Eyelid Surgery (Blepharoplasty) Reston
Upper eyelid blepharoplasty can easily be done in the office under local anesthetic. Dr. Rostami carefully measures the amount of excess skin to remove to improve your appearance and in many cases, your peripheral vision.
In this procedure, the excess skin and the fat from the upper eyelids are removed. The incisions are made in the upper eyelid crease, making the incision line almost invisible when completely healed. This incision can be made with a laser, blade, Colorado tip on Bovie cautery, or using radio frequency ablation. The incisions made with a surgical blade have been shown to have the best results with the least scarring and best healing.
This surgery is often combined with internal lateral eyebrow fixation if your outer eyebrows have dropped, which can contribute to the amount of excess skin on the upper eyelid. If you would like ptosis correction, Dr. Rostami can also perform this procedure along with the blepharoplasty. Both the lateral brow lift and ptosis repair are done in the same incision in the crease of the eyelid, during a single surgery.
Down time is only about a week, although residual bruising and swelling can last longer, depending on your age and general health.
Lower blepharoplasties can correct the pouches and bags and remove loose, wrinkled skin under the eyes. Surgery in this area can be done in one of two ways: transconjunctival or subcilliary. With transconjunctival surgery the fat is removed from inside the lower eyelid; there are no sutures. If the area has loose, wrinkled skin, a subcilliary incision is made directly under the lower eyelashes and fat and the excess skin is removed.
Most often, for optimal results, the area is treated using a combination of procedures, including surgery, fillers and peels and/or laser sessions. If the fat pad has slipped and is revealing the bony orbital rim creating hollowness, a lower blepharoplasty does not normally remedy this. In cases like this, Dr. Rostami is a proponent of using dermal fillers to soften the hollowness and actually sculpt the area, creating elevation where there was a depression, for stunning results. Other popular options for lower eyelid lines and wrinkles include chemical peels, CO2 and Fraxel treatments.