As you get older, the skin around your eyes loses some of its supportive scaffolding and, as a result, begins to droop. Eyelid surgery (blepharoplasty) is a simple procedure to solve this that only takes about 40 minutes and can be done in the doctor’s office.

Procedure

An eye lift involves removing the excess skin, tightening the muscles of your upper and/or lower lids, and, if necessary, removing the fatty tissue. This is done through an incision along the natural fold of your upper eyelid or just below the eyelashes for the lower lids.

You will have a faint scar that is concealed in the fold of your eyelid or eyelashes.

Graphic of woman's eye before blepharoplasty

Before

Graphic of woman's eye with incision for blepharoplasty

Incision

Graphic of woman's eye after blepharoplasty

After

In eyelid surgery, we remove the excess skin, tighten the muscles of your upper and/or lower eyelids and, if necessary, also remove the fatty tissue. This is done through an incision along the natural fold of your upper eyelid.

Are Your a Good Candidate? 

If you have an excessive amount of eyelid skin, it can protrude and affect peripheral vision, so upper-eyelid surgery can be used to remove the excess skin and improve your sight.

Your Consultation

Your first step will be to have a detailed consultation with Dr MacDonald where she will listen to your goals and concerns and complete a careful examination. Then, Dr. MacDonald will discuss the treatment options that best address your concerns and particular situation.

Dr. MacDonald and her staff will:

  • Give you detail information about the surgery and what you can expect before, during, and after the procedure
  • Discuss any concerns or questions that you may have
  • Discuss  potential risks of the procedure

Surgery 

You will be given instructions on what time to arrive for your surgery and what you can and should eat and drink that day.

Eyelid surgery takes approximately 1-2 hours and you will then spend around 30 minutes in the recovery room. You will be given a post-operative instruction sheet before leaving the hospital.

Recovery

You will need someone to drive you home from the hospital. You will receive an ointment that must be applied daily with a Q-tip and you should keep your eyes lubricated by frequently blinking and looking up at the ceiling. You cannot shower for 48 hours after surgery and should not watch television or read until at least 2 or 3 days after. You also cannot wear contact lenses until the incisions are totally healed.

Your eyes will be swollen and discolored for around 7-10 days after the surgery, and may feel stiff as well. For the first few weeks, you may also develop light sensitivity, blurred vision, and frequent tearing. These symptoms will usually vanish in time. The surgery may give your face some bruising and swelling, but this will fade after a few weeks.

Dr. MacDonald will meet with you 5-7 days after the surgery to ensure that you are healing well and to remove the stitches.

If you have a very physical job, we recommend that you plan a minimum of 4 weeks healing time before returning to work. If you have a more sedentary job, it could be possible for you to return as early as after 2 weeks.

You need to avoid activities that may increase your blood pressure, such as running or lifting weights, until 4-6 weeks after surgery. Likewise, you should avoid bending at the waist for at least 5 days have passed. However, you are encouraged to go out walking as soon after surgery as is possible.

Complications

As with any surgery, there are risks. These include the normal surgical risks of infection, scarring, delayed wound healing, bruising, or bleeding. Complications specific to this surgery are asymmetry, numb skin, and contour irregularities. However, all risks in this procedure are rare. They will all be discussed further during your consultation.