Eyelid Surgery (Blepharoplasty)

Blepharoplasty, or eyelid surgery, is a surgical procedure intended to restore a more youthful, well-rested appearance to the eyes. Dr. Heffernan uses his meticulous skill to remove fat deposits, pouching, and excess, sagging skin from both the upper and lower eyelids. If a patient so desires, blepharoplasty can also be used to bring about aesthetic changes to the eyelids.

Because Dr. Heffernan is an eye specialist, you can be assured that your procedure will be performed properly, giving due attention to the safety and function of your priceless vision. 

Those who show signs of aging around the eyes, and wish to conceal or eliminate those effects should consider eyelid surgery. Because the skin around the eyes and eyelids is so thin, these issues are quite common. The following conditions are just some of the indications for eyelid surgery:

• Bags under the eyes
• Sagging upper eyelids
• Excess skin that creates a fold
• A tired, puffy-eyed appearance
• Hindered vision due to eyelid imperfections

To describe the procedures briefly: Dr. Heffernan uses a CO2 laser with micro-delivery system to make precise incisions in the natural crease of the eyelid. Excess tissue is then carefully removed. In some cases, a "transconjunctival" technique can be used to minimize fullness of the lower eyelid; this involves an incision inside the lower eyelid. The appropriate technique will vary with each patient's unique needs. Blepharoplasty is an outpatient procedure performed under local anesthesia or light sedation.

Distinctions:

Upper Blepharoplasty: The goal of upper blepharoplasty is to correct age related changes of the upper eyelids; these may include dermatochalasis, bulging fat pads, and ptosis. Upper blepharoplasty can precede lower blepharoplasty, or it can follow a facelift. The incision location (which may differ depending on the patient) is partly determined by "pinch testing." Men and women will often require different incisions. At Dr. Heffernan's office, we do not alter the state of the Orbicularis Oculi muscle; this muscle is important for maintaining natural eye characteristics.

Lower Blepharoplasty: After making a discreet incision inside the eyelid, Dr. Heffernan repositions fat of the lower eyelid to correct problems. The procedure (lower eyelid transconjunctivital fat repositioning) treats the excess fat surrounding the lower eyelid, but avoids hollowness that might result from fat removal. In some cases, excision of fat and/or skin is still necessary. Sometimes a special dissolvable stitch (called a canthopexy) is used to maintain the eyelid position during the healing process. Extra care is always taken to preserve the lower eyelid's (ideal) natural contour.

Asian Blepharoplasty: Because Asians have different periorbital characteristics, surgical techniques have been developed specifically for them. Dr. Heffernan can bring about optimum aesthetic results while maintaining ethnic characteristics. Unlike traditional blepharoplasty, some asian blepharoplasty cases may involve minor excision of the Orbicularis muscle. To further discuss the differences involved, we suggest a consultation.

Ptosis: A congenital or acquired condition characterized by drooping, or sagging, of the upper eyelid. Ptosis can negatively affect vision and cause discomfort. Surgical techniques can correct ptosis, and are often done in conjunction with blepharoplasty.

After surgery, most patients experience some swelling and tightness around the eyes. Light sensitivity and blurry vision is also reported among some patients. These effects should go away within 48 hours, and by then, positive results can be witnessed and appreciated. Full recovery is within ten days. Many patients achieve a refreshed, lively, facial appearance through blepharoplasty.

To instill confidence and calmness in his patients, Dr. Heffernan is dedicated to providing a comprehensive education about the procedure. To learn more about undergoing an eyelid surgery in the Seattle area, contact our downtown office today to schedule a consultation.