How are Upper and Lower Eyelid Surgery Performed?
Blepharoplasty or eyelid surgery can be performed under local anesthesia, local anesthesia with
intravenous sedation as well as general anesthesia. In our practice we perform blepharoplasty
routinely under local anesthesia with LITE™ IV sedation.
Upper eyelid blepharoplasty typically involves design of an eyelid crease and removal of
excess skin. In addition fat and soft tissue can be sculpted as needed. Some people have
a condition called “lacrimal gland prolapse” or downward displacement of the gland responsible
for making tears to keep your eyes lubricated. In situations of lacrimal gland prolapse,
a special technique is needed to re-suspend or restore the position of the lacrimal gland.
Lower eyelid blepharoplasty is performed to address sagging skin, puffiness and excess
skin. Lower eyelid blepharoplasty can be performed from the outside also known as a transcutaneous
approach and from the inside known as a transconjunctival approach. It’s very important to understand
that the position and appearance of the lower eyelid can be negatively impacted by lower
eyelid surgery.
I’ve helped many people who’ve experienced complications such as lower eyelid retraction
or eyelids pulled down or ectropion or eyelids turned out. In addition, I’ve seen many
people who felt their eyes didn’t look the same due to rounding of the lower eyelids.
When choosing a surgeon for your blepharoplasty, make sure you ask about their knowledge and
experience with advanced eyelid surgery techniques so you can look your best after your blepharoplasty.