Blepharoplasty The Surgery (eyelid tightening, eyelid lift)

The blepharoplasty operation by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

The Surgery

Blepharoplasty usually takes one to three hours, depending on the extent of the surgery. If you're having all four eyelids done, Dr. Bermant will probably work on the upper lids first, then the lower ones.

Warning:

The following material on this page is graphic in nature. Please skip if explicit surgical details bother you.

Blepharoplasty Surgery

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Blepharoplasty Eyelid Surgery Important Information and Site Map

Before surgery, Dr. Bermant marks the incision sites, following the natural lines and creases of the upper and lower eyelids.

Measurement Before Surgery	A pinch to test skin redundancy.

Types of anesthesia
Eyelid surgery is usually performed under local anesthesia, which numbs the area around your eyes, along with oral or intravenous sedatives. You'll be awake during the surgery, but relaxed and insensitive to pain. (However, you may feel some tugging or occasional discomfort.) Some surgeons prefer to use general anesthesia; in that case, you'll sleep through the operation.

Local anesthesia numbs the eyelids for surgery. Some patients choose additional sedation.

Incisions
In a typical procedure, Dr. Bermant makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow's feet or laugh lines at the outer corners of your eyes. Working through these incisions, Dr. Bermant separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.

Underlying fat, along with excess skin and muscle, can be removed during the operation.

Excess skin removed from the upper eyelid.	Upper lid after redundant skin removed.

Eyelid surgery must be coordinated with forehead surgery such as brow lift. Upper lid skin excess depends on the position of the eyebrow.

Excess fat removed from the upper eyelids	The skin is sewn with fine sutures.

Protruding fat can be sculpted and trimmed restoring a more pleasant contour to the eyelid. Blepharoplasty eyelid surgery can take many different forms. During your consultation, Dr. Bermant will help you better understand your options.

Blepharoplasty Surgery

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This page last updated on: August 3, 2008

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