Upper and lower blepharoplasty is a surgical procedure to improve the appearance of the eyelids by removing or repositioning excess skin, fat and tissue around the eyes. It may help to reduce heaviness, puffiness and a tired look.
The goal is not to alter the natural shape of the eyes. The goal is to offer a cleaner, more open and well rested appearance in the eye area while preserving the patient’s natural expression.
An upper blepharoplasty is performed to remove excess or baggy skin on the upper eyelids. This skin can make a heavy look, take away some of the eyelid definition or in some cases affect the field of vision.
Before planning the surgery, Dr. Saad Almosa evaluates the amount of excess skin, position of the eyelid and relationship of the eyebrow. If you take too much skin off, you can affect natural expression. The correction has to be measured and precise.
Many people have lower blepharoplasty to reduce puffiness, bags under the eyes or loose lower eyelid skin. These problems may make the face look tired, even when the patient feels well rested.
The lower eyelid region is delicate, it needs support, to be natural and stay smooth. Depending on the anatomy of the patient and the quality of the lower eyelid tissue, the plan may involve fat adjustment, skin tightening, or a combination of both.
Eyelid surgery can be considered by patients when the eye area begins to look heavy, puffy or less defined. These changes can be caused by ageing, genetics, skin laxity or natural fat movement around the eyelids. Some common concerns are:
Skin that hangs over the upper eyelids
Bags under the eyes or puffy lower eyelids
Eyes that look heavy or tired
Loose skin under the lower eyelids
Reduced definition of eyelid crease
Each case must stand on its own merits. Some patients may only need upper eyelid surgery, while others will benefit from having both upper and lower eyelids treated at the same time for better balance.
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Blepharoplasty should refresh the eyes without leaving the face with a surprised, hollow or over-operated look. The eyelids are a small part but even a little change can change the whole facial expression.
Dr. Saad Almosa plans eyelid surgery with proportion, symmetry and tissue support in mind. The result should look brighter and more rested, but still in keeping with the patient's age, features and natural eye shape.
Eyelid skin is thin and the structures are fine so surgical precision is of great importance. Incisions are usually made in natural eyelid creases or inconspicuous sites so that the scars heal as inconspicuously as possible.
The amount of skin or fat to be adjusted must be tightly controlled. The conservative, structured approach helps to improve the eyelids with a decrease in the risk of an unnatural or over-tightened appearance.
Recovery from blepharoplasty typically involves swelling, bruising and temporary tightness around the eyes. These changes are expected in the early stage and improve gradually as the tissues settle down. Important possible recovery priorities include:
Elevation of the head during early healing
Do not apply pressure or rub on the eyes
Take prescribed drops or ointments as directed
Limiting strenuous activity until cleared
Attending follow-up visits to monitor healing
Most patients begin to feel better within the first two weeks, but fine swelling may continue to improve slowly.
An upper and lower blepharoplasty can create a fresher, lighter and more defined look to the eyes. If planned well, it can also improve the balance between the eyelids, eyebrows and midface.
The best result should not look like the eyes have been changed. Dr. Saad Almosa plans his treatments thoughtfully to achieve a subtle improvement that helps the face to look rested, natural and expressive.
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