Dr. Bray's Plastic Surgery Blog

 As we age, we often acquire a tired, bored, or angry expression that is completely involuntary. This is because of the effects of gravity and other causes of aging on the tissues of the upper face. The brows contract and the eyelids sag, and they stay that way, making us seem angry or tired even when we are happy. A relatively uncomplicated way to enhance and refresh your appearance is through a procedure called blepharoplasty, otherwise known as an eyelid lift.

What blepharoplasty can do

This surgery brings to life the skin around the eyes, and can include both the upper and lower lids. Blepharoplasty eyelid surgery works to target that tired look that can occur with aging—even when you are not feeling at all tired. Upper eyelids that droop and sag and baggy tissue below the lower lids are perfect examples of facial areas that eyelid surgery can dramatically improve. If you have both puffy lower eyelids and dark hollows under the eye, the one can be the solution of the other with fat relocation from the lower lids to fill in the hollows. If vision is impaired or obstructed by the upper eyelid drooping into the range of sight, blepharoplasty can correct this situation also.

If your signs of aging tend to be focused on your eye region, a blepharoplasty may be the answer for you, and you may not need to undergo a complete face lift.

Blepharoplasty in combination with other procedures

However, if you are looking for a completely refreshed look, many other procedures are often combined with blepharoplasty. In some cases, a blepharoplasty will not give good results without a brow lift, although in some cases Botox injections for either deep forehead wrinkles or crows' feet can provide good results.

The two forms of blepharoplasty, upper lid blepharoplasty and lower lid blepharoplasty can be done individually or together, depending on your needs and preferences.
If you are interested in exploring blepharoplasty or other cosmetic enhancement procedures, please schedule a bleaphroplasty consultation with Bray Plastic Surgery Medical Center at 310-534-8300 to learn more about how we may assist you.

With eyelid surgery, the patient has the option of getting the upper lid or lower lid done, or having both lids corrected. The decision is the patient’s based on his/her preference.

Upper lid blepharoplasty

For an upper lid blepharoplasty, the cosmetic surgeon makes an incision is made along the upper lid’s crease to eliminate unwanted fat that creates a puffy appearance; the surgeon then tightens eyelid skin and muscle to greatly reduce the droopy, saggy look. The incision is then closed.

Lower lid blepharoplasty

Two alternative procedures exist for a lower lid blepharoplasty eyelid surgery.

Method one resembles the upper lid blepharoplasty procedure. The surgeon makes a small cut right under the lash line next to the lower eyelid. Using this incision, the surgeon is able to take out fatty tissue that causes bagginess and puffiness under the eyes. Skin and muscle are tightened to create a refreshed appearance. Finally, the surgeon closes the incision.

Method two for the lower lid blepharoplasty is called a transconjunctival blepharoplasty. Patient without a lot of skin and muscle that need to be removed do best with this procedure. The surgeon makes an incision inside the lower eyelid so that the scar will be hidden. He/she then eliminates excess fatty tissues and closes the incision.

Should you be interested in an upper lid blepharoplasty, lower lid blepharoplasty, or both procedures, please schedule a blepharoplasty consultation with Bray Plastic Surgery at 310-534-8300 to learn more about how we may assist you.