Eyelid Surgery for a New Youthful You

Eyelid surgery is among the most frequently performed plastic surgery procedures in the USA. In a recent year, the American Society of Plastic Surgeons (ASPS) reported that over 209,000 eyelid surgery procedures were performed in our country. There is a good reason – the delicate eyelid skin will stretch and loosen over time, and even if your face is quite youthful, your eyes can give away your age. After a custom eyelid surgery, the changes are subtle but significant. When performed at Sanctuary Plastic Surgery, you need not fear having an unusual “wide-eyed” look after your procedure. You will look healthy, alert, refreshed, and youthful.

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Sanctuary Plastic Surgery

Should I Undergo Eyelid Surgery?

Eyelid surgery in West Palm Beach can treat any of the following aesthetic issues:

  • Droopy, saggy upper lids
  • Puffy eyelids
  • Sagging lower lids
  • Bags under your eyes
  • Vision is affected by sagging eyelids
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Why Choose Sanctuary Plastic Surgery in Boca Raton?

If you are ready to undergo eyelid surgery, you want to be confident that your results will appear natural, refreshed, and youthful – never overdone. We have all seen the results of errors in eyelid surgery, with a person looking wide-eyed and unnatural. 

When under the care of Sanctuary and their team of top medical professionals, you can expect results that look refreshed, natural, and like you!

Our providers have earned a reputation by crafting elegant and naturalistic results for patients in Boca Raton, West Palm Beach, and the nearby areas, and he's excited to learn how he can unite you with the cosmetic outcome of your dreams. If you're ready to look youthful and refreshed, reach out and set up your consultation today!

What Procedure Will I Need?

There are various methods used to enhance eyelid appearance. The following information will give you a basic understanding of each. Each approach carries specific benefits. All surgeries have some degree of risk, but eyelid surgery is generally very safe, and complications are very rare.

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Upper Eyelid Surgery

Upper eyelid surgery can improve two common problem areas: 

  • Excess skin on the upper eyelid – often called “hooding” of the upper lid.
  • Puffiness in the inner corner and middle of the upper eyelid caused by the herniation (pushing forward) of fat.  

Hooding of the upper eyelid can obstruct your vision, and the surgery can improve the quality of your peripheral vision. Puffiness in the upper eyelid can cause patients to look old and tired. Upper eyelid surgery can create a more alert and younger appearance. Upper eyelid surgery can enhance the shape, position, and depth of the eyelid crease.

Lower Eyelid Surgery

Lower eyelid surgery can remove the puffiness found in the lower eyelid or under-eye bags. The accumulation of excess fat and skin, caused by age and other factors, causes that puffy appearance in the lower eyelid, leaving you looking older and tired, even when well-rested. Removal of the bulging fat in the lower eyelid can result in a younger, rested, and alert appearance.

We perform various types of eyelid procedures depending upon your age and whether the problem is wrinkles, loose skin, excess fat, or poor elasticity. The least invasive type of lower eyelid surgery is using a laser to resurface the lower and upper lids. The laser tightens the skin and smooths fine lines and small wrinkles.

This is usually performed on younger patients but works well after traditional eyelid surgery when the surgery removed the excess skin but not the fine lines. Laser resurfacing of the lower lids may be combined with a specialized procedure called “transconjunctival blepharoplasty,” in which a tiny incision is placed within the lower eyelid and fat is removed with tiny forceps. No skin is removed, and no sutures are needed.

Patients with more excess skin may require a “pinch” blepharoplasty in which a sliver of skin is removed from the lower eyelid. This approach is typically performed with laser resurfacing but can be combined with a transconjunctival blepharoplasty for some people who need it.

What Are the Benefits?

There are many reasons why a person would want to undergo eyelid surgery in West Palm Beach. Even though the reasons vary from person to person, the most common reasons include:

  • Improving peripheral vision
  • Gaining a fresher, more alert appearance
  • Restoring a youthful eyelid appearance
  • Enhancing overall appearance
  • Gaining a boost in self-confidence

Before & After

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What Is the Procedure? How Long Will It Take?

Eyelid surgery is typically performed with local anesthesia, IV sedation, or general anesthesia in our Boca Raton accredited in-office surgery suite on an outpatient basis. The anesthesia will depend upon the type of procedure chosen and your preferences. Some patients prefer general anesthesia, while others wish to be awake but numbed and relaxed. We can discuss this in detail at your consultation.

Upper Eyelid Surgery

In upper eyelid surgery, an incision is created that follows the natural lines of the eyelids. Working through the incisions, we remove a crescent of excess skin and muscle, and fat. The incision is closed with fine sutures, which will leave nearly invisible scars. Laser treatment of the scars is often performed a few weeks after surgery to accelerate the final appearance and improve the scar. Ptosis repair in which the eyelid muscle is tightening may be performed simultaneously.

Lower Eyelid Surgery

A major part of the surgery is to determine the problem, such as excess fat, excess skin, loose skin, muscle weakness, hollowing, excess veins, dark circles, or other issue. Dark circles and veins are usually treated with specific lasers while hollowing may be treated with fillers or fat grafting.

Excess fat is usually removed through the transconjunctival approach as described above. This method leaves no visible scars and leaves the eye shape unchanged. This is often combined with laser resurfacing and/or skin excision. For patients who have less laxity or have had previous lower eyelid surgery, we may choose to use a laser to resurface the skin to smooth away fine lines and tighten the lid skin. We have a variety of lasers use, some with a recovery time of one week or so and others with little to no downtime.

In patients with more excess skin that is too much for the laser to handle alone an incision is made following the eyelids' natural lines, just below the lashes and a “pinch” of skin is removed. As with the upper lids, delicate stitches are administered to close the incision. Lubrication with ointment is applied at the completion of both upper and lower eyelid surgery.

In patients with a weak lower lid tendon, a tendon tightening procedure such as a canthopexy or canthoplasty may be needed. This will be discussed at your consultation.

When Will I See the Results of My Surgery?

The recovery period for eyelid surgery is approximately one to two weeks. You must follow our post-operative instructions to promote better healing, reduce chances of complications, and for your comfort during recovery. Eye drops may be recommended because the eyelids might be dry, and your eyes may burn or itch. If you wear contact lenses, they may be used a few days after surgery. Because the eyes will temporarily be sensitive to sunlight, wind, and other irritants, wearing sunglasses and sunblock is advised. You will have full aftercare instructions about how to clean your eyes during healing.

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What About Scars?

Upper and lower eyelid surgeries are each performed differently, and each displays a different result. Scars are hidden in natural crease lines and are barely perceptible after six months or more. As mentioned above, lasers are often used to augment the healing. After undergoing eyelid surgery, your appearance is enhanced because the upper eyelids are no longer drooping, and the skin beneath your eyes is smooth and firm.

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