Beverly Hills Eyelid Surgery
Choose Blepharoplasty to Help You Look More Alert & Youthful
Eyelid surgery, also known as blepharoplasty, improves the appearance of
the upper eyelids, lower eyelids, or both. It gives a rejuvenated appearance
to the surrounding area of your eyes, making you look more rested and
alert. As you age, your eyelid skin stretches, muscles weaken, fatty deposits
accumulate, droopiness occurs in your upper eyelids, horizontal forehead
furrows appear and excessive wrinkling or dark discoloration of the thin
eyelid skin becomes evident. Such unwelcome signs may also be accelerated
by other factors including; environmental influences, hormone imbalance,
smoking, alcohol intake, drug abuse, improper diet, poor health and excessive
exposure to the sun. A Beverly Hills blepharoplasty (eyelid surgery) procedure
involves the removal or manipulation of the skin, fat, and muscle of your
eyelids to give you a more youthful appearance.
At Gabbay Plastic Surgery, Dr. Joubin Gabbay, M.D. offers aesthetic eyelid
surgery as a solution to all of your aging eye problems and enjoys a very
high rate of patient satisfaction.
About Eyelid Surgery
Gabbay Plastic Surgery offers a full range of surgical and non-surgical
cosmetic procedures that can dramatically improve the appearance of your
eyes. The blepharoplasty operation can be performed on both your upper
and lower eyelids (separately, or at the same time). Aesthetics are not
the only reason for having eyelid surgery; extra skin hanging over your
eyes can sometimes impair your vision.
Conditions treated with eyelid surgery include:
- Excess fatty deposits giving the upper eyelids a puffy appearance.
- Loose or sagging skin creating folds or disturbing the natural contour
of the upper eyelid (which can sometimes impair a patient’s vision).
- The removal of excess skin and fine wrinkles from the lower eyelid.
- Bags under the eyes.
- Droopiness of the upper or lower eyelids, showing white below the iris.
Dr. Gabbay is very experienced at performing blepharoplasty and is the
best choice to perform any delicate and complex eye-related procedure.
Blepharoplasty is generally an outpatient procedure that can take 1-2 hours
to complete. Eyelid surgery can be performed either under IV sedation
or general anesthesia, and Dr. Gabbay will recommend the appropriate method
during your consultation. Eyelid surgery scars are nearly undetectable
because the incisions for an upper blepharoplasty are made in the natural
crease of the eyelid. For lower eyelid surgery, the incision may be placed
precisely at the lash line (again, leaving negligible visible scarring).
Sutures (often dissolvable) are used in most cases to close incisions
and hold the delicate skin of the eyelid together during the recovery period.
Blepharoplasty surgical options include:
Upper Blepharoplasty: This minimally invasive procedure is performed to enhance the cosmetic
appearance of the upper eyelid region and/or to correct a peripheral vision
obstruction caused by excess upper eyelid skin. During this procedure,
Dr. Gabbay will make a small incision along the outside of your upper
eyelid, and will then remove any excess skin, muscle folds, or fatty deposits.
Scarring after this surgery is very minor and will be inconspicuously
hidden in the crease of your eyelid.
Lower Blepharoplasty: This procedure is performed to correct aesthetic problems of the lower
eyelid, such as excess skin, dark circles or a “puffy” appearance.
Fluid accumulation and/or excess fatty deposits cause the “puffy”
appearance of the lower eyelids, and dark circles under the eyes can be
caused by dyscrhromias (discolorations) or pigmentations, fatty deposit
shadows, or the protrusion of the orbital bone surrounding the eyes. Dr.
Gabbay will employ different lower blepharoplasty techniques depending
upon the problems that need to be addressed, and their respective causes.
It takes approximately 7-10 days for the main swelling and bruising to
subside after eyelid surgery. Dissolvable stitches will dissolve on their
own, while permanent stitches will be removed in 4-7 days. For the first
few weeks, you may experience dry or watery eyes, blurring or double vision,
and sensitivity to light but these symptoms will gradually subside. Normal
activity may be resumed in 3-4 days, although you should avoid strenuous
physical activity for 2-3 weeks after your surgery. If you would like
more information about eyelid surgery, please contact Gabbay Plastic Surgery
and we will be happy to answer any and all of your questions, and to schedule
an initial, complimentary consultation with Dr. Gabbay. You may also click
the link below to read a more in-depth description of the blepharoplasty
Before & After Photos
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Anatomy of the Eyelid
There are two primary types of eyelid muscles: eyelid elevators, and eyelid
depressors. These muscles include:
Levator Oculi Superioris: this thin muscle is responsible for lifting the eyelid
Muller’s muscle: this superior tarsal muscle also lifts the eyelid, but is controlled by
the involuntary sympathetic nervous system
Orbicularis Oculi: this muscle closes the eyelids when we go to sleep or blink
Is Blepharoplasty the Right Choice for Your Needs?
Eyelid surgery (blepharoplasty) is performed to remove the excess fat,
muscle, and skin from both the upper and lower eyelids. As with all facial
plastic surgery procedures, good health and realistic expectations are
important to achieve a successful surgical outcome. Patients with circulatory,
ophthalmological or serious medical conditions are generally not ideal
candidates for this surgery. During your consultation with Dr. Gabbay,
he will assess your surgical goals and the current state of physical health
in order to ascertain whether or not blepharoplasty is right for you,
and whether any additional complementary procedure would enhance the results
of your blepharoplasty procedure.
Whether you are considering blepharoplasty surgery for functional or cosmetic
reasons, your choice of a qualified facial plastic surgeon is crucial.
At Gabbay Plastic Surgery, you can expect a comprehensive initial consultation
and an open and honest exchange with Dr. Gabbay, which will establish
the basis for a successful surgical outcome. During your consultation,
Dr. Gabbay will evaluate your eyelid anatomy and will determine the appropriate
technique to utilize for your blepharoplasty procedure.
Blepharoplasty is often performed in conjunction with other facial cosmetic
procedures in order to achieve optimal facial rejuvenation results.
Based on his assessments of your facial structure and aesthetic goals,
Dr. Gabbay may recommend one or more of the following procedures to be
performed together with your blepharoplasty surgery:
- Brow lift
- Full facelift
- Dermal fillers
- Laser resurfacing
Specifics About the Procedure
In general, blepharoplasty is an outpatient procedure that takes approximately
1-2 hours to complete and is performed under local anesthesia with IV
sedation or general anesthesia. The upper or lower lids can be treated
alone; however, if necessary, all four lids can be treated at the same time.
During upper eyelid surgery, Dr. Gabbay will first mark the lines and creases
on the natural folds of your lids in order to keep the scars as inconspicuous
as possible. Once the incision is made, Dr. Gabbay will remove any excess
fat, muscle and loose skin, before closing the incision with sutures.
For lower eyelid surgery, Dr. Gabbay will make the incision in an inconspicuous
site along with your lash line (or inside your lower eyelid if a transconjunctival
blepharoplasty is performed), and will then remove a small amount of excess
skin and fat before tightening the underlying muscle to produce a more
youthful looking lower eyelid. The skin in and around the eyelid tends
to heal very nicely, and with time, blepharoplasty scars become very faint
Recovering from Eyelid Surgery
Immediately after your eyelid surgery, cold saline compresses will be applied
to your eyelids. Your eyes may feel tight and sore as the anesthetic wears
off; however, this can be easily controlled with pain medication. Bed
rest and head elevation will be required to help relieve swelling, and
chilled eye pads will also provide comfort from any residual soreness.
Most swelling and bruising will subside approximately 10-14 days following
your procedure. You will be able to clean your eyes gently with water
but will be advised not to rub your eyes or to wear contact lenses until
your sutures have been removed. You will need to apply antibiotic ointment
to your eyes for the first five days and will return to the office one
week after your procedure to have any permanent stitches removed.
For the first few weeks you may experience dry or watery eyes, blurring
or double vision and sensitivity to light; however, these symptoms are
temporary and will gradually subside. Normal activity and work schedules
may be resumed in 3-4 day, but rigorous physical activity should be avoided
for an additional 2-3 weeks.
Potential (although rare) complications following blepharoplasty surgery
include: infection, hematoma, blurred or double vision, chemosis, swelling,
eyelid ectropion, eyelid asymmetry. Factors that affect the functional
and cosmetic outcomes of your eyelid surgery include the individual anatomy
of your eyelids, adjacent tissues, skin elasticity, and age.
Call our Beverly Hills plastic surgeon today at (310) 928-2558 to schedule
your initial consultation. At Gabbay Plastic Surgery, we are proud to
help our patients feel rejuvenated and confident at every stage of their lives!