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Eyelid Surgery (Blepharoplasty)

eyelid-imageEvery year, 100,000 men and women choose cosmetic eyelid surgery to improve the way they look. Why? The eyes are the first place people look at us and also the first place to show aging.  People considering eyelid enhancement want to improve:

  • Droopy, puffy eyelids
  • Sagging skin that weighs on the eyelashes
  • Bags under the eyes
  • A tired appearance

These problems can make you look older, and droopy eyelids can sometimes impair vision. Eyelid surgery improves them, so that you look less worn and tired.  The surgery, called blepharoplasty, can be performed on the upper eyelids or the lower eyelids or both together.

In addition some people have eyelid surgery to correct inherited characteristics.  For example, many Asian women have surgery to create a “double eyelid” or well-defined upper crease.

Eyelid surgery may improve but does not completely correct:

  • Dark circles
  • Fine lines and wrinkles around the eyes
  • Droopy eyebrows

Blepharoplasty can be combined with other procedures

For your most refreshed, most youthful appearance, Dr. Fante might also advise undergoing other procedures.  The choice will always be yours, but Dr. Fante might recommend:

  • Botox, fillers, and/or microfat transfer to finish off your best appearance
  • Forehead lift to improve a drooping brow and smooth the forehead, or
  • Skin resurfacing to improve the fine lines in the eye area
  • Endoscopic midface or cheek lift to efface the intensity of dark circles and improve the contours of the cheeks
  • Proper treatment for any issues that might affect the health of your eyes

Preparing for your eyelid surgery

As with all facial plastic surgery, good health and realistic expectations are desirable.

  • A complete medical history will be taken. Be sure to tell Dr. Fante if you have any allergies.
  • Your vision will be tested and tear production assessed.
  • With Dr. Fante, you’ll decide whether all four eyelids should be done, or just the upper lids, or just the lower lids.  You’ll have a chance to discuss other options as appropriate for your face and your goals.
  • Dr. Fante will explain the techniques he’ll use, and the anesthesia, and the risks involved.
  • Dr. Fante and his staff will give you guidelines on eating and drinking, as well as smoking, and any vitamins, herbs, and medications you should take or avoid.

Your procedure

In general, procedures will take from about 30 minutes to 90 minutes, using local anesthetic combined with some form of sedative. Depending on your exact situation, surgery may be appropriately performed in our office or in an ambulatory surgery center.

There are many procedures to choose from, and yours will be customized by Dr. Fante for your unique face. Some of the possibilities are:

  • Removing puffiness from upper and/or lower eyelids (prolapsed fat that accumulates with age)
  • Removing excess skin from upper eyelids (that droops, sometimes interfering with vision)
  • Correcting weakness of eyelid muscles and tendons
  • Smoothing the area below the eyes (with laser resurfacing, Botox, or surgical removal of skin)
Dr. Fante uses a laser for many procedures. When incision must be made, they’re always very tiny, and strategically placed so that they heal to near invisibility.

Recovery period

Afterwards, you can go home, though you’ll need someone to drive you.

  • There’ll be antibiotic ointment temporarily blurring your vision
  • You’ll have a prescription for an oral pain reliever
  • Dr. Fante will give you written instructions for self-care
  • There’ll be some swelling and bruising which you can minimize with an ice pack. Herbal and homeopathic medicines can sometimes also help with bruising and you will be given information on which ones to consider.
  • Sutures will be removed after about a week
After a week or so you’ll be able to return to work, exercise, and normal routines. Some bruising may persist into the second week after surgery.  Since we live in the Rocky Mountain climate, you will probably want to use artificial tears for a little while to offset the dry air.

You’ll be very pleased with your new, refreshed look. Dr. Fante is always available to answer questions and provide support.

Read More About Eyelid Surgery


Will I have any scars after my eyelid surgery?
Can the surgery be done on both upper and lower lids at the same time?
Will eyelid surgery affect my eyesight?
How is eyelid surgery done on Asian eyes?
Who can have blepharoplasty?
Can a blepharoplasty be done along with other facial cosmetic surgery?
What conditions does blepharoplasty change?

Will I have to take time off work?

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