Eyelid Surgery

Improve Your Appearance & Vision!

The Eyes are the windows to the soul, but also one of the first areas to show signs of aging. Small wrinkles, droopy lids, excess skin, and bags under the eyes can make one appear tired or older that our age. Often, as the skin droops, our vision is even affected. Excess skin on the eyelids also often makes one feel tired at the end of the day. These changes often appear as early as the late 20’s.

Blepharoplasty (eyelid rejuvenation surgery), can turn back these signs of aging and make your eyes appear brighter and refreshed. By removing excess skin and fatty deposits, your eyelid is restored to a more youthful appearance. In addition, if your field of vision is being affected, you may see better following a blepharoplasty procedure.

Testimonial

“I cannot believe I waited to have my eyelid surgery. In my early 30s, I noticed my eyelid skin was wrinkling when I put on makeup. At the end of the day, my eyes felt and looked “droopy” and I felt very tired from the skin resting on my eyelashes. Once I had my blepharoplasty, I immediately looked younger and felt great- even at the end of the day- I didn’t look or feel tired any longer! My advice to anyone considering eyelid surgery is¬ Don’t wait!”

At Grand Rapids Ophthalmology, we are fortunate to have Dr. Michael Boyle who specializes in cosmetic and reconstructive surgery of the eyelids. In addition to being a board certified ophthalmologist, he is fellowship trained and certified by The American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS). Dr. Boyle performs both cosmetic eyelid surgery for patients interested in a more youthful appearance and reconstructive eyelid surgery for patients with medical problems that affect their eyes such as thyroid eye disease.

Dr. Boyle can restore a more youthful appearance to your eyes by performing the blepharoplasty procedure to correct

  • Loose, droopy and extra skin on the upper and lower eyelids that make you look older.
  • Fat deposits on the upper and lower eyelids that make you appear tired or unhappy.
  • Bags under your eyes that change your youthful appearance.

Dr. Michael Boyle, MD ASOPRS

Oculoplastic Surgeon

Dr. Boyle specializes in treating patients with drooping and baggy eyelids, performing reconstructive surgery of the face, eyes, and eyelids for both reconstructive and cosmetic purposes. He also performs BOTOX® Cosmetic for wrinkles between the eyes, forehead, and around the eyes. He works closely with Skin Solutions, our aesthetic skin care department, to provide patients with the best possible result following their eyelid procedures. He completed his Oculoplastic Fellowship with The American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS), his residency and internship at Indiana University, and received his medical degree from University of Illinois College of Medicine.

1. How Long Does Cosmetic Eyelid Surgery Take?

Since blepharoplasty is not a stock procedure, operating times will vary with the extent of changes and scope of the operation.As a general guideline, performing upper or lower blepharoplasty alone takes about 45-60 minutes, while having them both performed together takes about 90 minutes.

2. What Type Of Anesthesia Is Used?

Blepharoplasty is routinely performed under local anesthesia with oral sedation. Most patients report little or no memory of the procedure.Compared to general anesthesia, local anesthesia is associated with less bleeding, increased safety, enhanced precision, and faster recovery.

 

3. How Is Blepharoplasty Surgery Done?

Since the anatomy and health of the eyelids and surrounding face varies person to person, every operation must be custom tailored to fit the needs of the individual.

 

4. Is There A Perfect Age For Eyelid Surgery?

Since eyelid skin is thinner than that on the rest of the face, the eyes are usually the first facial component to demonstrate a noticeable age-related loss of attractiveness.A person who is physically and psychologically healthy is ready to consider blepharoplasty whenever the effects of Mother Nature or Father Time bother him or her enough that an improvement is desired.

5. Do Many Men Undergo Cosmetic Eyelid Surgery?

Puffy eyelids look just as bad on a man as they do on a woman.In today’s competitive and youth-oriented world of business, both men and women have come to appreciate that while they may be well-qualified, their appearances matter.

6. Can Rims Or Dark Circles Beneath The Eyes Be Corrected By Eyelid Surgery?

No. Most semicircular rims of depression are the result of a relative deficiency of bone along the upper cheek with secondary sagging of the cheek’s fat pockets and muscles.Since the indentation (often called a “tear trough”) is not caused by an eyelid or orbital deficit, blepharoplasty does not correct. Injection with a commercial filler is the most common treatment.

7. Blepharoplasty Care After Surgery?
  • Begin wet washcloth and bag of ice compresses, to incision site, as soon as you get home. (Do NOT put ice on skin directly.) These compresses should be used as often as possible during the first 2-3 days after surgery. The more you use them, the less swelling and bruising you will experience.
  • After 3 days, begin using warm, moist compresses 2-3 times daily for five minutes at a time. Continue the warm, moist compresses until all swelling and bruising has cleared.
  • If any ointment or drops were prescribed to you before or after your surgery, use as directed. Use on the day of your suture removal also.
  • Your sutures will be removed in approximately 7-10 days following surgery.
  • Please refrain from using any make-up or contact lenses until directed by Dr. Boyle.
  • Please refrain from swimming, jogging, or any activity that would increase your blood pressure for 2-3 days following surgery. Walking and LIGHT exercise is acceptable.

The following information is for Dacryocystorhinostomy and Orbit Repair patients only:

  • Do NOT attempt to remove nasolacrimal duct tube that has been placed by Dr Boyle. Dr Boyle will remove the tube after necessary healing; this amount of time varies with each patient.
  • No vigorous nose blowing for 1-2 weeks following surgery. (Gentle blowing is permitted.)
  • Light blood loss through the nose is common.

If you have active bleeding that does not stop after continuous pressure applied for 20 minutes please contact Dr Boyle. If you have any questions, please call our office: 616-949-2600 or 1-800-968-2600

8. My Lids Are Hollow Rather Than Baggy. Can This Be Helped?

Eyelid hollowness is not the same thing as cheek hollowness, a tear trough, or dark circles, all of which are much more common conditions. If the lids themselves have become hollowed due to insufficient fat volume following overdone blepharoplasty or aging changes, they can sometimes be re-inflated by grafting fat into the socket around the eye.

9. What Is An Ocuplastic Surgeon?

Oculoplastic surgeons are ophthalmologists (eye doctors) who have specialized in eyelid and facialplastic surgery. Oculoplastic surgeons are trained to do many different types of eyelid and facial surgery, ranging from simple eyelid malpositions to more complex reconstruction involving the eyelids and surrounding forehead, temporal and cheek areas. They understand the delicate anatomy and function of the eyelids and their surrounding structures. As well as the eyelids, they specialize in the lacrimal (tear) system, the orbit (bone cavity around the eye), adjacent periocular (around the eyes) and facial structures and  the forehead and cheeks. Oculoplastic surgeons are also known as ophthalmic plastic and reconstructive surgeons and oculo-facial surgeons.

  • Oculoplastic surgeons assess the surface health of the eyes and function of the eyelids prior to eyelid plastic surgery.
  • As dedicated eyelid plastic surgeons, an oculoplastic surgeon routinely does surgeries in these areas, and recognizes potential problems.
  • Oculoplastic surgeons are trained to manage the complications or eyelid and facial plastic surgery which can involve the eye itself.
10. What Are The Costs?

If you are shopping price, be aware that some offices quote only the surgeon’s fee by telephone, excluding such extras as operating room, anesthesia charges, etc. While cost is obviously important, the quality of your care and outcome are most crucial. To learn more about blepharoplasty costs contact our office for an appointment.

11. Is There Much Discomfort After Surgery?

The majority of patients report mild aching or burning, which is usually well controlled with Tylenol and cold compresses.

12. Why Do The Eyelids Become Baggy?

Sun damage, smoking, stretching from swelling or obesity, and the wear and tear from blinking and rubbing all contribute to a gradual deterioration in the eyelid’s tissues and their support. By far, however, the most important variable is one’s heredity expressed over time.

13. How Long Does The Swelling And Bruising Last?

Most patients experience moderate discoloration that is gone within about ten days. Swelling peaks on the morning after surgery. While it mostly resolves over the next two weeks, a small amount may persist for several months or more.

14. How Precise Is The Result?

A realistic expectation is that most patients will achieve about a 75-90% improvement after upper blepharoplasty and a 60-80% improvement after lower blepharoplasty. Some slight asymmetry is the rule rather than the exception. With Asian double eyelid surgery, requested crease shapes and heights can be approximated but not guaranteed.

15. How Long Do I Need To Be Off Work?

While most normal tasks can be resumed within two days, too much activity during the first week will increase swelling. Strenuous activities should be avoided for two weeks or more. Most people prefer to lay low for several weeks.

16. Are The Scars Very Noticeable?

In upper blepharoplasty, the incision is hidden in the crease. In lower blepharoplasty, the incision is placed along the back surface of the eyelid and/or just below the lashes. While full thinning and fading of any scar on the body can take a long time, keloids on the eyelids are rare.

17. I Have Dry Eyes Does This Limit My Options?

Yes, but not drastically. Conservatism is key.

18. How Long Does The Blepharoplasty Last?

Compared to procedures designed primarily to fight the effects of gravity (face lift, brow lift, etc.), blepharoplasty lasts a very long time. In the majority of patients, cosmetic eyelid surgery is performed only once. Everyone has heard about the unlucky patient who undergoes a face lift and experiences a wonderful result only to sag all the way back to his or her starting point within a couple of years. It is only natural, then, to wonder how long the improvement from another sort of lift — an “eyelid lift” — should be expected to last. In contrast to a face lift (in which surgery is directed primarily against the gravitational effects of aging by reinforcing and lifting sagging tissues), not much is truly “lifted” in a so-called “eyelid lift”. The term is unintentionally misleading and used only to draw an analogy between the well-known cosmetic operation used on an aging face and the primary cosmetic procedure used on the eyelids.

“Blepharoplasty” is the better term. Blepharoplasty differs from face and body lifts in several important ways: – Blepharoplasty is directed more against the influence of heredity on the eyelids than against the effects of gravity. The main determinant of eyelid “sagging” and “bulging” is not so much g-forces as it is a loss of tissue elasticity that comes hard-wired into your genes and then expresses itself during the late thirties and early forties.

The surgery to restore an eyelid to its normal contour is, therefore, not so much of a losing battle against the immutable laws of Newtonian physics. – Tissues placed under tension will invariably stretch, a trait that makes many reconstructive operations possible. While a face lift does indeed place tissues under some tension, a well-done blepharoplasty should not. One of the main determinants of “recurrence” is thus avoided. – Once hereditary deficiencies have been reversed, they show much less of a tendency to re-express themselves than do changes that are determined primarily by gravity (which disappears only in outer space). – Eyelid fat does not “grow back,” even with weight gain. While it is possible for additional socket fat to eventually work its way forward into the eyelid, it will almost never reaccumulate to the degree that predated the blepharoplasty.

Many people, in fact, experience the opposite effect with age– that is, a gradual loss of fat. What all of this means is that blepharoplasty yields a longer lasting result than most other cosmetic operations. The vast majority of patients will undergo blepharoplasty only once. While many articles on cosmetic eyelid surgery quote durations like “ten years” to describe longevity, we know of no data to support such statements. There is an old saying about plastic surgery: it can turn back the clock, but it can’t stop it. So, some of the luster of the original blepharoplasty should be expected to be lost with time. Rarely, however, does the full-blown operation ever need to repeated (unless, of course, the first surgery was undertaken at a very early age). Any sort of later “touch-up” is usually quite conservative.


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