Blepharoplasty (Upper and Lower Eyelids)

What is Upper Blepharoplasty?

Blepharoplasty is one of the most common surgical procedures performed by an oculoplastic surgeon.  The procedure is almost always carried out on an outpatient basis with a minimum of sedation.  Upper eyelid blepharoplasty provides a lift to the eyelids.  Dr. Perman’s goal is a  result consistent with a relaxed energized look, without looking surgical.

There are circumstances when the surgery will include dealing with the elevator muscles of the eyelids to improve the patient’s visual field, this can be performed at the time of blepharoplasty.

Many of the changes we see in the tired, droopy eyelid are secondary to heredity as much as aging.  Just look at a family photo album, and you will see what I mean..

During the consultation, we’ll discuss all these issues, your family history, your medical history, your medications both with and without prescription of course.

Dr. Perman will take multiple photos and review your goals and realistic options in considering both surgical and non-surgical options in formulating a plan for a natural result.

Of course, no one but Dr. Perman will have access to your photos, your privacy is a priority, you will not find yourself on the internet.

What is Lower Blepharoplasty?

Lower blepharoplasty is often performed for cosmetic reasons, but at times is combined with repair of a functional eyelid malposition like an ectropion or entropion.

There are also circumstances when it is combined with a mid-face lift when the descent of the cheek area has accentuated the fatigued, hollow appearance.

The two most common techniques of lower blepharoplasty are either transconjunctival or transcutaneous.  The transconjunctival approach was first described in the first part of the twentieth century and repopularized by Dr. Perman and his mentor Dr. Henry Baylis in the early 1980s at the Jules Stein Eye Institute of UCLA Medical Center. The incision is made behind the eyelid and is an excellent option for the younger patient with prolapsed fat, but not much in the way of loose skin.  The external transcutaneous approach includes a paper cut type incision placed just below the eyelashes. No lashes are sacrificed and the incision heals barely noticeable. It is best for patients with enough laxity where the lid and facial tightening are in the patient’s best interest.

Of course, Dr. Perman will discuss options for the patient, stressing the pros and cons of each.