The eye region is the most important aesthetic area of the face. When eye contact is made, we immediately begin forming our first impressions. Judging someone to be tired, sad, angry, or pleasant is based on the area around the eyes. With aging, the upper eyelids may become droopy or heavy, giving patients a tired look that decreases the overall attractiveness of a person’s eyes.
Typical aging changes include loss of elasticity and collagen in the skin and droopiness of the brow and eyelid region. At The Mack Cosmetic Center, we have a solution for droopy eyes and under-eye bags. Our eyelid surgery can remove excess skin and reposition fat to help you look more awake and younger. We offer services to patients in Tampa, FL, and the surrounding areas.
What Is Blepharoplasty?
Blepharoplasty, also known as eyelid surgery, is a procedure that reshapes the upper or lower eyelids by removing or repositioning excess skin, muscle, or fat. Over time, the delicate skin around the eyes can lose elasticity, leading to sagging, puffiness, or drooping that may affect both appearance and vision. By refining the contours of the eyelids, this treatment can create a more rested, alert, and youthful look. While some patients seek blepharoplasty for cosmetic reasons, others pursue it to improve obstructed vision caused by excess skin on the upper eyelids. Whether focusing on the upper, lower, or both eyelids, this approach can be customized to your needs.
What Are the Common Reasons Why a Patient Would Want a Blepharoplasty?
- Drooping Upper Eyelids: When the upper eyelids start to sag, they can create a heavy or hooded look. In some cases, this can make the eyes appear smaller or give the face a more fatigued expression.
- Puffy or Baggy Lower Eyelids: Excess fat beneath the eyes can create persistent puffiness or under-eye bags that don’t improve with rest. Blepharoplasty can smooth the area for a more refreshed look.
- Fine Lines and Wrinkles Around the Eyes: The thin skin around the eyes is prone to creases over time. While eyelid surgery primarily targets sagging or excess tissue, it can also soften certain lines for a smoother appearance.
- Obstructed Vision Due to Excess Skin: When loose upper eyelid skin starts to hang over the lash line, it can interfere with peripheral vision. Removing or adjusting this skin can help open up the field of view.
- Tired or Aged Appearance: Drooping lids, puffiness, and deep creases can make the face look older or constantly fatigued. By restoring definition to the eyelids, blepharoplasty can bring a more awake and youthful look to the eyes.
Types of Blepharoplasty Surgery
Upper Eyelid Blepharoplasty Surgery
Cosmetic upper eyelid blepharoplasty refers to a surgical procedure that rejuvenates the upper eyelid to decrease the heaviness and excess tissue. It is very important during the blepharoplasty procedure to focus on retaining the natural appearance of the eyelid. To promote a natural appearance, incisions are hidden well in the creases of the eyelids. Upper eyelid surgery can resolve drooping eyes and an aged and wrinkled appearance.
Lower Eyelid Blepharoplasty Surgery
Lower eyelid blepharoplasty is performed to reduce the bags and wrinkles of the lower eyelid. Incisions are made along the lower eyelash line or sometimes behind the eyelid. During this surgery, we can remove or reposition fat in the under-eye area to make the area flat and smooth again.
How to Prepare for Your Blepharoplasty
It is recommended that the patient stop all blood thinners seven to ten days before surgery, including non-steroidals and aspirin-containing products. This precaution helps reduce the risk of excessive bruising or bleeding during and after the procedure. If you smoke, you should also stop smoking at this time.
In the days leading up to surgery, patients should arrange for transportation home and plan for adequate rest afterward. Staying hydrated, getting enough sleep, and following a balanced diet will also contribute to better healing.
A Step-By-Step Look at Your Surgery
Step One: Initial Consultation
We begin with a consultation to talk about your concerns and get a full medical history. We’ll examine the structure of your eyelids and discuss whether an upper eyelid lift, lower eyelid surgery, or a combination of both is right for you. If necessary, we may recommend additional treatments, such as a brow lift or laser treatments. You’ll also receive pre-operative instructions and have a chance to ask any questions about the procedure or recovery.
Step Two: Anesthesia
A blepharoplasty is performed as an outpatient procedure. This can be performed at an outpatient surgical center or in the office setting. The procedure can be performed either with IV twilight anesthesia or with a local anesthetic. Upper and lower eyelid blepharoplasty are both performed as outpatient procedures.
Step Three: Incisions
For the upper eyelids, we make an incision along the natural crease to remove excess skin and fat. Lower eyelid incisions are either placed just beneath the lash line or inside the eyelid, depending on whether skin removal is necessary.
Step Four: Fat and Tissue Removal
Next, we carefully remove or reposition fat to smooth the under-eye area and reduce bulging. Any excess skin is also trimmed, and muscles may be tightened depending on your surgery. Sometimes, redistributing the fat will produce better results than removing it, preventing a hollow appearance under the eyes.
Step Five: Closing the Incisions
The incisions are closed with fine sutures designed to minimize scarring. These sutures will be removed within a few days or may be self-dissolving. We take care to help the incisions blend in with the surrounding tissues so that visible scarring will be minimal.
Step Six: Recovery Room
Immediately after surgery, you’ll rest in the recovery area while we monitor you. Ice packs and lubricating ointments may be applied to reduce swelling and keep the eyes comfortable. Once you’re fully awake and stable, you’ll be discharged with detailed aftercare instructions. A friend or family member will then drive you home.
Blepharoplasty Recovery
What to Expect the First 24-48 Hours
Ice packs are immediately applied to the upper and/or lower eyelids following a blepharoplasty to decrease the amount of bruising and swelling post-operatively. Patients are asked to start homeopathic treatments like Arnica Montana and Bromelain, as these products will also decrease the amount of swelling and bruising post-operatively. Patients are also encouraged to use OcuMend Arnica gel pads in the cheek region post-operatively to decrease the amount of bruising and swelling.
One Week Post Surgery
Most of the healing from the upper and lower eyelid blepharoplasty occurs in the first seven to ten days following surgery. It is very important that the patients apply ice packs to both the upper and lower eyelids for the first forty-eight hours. It is also recommended that patients avoid any bending, lifting, or straining during the first week following surgery to decrease the amount of bruising and swelling.
Long-Term Recovery
Patients who follow the above treatment protocol heal very quickly following upper and/or lower eyelid blepharoplasty. They are very pleased with their aesthetic rejuvenation and the natural appearance of their upper and lower eyelids. Residual swelling can take a few months to disappear, so be sure to be patient with your results. Once your incisions have healed and the initial swelling has gone down, you can go back to your routine.
Realistic Expectations for a Patient Having Blepharoplasty
A patient should expect a rejuvenated, natural appearance. The upper crease of the upper eyelid will be evident (since sagging usually erases this crease). After the upper eyelid blepharoplasty, there should be a decrease in the amount of bagginess in the lower eyelid, and there should be an overall refreshed appearance in both the upper and lower eyelid region.
Tips for a Smooth Recovery
- Use Cold Compresses: Short, frequent applications—about 10 to 15 minutes at a time—can be more effective than prolonged exposure. Be sure to protect your skin from the ice pack with a cloth.
- Sleep with Head Elevated: Keeping your head elevated, even while resting, helps minimize swelling and promotes better circulation around the eyes. Use extra pillows or a recliner for the first few nights to keep you both comfortable and elevated.
- Avoid Straining Your Eyes: Activities like reading, watching TV, or scrolling on your phone can cause eye fatigue, which may slow healing. Give your eyes time to rest, and if they feel dry or irritated, use lubricating drops as recommended.
- Follow Medication Guidelines: Take all prescribed medications exactly as instructed. Continue avoiding blood-thinning medications unless cleared by your provider to prevent more bruising and swelling.
- Protect Your Eyes: Sunglasses help shield your healing eyelids from sun exposure, wind, and dust. If you spend time outdoors during eyelid surgery recovery, opt for wraparound frames or a wide-brimmed hat for added protection.
FAQs About Blepharoplasty
How Long Does a Blepharoplasty Usually Take to Perform?
An upper eyelid blepharoplasty typically takes about thirty minutes to perform. A bilateral cosmetic lower-lid blepharoplasty typically takes thirty to forty-five minutes to perform.
Who Is a Good Candidate for a Blepharoplasty?
A good candidate for blepharoplasty is a patient who is concerned with the overall aging process in the upper eyelid and lower eyelid region. As we age, there is loss of the bony anatomy surrounding the eye region, as well as changes in the skin, including thinning of the skin and loss of collagen and elasticity in the skin. These all contribute to the overall aging changes in the eyelid region.
Can Blepharoplasty Be Combined With Other Procedures?
If desired, upper and lower eyelid blepharoplasty can be combined with other cosmetic procedures, such as endoscopic brow lift, laser skin resurfacing, and facelift surgery. The goal of this procedure is to achieve a natural aesthetic rejuvenation of the region and a natural, more youthful appearance.
Meet Your Surgeon
Dr. William Mack is a respected leader in oculoplastic and facial cosmetic surgery, known for his expertise in eyelid surgery and other advanced facial procedures. As a speaker, educator, and published author in his field, he stays at the forefront of surgical techniques to provide precise, natural-looking results. Along with Dr. Mueller and a dedicated team, he prioritizes patient safety, personalized care, and clear communication throughout the entire process. From your initial consultation to post-surgical care, you’ll receive expert guidance and support to help you make informed decisions about your treatment.
Learn More About Blepharoplasty in Tampa, FL
If sagging eyelids, puffiness, or obstructed vision are concerns, eyelid surgery at The Mack Cosmetic Center may be the right solution. Whether you’re interested in an upper or lower blepharoplasty, we can help you explore your options and determine the best approach for your needs.
For more information on Tampa eyelid lifts, contact Dr. Mack’s office to schedule a consultation today. You can call us at (813) 875-5437 to take the next step toward refreshed, more youthful-looking eyes. We proudly serve patients in Tampa, FL, and the surrounding areas.
