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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. However, if you have lower eyelid puffiness, dark circles or drooping upper lids, others may assume that you are fatigued, angry or unhappy.
If you believe that your eyes are making you look tired, sad, or older than you really feel, cosmetic eyelid surgery also called blepharoplasty, may be the right choice for you. Eyelid surgery can remove the appearance of excess fat and drooping skin of the upper eyelids, minimize bags under the eyes and tighten the lower eyelid skin. The results is a more alert and rested appearance.
You’ll find basic information about cosmetic eyelid surgery on this page. However, the best way to get complete answers to specific questions that relate to your individual needs is to make an appointment with Dr. Core, a board certified plastic surgeon who holds a certificate of advanced education in cosmetic surgery by the American Society of Aesthetic Plastic Surgery.
Eyelid surgery is performed on men and women of all ages who want to improve their self-image. Most people have eyelid surgery to minimize the effects of aging. However, people in their 20′s or 30′s may also benefit from this procedure.
You may be a good candidate for eyelid surgery if you have any of the the following conditions:
- Upper Eyelids
- Excess skin that hides the natural folds of the upper eyelids
- Loose skin that hangs down from your upper eyelids
- Puffiness in the upper eyelids that creates a tired look
- Excess skin and fine wrinkles of the lower eyelids
- Puffy “bags” and, in some cases, dark circles
Lateral Access Lower Eyelid Recontouring
Dr. Core developed a technique that he calls lateral access lower eyelid recontouring, which is applicable to patients who have skin relaxation without significant amount of excess fat of the lower eyelid.
This procedure lifts and tightens the lower eyelid. It also lifts and tightens the cheek area just underneath the lid which helps shorten the distance between the edge of the eyelid and the beginning of the cheek, which is a characteristic of beautiful faces.
In this procedure the incision only extends approximately 1/3 of the way across the lower eyelid, beginning at the outer portion of the lower eyelid underneath the eyelashes and extending out to approximately 1/4 of an inch past the corner of the eye. The excess skin in this area is excised and the muscle underneath is identified. This muscle, called the orbicularis oculi, extends across the lower eyelid in a hammock type fashion and attaches both on the outer portion of the eye as well as the inner portion of the eye near the base of the nose. This hammock can become relaxed and floppy over time.
Dr. Core’s procedure of lower eyelid muscle lift involves developing a flap of muscle tissue which is elevated and tightened and pulls all the tissues against the lower surface of the eye, thus completely reshaping and reforming the lower eyelid area, the upper cheek, and the fold underneath the eye. The excess skin is then removed and the incision is closed.
This procedure prevents invasion of the lower eyelid which is the primary cause of retraction of the lower eyelid after surgery (ectropia). Ectropion is not a possibility with the lower eyelid muscle lifting and the aesthetic benefits are significant.
If you have advanced age related changes of your lower eyelid, Dr. Core will discuss other techniques that may be applicable in your situation.
Dr. Core’s development of this lateral access technique has been published in the Plastic and Reconstructive Surgery Journal. Click here to read the full published paper or download the printable version here. Click here to read the press release covering the publication.
Lower Eyelid Blepharoplasty
Lower eyelid blepharoplasty performed in a traditional sense involves an incision underneath the eyelashes which then extends underneath the muscle of the lower eyelid to expose droopy and excess fat of the lower eyelid. Some of this fat is removed. Some of it is repositioned. The eyelid is then resuspended and the excess muscle and skin is removed. This procedure is appropriate for eye patients who have a significant amount of excess fat of the lower eyelid with skin laxity.