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Blepharoplasty – Important Things To Consider

When you have droopy eyelids and you are considering blepharoplasty or eyelid surgery, you may have to consider a lot of points. Here are some of them. 

What are Your Options?

Based on your bodily characteristics and aesthetic expectations, a board-certified surgeon will choose the right surgery for you. To know more about any type of cosmetic surgery, visit As you may know blepharoplasty (eyelid surgery) can be done on upper or lower or both eyelids.

Upper Eyelids

Your surgeon will make an incision line along the natural crease on the eyelid and will remove excess fat, skin and muscles through it. Lasers can also be used for removal of excess tissue and to lessen bruising and swelling.

Lower Eyelids

In lower eyelid surgery, you can get a lot of options:

Traditional approach includes making an incision just below the lashes, trimming and/or relocating excess fat and skin and tightening the lower eyelid muscle. 

There is another approach named transconjunctival approach, which is effective in lower eyelid puffiness and bags and which includes placing incision inside the eyelid. Through this incision, excess fat can be removed, but not excess skin.

In ‘Skin Pinch’ surgery, only a bit of skin is removed. This is effective when there is a strong lower eyelid support and just a little surplus skin. Sometimes laser resurfacing can tighten excess skin as well as remove wrinkles.

One more alternative is non-surgical and it is the use of hyaluronic acid (HA) for the lower eyelids. Here soft tissue fillers like Juvederm, Restylane and others are injected in the tear trough (the crescent-shaped area under the eye) to revive the look of the under-eye area. Results of this method are varied and last for around six months. 

Call and ask Dr Naveen Somia today about the various options of eyelid surgery.

Incisions and Scars

Upper Eyelid Surgery

Your lids’ natural creases and lines will be marked by your surgeon and the scars will be hidden as much as possible along these natural creases. The incisions will be closed with fine sutures so that the visibility of scars will be minimised.

Lower Eyelid Surgery

If your surgeon chooses the traditional approach, he will make the incision in a discreet site along the lash line and smile creases of the lower eyelid. 

If transconjunctival approach is chosen, an incision will be made inside the lower eyelid to rectify puffiness of eyelid caused by excess fat. This method needs no external incision, but cannot remove excess skin.

How to Choose a Surgeon

Choose a Surgeon You can Trust

You should choose a surgeon based on:
Ø  Education, certification and training
Ø  Experience of eyelid surgery
Ø  Your comfort level with him

After finding such a surgeon, you will have to set an appointment with him for consultation. Usually the consultation is paid because of its in-depth nature.

First Consultation

During your first consultation, you get the opportunity to discuss your expectations with your surgeon. Your surgeon will decide if you are the right candidate for blepharoplasty and explain you what the procedure can do for you. 

Once your surgeon knows about your expectations, he may recommend related or additional procedures.

You should be prepared for the first consultation by carrying with you:

Ø  Papers of your earlier surgeries
Ø  Past and current medical conditions
Ø  Allergies and present medications

Be Honest

You should be totally honest with your surgeon. If possible, carry a photo of your younger age which may act as a good point of reference for talking about your goals.

Your Treatment Plan

Depending on your expectations, bodily characteristics and the surgeon’s experience and training, your surgeon will share information and recommendations with you, including:

Ø  The approach of surgery
Ø  Outcomes
Ø  Your financial investment
Ø  Complications and risks
Ø  Options for surgery locations and anaesthesia
Ø  Preparation for surgery
Ø  Experience after surgery

Be stress-free and have confidence in you and your surgeon, and be positive about the surgery so as to get the best results.