Eyelid Surgery (Blepharoplasty)

Blepharoplasty can reduce droopy or hooded eyelids, restore the contour to the lids and eliminate the protruding fat bags under the eyes. In some cases, eyelid surgery may also correct severe hooding of the upper eyelids called ptosis, which can obstruct peripheral vision and reduce the range of upward vision. The overall result of eyelid rejuvenation is a subtle but remarkable change that produces a more youthful and less tired appearance.

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The Best Candidates for Eyelid Surgery

The best candidates for eyelid surgery are men and women who are physically healthy, psychologically stable, and realistic in their expectations. Most are 35 or older, but if droopy, baggy eyelids run in your family, you may decide to have eyelid surgery at a younger age. Blepharoplasty can enhance your appearance and your self-confidence.

All Surgery Carries Some Uncertainty and Risk

Complications are infrequent and usually minor. You can reduce your risks by closely following your surgeon’s instructions both before and after surgery .A few medical conditions make blepharoplasty more risky. They include thyroid problems such as hypothyroidism and graves’ disease, dry eye or lack of sufficient tears, high blood pressure or other circulatory disorders, cardiovascular disease, and diabetes which is why it is important to let Dr. Strasberger know about any known complications and to bring ant necessary health records with you to your initial consultation.

Planning Your Surgery

You’ll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate. Don’t hesitate to ask Dr. Strasberger any questions you may have, especially those regarding your expectations and concerns about the results. Our number one priority is your safety and satisfaction.

Preparing for Your Surgery

Be sure to arrange for someone to drive you home after your surgery.

Where Your Surgery Will Be Performed

Blepharoplasty will be performed in our surgeon’s office-based outpatient surgical facility with all the state-of-the-art equipment necessary for your procedure. Eyelid surgery is usually performed under local anesthesia which numbs the area around your eyes along with oral or intravenous sedatives. You’ll be awake during the surgery, but relaxed and insensitive to pain.

The Surgery

Blepharoplasty usually takes one to three hours, depending on the extent of the surgery. In a typical procedure, Dr. Strasberger makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions are then closed with very fine sutures.

After Your Surgery

Dr. Strasberger will instruct you to keep your head elevated for several days, and to use cold compresses to reduce swelling and bruising. You may clean your eyes with eyedrops, since your eyelids may feel dry at first. Dr. Strasberger will follow your progress very closely for the first week or two. The stitches will be removed two days to a week after surgery.

Getting Back to Normal

You should be able to read or watch television after two or three days. However, you won’t be able to wear contact lenses for about two weeks, and even then they may feel uncomfortable for a while. Most people feel ready to go back to work in a week to 10 days. You’ll be able to wear makeup at this point in your recovery. You may also be told to avoid alcohol, since it causes fluid retention.

Your New Look

The results of your eyelid surgery will leave you feeling more alert and you will have a more youthful look that will last for years. For many people, these results are permanent.

Asian Eyelid Surgery

Asian Blepharoplasty (Double Eyelid Surgery)

Although about half of the Asian population does have a fold in the area above the eyelashes, the other 50% of the population does not. For those without a fold, a blepharoplasty procedure can create a natural-looking crease. Known as “Asian double eyelid surgery” this procedure aims to surgically create creases in the eyelids of Asian patients. Generally, the lid starts at the crease very close to the eyelashes. As the crease becomes further away from the nose, it gets larger until it reaches the midpoint of the pupil. In effect, the fold runs parallel to the eyelash origin.

Asian vs. Caucasian Eyelids

The difference between Asian and Caucasian eyelids is in the position of the eyelid fold. Asians who do have a crease above their eye have very different looking eyelids than Caucasians. The Asian eyelid typically starts at the crease very close to the eyelashes. As the crease gets further away from the nose, it gets larger and larger until the midpoint of the pupil, at which point the fold runs parallel to the eyelash origin. A Caucasian lid crease is slightly different in both shape and size. It typically tapers closer to the eyelashes as the fold goes out laterally so that it is more of an upside-down “u” shape, rather than a parallel shape to the eyelash lid. The Caucasian lid crease is also about 20% larger than an Asian eyelid crease. When considering the techniques that will be used to place a crease, it is important for both the patient and the surgeon to understand that the goal of double eyelid surgery is not to westernize an Asian face, but to create a crease that looks natural.

Plastic surgery is that such surgeons are trained to evaluate and treat not only your eyelids but your face in its entirety, whether it is the eyebrows or the midface. Dr. Strasberger specializes in making sure that he incorporates your entire look, giving you the highest level of aesthetic appeal.

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