eyelid skin are able to benefit from Dr. LaTrenta’s non-invasive Ultherapy and Botox® treatments. (Read more about Ultherapy under the Laser category.)

However, the most spectacular improvements to the appearance of the upper and lower eyelids are achieved through eyelid surgery (blepharoplasty).

The eyelid can be compared to a window dressing. The window dressing is composed of skin, muscle and fat. Modern day blepharoplasty is very different from surgery that was performed over a decade ago in that support surgery for the eyelid (canthopexy) is now performed on virtually every operative candidate. This type of support surgery enhances the natural contours of the eye and contributes to a natural, more rested  appearance without producing a tight or pulled look typical of earlier blepharoplasty procedures.

Best Candidate

You may want to consider eyelid surgery if you have:

Excess skin obscuring the natural fold of the upper eyelids.

Loose skin hanging down from the upper eyelids, perhaps impairing vision.

A puffy appearance to the upper and lower eyelids, making the eyes look tired.

Excess skin and fine, crepey wrinkles of the lower eyelids.

Bags and dark circles under the eyes, often with a depression along the bony border of the lower eyelids.

Droopiness of the lower eyelids, showing white below the iris (colored portion of the eye).

 

Please make certain to have a good opthamologic exam before surgery to verify that your eye is in good health.

The Procedure

For upper eyelid surgery, generally an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin and fatty tissue are removed. Because the incision follows the natural contour of the upper eyelid, it will be well camouflaged when healed.

For lower eyelid surgery, often an incision is hidden just below the lower lashes or in the inside red surface (conjunctiva) of the lower eyelid. Through this incision, excess skin, muscle and fat are removed, or fat may be redistributed to eliminate puffiness or bulges. Other adjustments to correct special problems such as muscle and eyelid (tarsal) laxity may be performed.

Eyelid surgery is best performed under intravenous sedation given the sensitivity of the eyelid. It can be combined with eyebrow surgery for appropriate candidates.

The procedure usually takes 1 to 2 hours.

Recovery Time

Initial healing may include some swelling, bruising, irritation or dry eyes and discomfort that can be controlled with medication, cold compresses and ointment.

Most eyelid surgery patients are able to resume most of their normal activities within a week. You might feel like going back to work a few days after surgery. Straining, bending and lifting should be avoided during the early postoperative period, however most patients are able to resume exercise and sports within two weeks.

Your vision may be slightly blurry in the first few days which could make reading or other paperwork difficult. This will clear after a few days. You should not wear contact lenses for a week or two.

Dr. LaTrenta recommends that you apply sun protection and use darkly tinted sunglasses until the healing process is fully complete.

Dr. LaTrenta is the very best in terms of his competence & skills. He is also very caring & compassionate. He & his staff were wonderful to me before & after my surgery. I am thrilled with my results and the care I received.”

–J.C.

Dr. LaTrenta is the very best in terms of his competence & skills. He is also very caring & compassionate. He & his staff were wonderful to me before & after my surgery. I am thrilled with my results and the care I received.”

–J.C.