Eyelid Surgery

Blepharoplasty | Eyelid Surgery near Jackson, MS

Eyelid surgery can make a huge impact on your overall look. Have you ever thought about the role your eyes play when you interact with other people? When someone looks you directly in the eyes, it makes you feel noticed and understood. Relationships often start with the locking of eyes, and we begin our first years of life communicating extensively with our gaze. Eyes are so important in the way we interact with each other, we often hear the eyes called the “windows to the soul.”

Your eyelids frame your eyes, and sagging skin from the normal aging process may cause your eyes to look “tired.” Facial plastic surgeons use a surgical technique, called blepharoplasty, to help refresh the way your eyelids look and highlight the natural contour of your eyes. This type of facial plastic surgery is safe, effective, and can dramatically improve your appearance.

Eyelid surgery can embolden you to make eye contact more often and live life more confidently. Regardless of your reasons for seeking blepharoplasty, our expert team at Faces in Ridgeland, MS, is dedicated to helping you achieve your cosmetic goals.

What Is Eyelid Surgery and What are the Benefits?

Eyelid surgery (also known as blepharoplasty or eye lift) is a procedure that can trim excess or sagging eyelid skin, and eliminate puffy under eye bags. It is often performed purely for cosmetic purposes; in some cases, it’s performed to help restore vision that has been obstructed due to excessively sagging eyelid skin. In many cases, the surgeon may also recommend a browlift as the eyebrow position can play a major role in upper eyelid sagging skin.

Eyelid surgery is more typically performed on patients who are 35 and older who have noticed the effects of waning collagen production, gravity, and age. For many people, sagging eyelid skin and the development of under eye bags are some of the first major signs of age. These age-related changes can make you look tired and years older than you are, even if you feel great.

Eyelid surgery can be performed on the upper eyelid or lower eyelid alone, but both regions are usually addressed at the same time. We often add eyelid surgery to a larger facial rejuvenation plan. Many of our patients choose to have an eye lift in conjunction with a facelift or forehead lift. Dermal fillers and laser skincare treatments can also be added to an eyelid surgery treatment plan to help maximize the results.

Blepharoplasty offers the following benefits:

  • Produces refreshed-looking eyelids
  • Eliminates excess eyelid skin and under eye bags
  • Creates a well-defined eyelid contour

If you follow your facial plastic surgeon’s post-op instructions, you can expect to enjoy your results for many years before any touch-up procedures are needed. You can also extend your results by following a sensible skincare routine and protecting your skin from excessive sun exposure.

before and after eyelid surgery female patient

It should be noted that eyelid surgery is not typically used to improve the appearance of circles around the eyes, crow’s feet, or deep wrinkles, but some patients may notice tighter areas of skin around the eyes and some improvement to these signs of aging.

Frequently Asked Questions About Blepharoplasty Surgery

We typically use what’s called “twilight anesthesia” during the eye lift procedure. This means you’ll be conscious, but your mind and body will feel tranquil, and you shouldn’t experience anxiety about the surgery. In some cases, we may recommend using general anesthesia, under which you will be unconscious. In either case, you will need to have someone transport you home after your eyelid surgery.

Upper eyelid surgery begins by making incisions along the crease of the upper eyelids. After the incisions are made, excess skin and collections of excess fat are removed. During lower eyelid surgery, the surgeon will make incisions along the creases below the eyelashes. In some cases where fat collections are more of a problem than excessive skin, incisions on the outside of the eyelid aren’t necessary, as the surgeon can remove fat from behind the lower eyelid.

If incisions are made, we use dissolving sutures or sutures under the skin to control bleeding and scarring.

The downtime immediately after eyelid surgery is relatively minimal for a cosmetic surgery procedure. If you had incisions made in your upper and lower eyelids, the sutures used will dissolve or be removed after about a week. As with any surgery, you’ll experience some swelling, and you may see some bruising around your eyes initially, but your eyes will look normal within 10-14 days. Most people return to work after about ten days.

To control swelling, you should use ice packs for the first few days following surgery. You should also avoid vigorous activity and driving if you experience any problems with your vision, which may be slightly blurry for a few days. Your facial plastic surgeon will recommend a cleaning regimen to keep your incisions healing safely.

The cost of blepharoplasty can vary greatly depending on any additional treatments you desire, the type of anesthesia, associated facility costs, and any prescribed medications. Excluding those expenses, the average surgical cost for upper eyelid surgery is about $3,700 and $4,700 for lower eyelid surgery. 

Eyelid surgery can correct heavy and drooping upper lid skin folds, as well as lower eyelid loose skin and fat bags. When combined with a brow lift it can make the eyes appear more bright and open.

Incisions for eyelid surgery are usually made in a very inconspicuous place, such as the upper eyelid crease.

Depending on the type of surgery, your procedure may take place in our clinic’s surgical suite or at a hospital outpatient surgery center. The length of the surgery varies from 1 to 2 hours. You should anticipate being able to go home shortly after your surgery is complete. 

The thin skin of the eyelids typically heals very well, but scars may be lighter in color than the surrounding skin. A thick or raised scar would be very unusual on the eyelid.

Yes, to a degree. The nature of the problem may require certain types of incisions, but this will be discussed at the consultation.

Hopefully not! They should look better! The general shape of the eye, however, is not changed with typical eyelid surgery.

Yes, but that would be highly unusual since most people’s eyes are reasonably similar. Therefore, if one eye would benefit from surgery it is likely the other one would too.

Eyelid surgery results are very long lasting ( 10-20 years) but not permanent.

Conventional eyelid surgery incisions are made with an exceedingly small and sharp blade, but they can also be made with a laser. The laser results in less bleeding but more swelling overall. The healing is about the same with both techniques.

The use of a laser generally results in less bleeding and possibly less bruising.

Laser surgery carries the additional risk of burns from the laser. Pain is very minimal with most eyelid surgery.

Most patients experience some blurred vision for a few days after their surgery, but otherwise feel fairly normal and may resume light activity the next day. Strenuous activity should not be resumed for at least one week. It is important to not rub the eyes and to treat them very gently for the first week.

Depending on what is done, 1-2 hours.

From arrival to departure, you should expect your whole experience to last about 3-4 hours.

No. You will at least have had some sedation and will not be able to drive safely for 24 hours at a minimum.

Most bruising and swelling is gone by day ten, but the incisions will still be pink for several weeks to months. Make-up can typically be applied at ten days.

Yes. If you bruise easily, there will be more than average. We do a number of things to decrease bruising, but there is always some to a certain degree. Swelling and bruising is typically gone by about day ten.

Most patients will experience transient worsening of dry eye symptoms after upper eyelid surgery. There are a number of techniques that can minimize this, but there is always some. You should consult your eye doctor before eyelid surgery if you have dry eye symptoms.

Blepharoplasty is a procedure that is intended to improve the appearance of the aging eyelid. In some cases, it may also improve visual function if the eyelid skin is so heavy that it hangs over the visual field. This can be determined by visual field testing, which is performed by an eye doctor.

Eyelid surgery is highly successful in that almost all patients will experience improvement. Minor revisions are not uncommon, such as removing a little more skin on one eye to make them more symmetrical.

Eyelid surgery will not remove crows feet.  Neurotoxins, such as BOTOX®, work best for this problem. Droopy eyebrows require a brow lift for correction. Dark circles under the eyes are caused by several problems, such as fat bags causing a shadow and skin pigment changes. These are not corrected by surgery.

Under-eye bags may be corrected by surgery to remove or re—position fat, but dark circles are often due to skin color changes and not corrected by surgery.

When looking in the mirror, use your fingertip to elevate the eyebrow and look at what happens to the upper eyelid skin fold. If it helps dramatically,  then a brow lift may offer the best results.

The eyes are where many people show the earliest signs of aging, and sometimes there are hereditary issues, such as a low set brow, that are present very early on.

Patients must be reasonably healthy and not have any medical problems that may cause problems with healing or bleeding.  Extreme dry eye or other eye problems may also prohibit eyelid surgery. If in doubt, consult your eye doctor or general practitioner.

You can, but these procedures predispose one to dry eye problems and an eye specialist should be consulted before proceeding in many cases.

As long as one is healthy there is no age limit.

Yes, if visual field testing confirms that the upper eyelid is blocking the field of vision it could be considered medically necessary and may be covered by insurance. Lower eyelid blepharoplasty, however,  is not covered by insurance.

Yes, for upper eyelid surgery, the scar is hidden in a lid crease, but is visible only under close scrutiny. Lower eyelid incisions may be hidden on the inside of the eyelid in many cases, but some do require an external incision that may be visible to a degree.

All surgery carries some risks depending on the complexity and type of anesthesia. Most eyelid surgery is performed using light sedation or “twilight” anesthesia, so this is not typically a concern. Risks inherent to the procedure are scarring, bleeding, infection, need for revision surgery, dry eyes, visual disturbance or rarely, loss of vision.

Typically the most common side effects are bruising, swelling and dry eyes, of which all go away after a few weeks. Less common complications include poor healing, infection, visual disturbance, eyelid malposition requiring revision surgery, and loss of sight.Typically the most common side effects are bruising, swelling and dry eyes, of which all go away after a few weeks. Less common complications include poor healing, infection, visual disturbance, eyelid malposition requiring revision surgery, and loss of sight.

Most patients can return to light work in one week.

One should not engage in strenuous activity for at least two weeks after surgery.

Most patients can resume normal day to day activities the day after surgery. Some blurred vision is common for several days, so driving may not be advisable. Strenuous activity should be avoided for several weeks after surgery.

You may shower or bathe the next day.

You may begin wearing contacts again 10 days after surgery.

There is no fee for revision surgery that is done in the office. If the surgery needs to be done in an outpatient surgery facility, there is no surgeon’s fee, but the facility and the anesthesiologist will charge a fee.

A consultation with the surgeon is the first step to determine exactly what can be accomplished with surgery.

Informed consent means that the patient is educated about the procedure and its expectations, risks and benefits, and accepts them.

Patients should avoid smoking or drinking alcohol before surgery. Eating a balanced diet may help with wound healing.

Avoidance of alcohol, tobacco and high salt foods can make the recovery faster.

Blepharoplasty patients are typically given a small amount of pain medicine and an anti-nausea drug. There is usually very little pain after blepharoplasty.

Upper and lower eyelid surgery is frequently performed in conjunction with other procedures for a more complete facial rejuvenation. In this situation, the surgery will be performed at Merit Health Hospital in Madison. Upper eyelid surgery by itself can be safely performed at our clinic in Ridgeland, Mississippi.

When you schedule a consultation at our facial plastic surgery practice, Dr. Jordan and the team at Faces prioritize your comfort and safety. We want to help you make the best decision to achieve the look you’ve always wanted. Sometimes that might mean recommending a less invasive cosmetic treatment or a combination of surgical procedures.

Do you have questions about how eyelid surgery works or how it fits into your facial rejuvenation plan? Facial plastic surgeon Dr. J Randall Jordan invites you to schedule a consultation by calling (601) 607-3033. You are also welcome to send us a message using our website.