Eyelid Surgery

As the eyes are an aesthetic focal point of the face, in many people eyelid surgery can significantly enhance their appearance. If your eyelids look puffy and you have bags under your eyes, or if there is hooding, excess skin and wrinkling around your eyes, eyelid surgery can give you a refreshed and more youthful appearance.

What is eyelid surgery?

Eyelid surgery, also know as blepharoplasty, is a procedure for both men and women wishing to diminish the presence of aging traits around their eyelids. This procedure smoothens out the area around the eyes allowing patients to look more rested. Over the last decade, Dr. Motakis has performed countless blepharoplasty surgeries to address patients concerns relating to bags, puffiness or hollowness, as well as, excess skin and wrinkles around their upper and lower eyelids.

Who is a good candidate for eyelid surgery?

Whether you want to reduce the appearance of aging around the eyes presenting as wrinkly, excess or saggy upper or lower eyelid skin or eliminate puffiness, you may be a prime candidate for blepharoplasty. There is no specific chronological age to have this surgery. The best candidates are in their adulthood, are in good general health, have no significant ophthalmological conditions such as dry eyes and have realistic expectations. Patients that undergo this surgery find the results to be life-changing, displaying an increase in confidence, self-esteem, and comfort in social settings. Dr. Motakis, using his artistic skills and advanced surgical techniques, will provide you with a natural, refreshed and youthful appearance.

The procedure

Blepharoplasty generally takes between 1 and 3 hours and is done as an outpatient procedure at our Avenue Road fully accredited on-site surgical facility. The procedure involves removing excess fat and skin from around the eyes and can be performed on the lower eyelids, upper eyelids or both. The eyes are always protected with large plastic contact lenses, which cover the entire cornea. During the upper eyelid procedure, Dr. Motakis makes an incision along the natural crease of the upper eyelid in order to remove the excess skin. The right amount is determined by pinching the excess skin and making sure the eye closes perfectly before any skin removal. If excess fat protrudes in the inner upper corner of the eye, it is removed at the same time. The very fine continuous suture used to close the incision is removed in a week, allowing the incision to heal in the most optimal fashion with no visible stitch marks. In lower eyelid surgery, excess skin is removed through incisions are made 1-2mm directly below the eyelashes. The excess skin is pinched and only what is in excess is removed, assuring no excess pull on the lower eyelid thus preserving the natural shape of the eye. Occasionally patients have a lax lower eyelid and a re-enforcing stitch is necessary on the lateral aspect of the eye for further support. Excess fat is removed in a gentle fashion at the same time. Because the incisions are made along the creases of the eye, the resulting scars are virtually imperceptible.

For patients without skin excess who are simply having fat removed (trans-conjunctival blepharoplasty), the incision is made inside the lower eyelid, so scars are entirely concealed. If the patient presents with hollowing at the junction of the eyelid to the cheek, or with deflation of the upper eyelid and temple, fat grafting is used to rejuvenate these areas. The need for this part of the procedure is always discussed with the patient during the consultation. Lastly, in cases where the eyelid skin presents with extensive sun damage and aging, a SmartSkin © fractional CO2 laser is used to optimize the result. The procedure can be performed either under general anesthesia or under local anesthetic with intravenous sedation.

What is the recovery period for eyelid surgery?

On average, it takes approximately 1-2 weeks to recover from blepharoplasty. Initially, you should expect a few days of minor swelling and bruising with minimal discomfort which is treated with mild analgesics such as Tylenol. Special drops are used daily to sooth the eye for a week. You will likely be able to resume light activities one to two days after your surgery. However, it is recommended that any significant physical activity such as exercise only be resumed after the second week. You will likely need one week off from work. The fine incisions will fade away and become imperceptible over a few months following the procedure. You will receive instructions from Dr. Motakis concerning caring for your incisions while you recover from surgery.

What are the risk factors of eyelid surgery?

Dr. Motakis makes every effort to execute the procedure in the most meticulous way, however, as with any surgery, swelling around the eyes and bruising cannot always be avoided. Risk of injury to the eye is minimal as the eyelid is always protected. Scarring is invariably imperceptible but may take a few weeks or months to fade. Very rarely, dryness, bleeding, infection, changes in skin sensation or reaction to a medication or an anesthetic, may occur. The list of all possible risks will be discussed in detail during your consult and pre-operative appointment with Dr. Motakis and his team.

Are there any alternatives to eyelid surgery?

For patients looking to eliminate crow’s feet, reduce their dark circles or hollowness under their eyes or decrease the finer lines around your eyelids, eyelid surgery may not always the right choice.  More modest enhancement for these concerns can be achieved using medical skin care, Botox© or other neuromodulators such as Xeomin©, hyaluronic injectable fillers such as Belotero ©, platelet rich plasma (PRP) injections, SmartSkin© fractional CO2 lasers, Forma© and Fractora© radiofrequency skin ablation and tightening or chemical peels. Many of these treatments are used after a blepharoplasty procedure to maintain and enhance the surgical result. During consultation Dr. Motakis will guide you to the right treatment plan in order to accomplish and maintain the most optimal result.

Can eyelid surgery be combined with other procedures?

Many of Dr. Motakis’ patients combine their blepharoplasty procedure with other cosmetic procedures offered at the clinic. These procedures frequently include platelet rich plasma (PRP) injections, a facelift and neck lift procedure, buccal fat reduction or liposuction of the neck among others. After surgery Botox© or other neuromodulators such as Xeomin©, hyaluronic injectable fillers such as Belotero can also be used to optimise the result.

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