Eyelid Surgery

What is Blepharoplasty?

Do you notice excessive skin on your eyelids? Is your vision compromised because of this? Blepharoplasty offers a solution to your issues. Eyelid surgery is often done as an elective surgery for functional and cosmetic reasons. At Cosmetic Eye Institute and RSVP Med Spa, we offer upper and lower blepharoplasty, Asian blepharoplasty, and transconjunctival blepharoplasty.

Upper and Lower Blepharoplasty

When an excessive amount of upper eyelid skin is present, the skin may protrude over the eyelashes and cause lateral hooding of the eyelid and a loss of peripheral vision. This causes an aged appearance and can affect the outer and upper parts of the visual field. In this circumstance, upper eyelid blepharoplasty is performed to restore the eyelid’s younger appearance and improve peripheral vision. Lower eyelid blepharoplasty is done to improve puffy lower eyelid “bags” and reduce the wrinkling of skin.

Asian Blepharoplasty

Asian blepharoplasty , or double eyelid surgery, is a particular type of blepharoplasty that creates a crease in the upper eyelid. This supratarsal fold is common in many races but absent in about half of Asians. Surgery can create this crease and make a “single-lidded” patient appear “double-lidded.” It is the most popular form of cosmetic surgery among those of East Asian background.

Transconjunctival Blepharoplasty

Blepharoplasty can usually performed through external incisions made along the natural skin lines of the eyelids, such as the creases of the upper lids and below the lashes of the lower lids. With a transconjunctival blepharoplasty, the incisions are made from the inner surface of the lower eyelid. This type of procedure can remove lower eyelid fat without an externally visible scar, but it does not allow excess skin to be removed. External skin resurfacing with a chemical peel or laser may be performed simultaneously. This allows the skin surface to be addressed for wrinkling and pigmentation.

Results

The operation typically takes one to three hours to complete. Initial swelling and bruising resolve in one to two weeks, but at least several months are needed until the result becomes stable.

The anatomy of the eyelids, skin quality, age, and adjacent tissue all affect the cosmetic and functional outcomes.

Factors which are known to cause complications include:

• Dry eyes may become exacerbated by disrupting the natural tear film.
• Laxity (looseness) of the lower lid margin (edge) predisposes to lower lid malposition.
• Prominence of the eye in relation to the malar (cheek) complex predisposes to lower lid malposition.

Infrabrow Excision Blepharoplasty

Infrabrow excision blepharoplasty 切眉 is a periorbital rejuvenation surgery. It addresses the shortcomings of the conventional blepharoplasty operation. The technique is widely used by many Japanese, Korean, and Chinese plastic surgeons. The idea rests on alleviation of the lid redundancy through excision of infrabrow skin, subcutaneous tissue, and orbital orbicularis as opposed to that of the upper lid or the suprabrow area. This is followed by a layer-by-layer approximation of the structures with no undermining. Skin sutures are either absorbable or are removed in one week.

Schedule a Consultation

As a board-certified, fellowship-trained oculoplastic surgeon with extensive training and experience, Dr. Selena Fu customizes each treatment to reflect each patient’s unique anatomy, skin condition, aesthetic concerns, and lifestyle— an approach that consistently delivers excellent results for her patients.

Contact us for a personal consultation today at Cosmetic Eye Institute and RSVP Med Spa in the Kansas City area, Dr. Fu will discuss the surgical and non-surgical options that will provide your best possible outcome. Insurance may cover all or a portion of the reconstructive eyelid surgeries.