Types of Eyelid Surgery
The two primary types of eyelid surgery are upper and lower blepharoplasty.
Schedule onlineAn upper blepharoplasty uses an incision in the creases of the upper eyelid to remove skin and fat. A thin stitch is used to close the skin.
A lower blepharoplasty involves an incision just below the lower lash line. Alternatively, an incision may be made on the inside of the lower eyelid (transconjunctival technique). This provides the surgeon with access to the eyelid without any visible incisions, and it is typically used for patients who require changes to the fat.
Eyelid surgery may be combined with laser resurfacing of the eyelid skin to soften lines and wrinkles around the eyes.
Upper Eyelid Surgery
If your eyelids are always drooping, you may look tired or sad. Upper eyelid surgery may help restore a naturally youthful shape. The procedure aims to correct sagging, wrinkled, and loose skin to give your eyes a more open, refreshed appearance.
Lower Eyelid Surgery
If you’ve noticed puffy, sagging bags beneath your eyes, lower eyelid surgery might be a good option. As we age, herniated fat collects beneath the eyes, resulting in bags that become more noticeable over time. Puffiness and bags can occur in patients as young as their mid-twenties resulting in a prematurely aged appearance.
The Advantages and Disadvantages of Eyelid Surgery
Blepharoplasty surgery is considered low risk and offers long-lasting results, making it one of the most popular cosmetic surgical procedures.
Pros: Eliminates puffiness and bags under your eyes; Removes hooded skin from upper lids; Addresses any vision problems from heavy upper eyelids; Scars are hidden in the natural creases of your eyelids; If surgery is done under local anesthetic, there is less post-operative nausea and a shorter recovery time; Surgery usually takes under an hour; Recovery time is short, within one to two weeks; If your eyelids are obscuring your vision, surgery may be covered by insurance.
Cons: Some downtime after surgery, and you can expect swelling and bruising; You may need to have additional surgery, such as a brow lift; Some risk of bleeding and infection; Results aren’t permanent as the aging process continues – you may need another blepharoplasty after approximately 15 years; Slight risk of injuring your eye muscles; Correcting puffiness under the eyes may cause a more recessed, darker appearance in the undereye area – fat transfers and facial fillers may help; Removing too much skin during the surgery may interfere with closing your eyes.
Eyelid Surgery FAQs in IL
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How is blepharoplasty surgery performed?
Blepharoplasty can be performed on the upper or lower eyelids individually or both eyelids at the same time. During the procedure, the surgeon makes incisions in the crease of the upper eyelid and beneath or behind the lower eyelid. The placement of the incisions help hide scars after the area heals.
The surgeon marks the areas where excess skin and fat needs to be removed. Underlying muscle may also be removed or tightened with sutures.
The tissue is removed using surgical instruments, such as scalpels, cutting lasers, surgical scissors, and other specialized surgical devices. After the tissue is removed, the surgeon closes the incisions with sutures or tissue adhesives.
The surgeon carefully determines the amount of skin, muscle, and fat that needs to be removed, taking into account your facial muscle structure, eyebrow symmetry, and bone structure. If you have dry eyes, the surgeon may opt to remove less tissue and, in so doing, avoid exposing more of the eye to the air so that symptoms don’t worsen.
Optional Steps During the Procedure
Carbon dioxide (CO2) laser may be used to smooth wrinkles and lines around your lines, as well as to resurface the skin in the eyelid and eyebrow area.
A brow lift may be performed in conjunction with eyelid surgery. The procedure involves making an incision near the brow area and tightening the skin.
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How do you prepare for eyelid surgery?
Before undergoing eyelid surgery, you will need to have a thorough examination and discussion with your surgeon, to include the benefits, as well as the potential risks of the procedure. Your doctor provides pre-operative and post-operative instructions that you will need to follow closely. This will include any medication for pain relief, as well as measures to minimize discomfort, such as gauze, gel packs and artificial tears.
At the time of the consultation, your surgeon explains if the procedure requires local or general anesthesia. This usually depends on the complexity of the blepharoplasty and whether you are undergoing additional cosmetic procedures at the same time.
Before the day of the procedure (especially if it will be done under general anesthesia), you may need to:
- Stop taking blood-thinning medication, including non-prescription pain medications, such as ibuprofen and aspirin
- Eat a light meal the evening before the surgery
- Remove all makeup
- Refrain from eating or drinking anything after midnight
- Arrange for transportation to and from the surgical appointment
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How long is the recovery time?
Compared to other facial cosmetic procedures, the recovery time after blepharoplasty is relatively short. You may notice that bruising and swelling are worse on the day after the surgery. The swelling and the bruising quickly begin to go down after the first 24 hours.
During the first 48 hours after the surgery, you can use cool compresses to reduce the bruising and swelling. Light exercise, such as walking, helps accelerate healing, but you should avoid any strenuous activities.
Incision sites are covered with thin bandages, so you may not be able to see for the first five days or so. The sutures used for the procedure dissolve between four and seven days after the procedure. If your surgeon used non-dissolving stitches, they are removed seven to 10 days after the procedure.
You may experience red and bloodshot sclera (the whites of your eyes). You should not wear eye makeup or use skin care products in your eye area. If you wear contact lenses, you can use them again once the swelling has subsided.
You should be able to return to normal activities seven to ten days after the surgery. The majority of bruising and swelling should have disappeared after two weeks.
Your doctor will offer advice on pain medication that you can use to stay comfortable. In most cases, you will only need non-prescription pain relief. You can expect discomfort, but if you have severe pain or impacted vision, call your surgeon immediately.
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What are the risks and possible complications of eyelid surgery?
Dry eyes is one of the most common complications of eyelid surgery. This is typically due to not being able to close your eyes completely. This condition usually resolves within one to two weeks. You can use eye drops to keep your eyes moist. In some cases, the dry eye condition persists for more than two or three months and may require additional corrective surgery.
Other possible complications include:
- Infection of the eyelid
- Double vision
- Vision loss (due to retrobulbar hemorrhage)
- Noticeable scarring
- Incorrectly positioned eyelids
- Under- or over-correction
- Eyelid numbness
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How much does eyelid surgery cost? Does insurance cover the cost of blepharoplasty?
The cost of eyelid surgery varies. In IL, the average cost is $2,000 to $5,000. Surgeons charge different rates based on their experience, sub-specialty, and facility where the surgery is performed.
The starting cost for a basic upper eyelid surgery without fat removal is $2,000. More complicated eyelid surgeries that involve the upper and lower eyelids may cost $5,000, and this includes removal of fat. These estimates are for surgeon fees only, and There may be additional costs of $800 to $2,000 from the facility in IL.
In general, eyelid surgery is not covered by insurance, as it is considered a cosmetic procedure. The exception to this is if is a functional blepharoplasty to correct vision obstruction from sagging eyelids. In this case, prior authorization is typically required by insurance carriers. Your medical insurance may cover a portion of the cost.
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Who are the best candidates for eyelid surgery?
If you have drooping or sagging skin around your eyes due to aging, blepharoplasty may be a good option if you are in good health. For most people, eyelid surgery is performed for cosmetic reasons after the age of 40. This is when patients typically begin to notice the signs of aging around the eyes as their skin loses elasticity. While it may make a significant difference in your appearance, it is important to have realistic expectations.
An ideal candidate for a lower eyelid procedure has puffiness under the eyes. Puffiness can be hereditary, due to fluid accumulation, or related to aging.
If you are considering eyelid surgery, schedule a consultation with an experienced, qualified cosmetic surgeon to learn more about the procedure. The surgeon determines if you have any risk factors for complications associated with the procedure, such as dry eyes, diabetes, and thyroid eye disease. Health problems may mean that you cannot safely have the procedure.
Smoking delays the healing process, and it is considered to have an increased risk of complications following surgery. If you are a smoker, you may need to stop smoking for several weeks before the surgery.
Performing eyelid surgery on people of Asian descent is more difficult due to the unique structure of the eyelids. Therefore, this population is considered at higher risk of sub-optimal outcomes. If you are in this population, look for a surgeon who specializes in eyelid surgery for people of Asian descent.
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How long do the results of blepharoplasty last?
The results of eyelid surgery may last up to 10 to 15 years. The aging process will continue and, as with any cosmetic procedure, the results will not last indefinitely. You may need a subsequent eyelid surgery in the future.
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Which procedures are often combined with eyelid surgery?
Many patients will choose to address signs of aging by having several facial procedures at the same time. Eyelid surgery can be performed as a standalone surgery. However, it is often combined with a facelift (to address jowls and sagging) and/or a brow lift (for sagging and forehead wrinkles) for full facial rejuvenation.
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Are there non-surgical alternatives to eyelid surgery?
f you have concerns about eyelid surgery and would prefer a non-invasive alternative, injectables may offer temporary anti-aging benefits. Discuss your options with a qualified surgeon.
Alternatives to Upper Eyelid Surgery
Droopy eyelids may be improved with Botox® or Dysport® to raise the eyebrows. This involves making injections in the muscles that pull the eyebrows down. This costs around $500 to $600 in IL, and the effects last for four to six months. Fillers, such as Restylane® or Juvéderm®, may also help by raising the corners of the eyebrows to raise your upper eyelids. Expect to pay approximately $700 for this treatment, and the results may last six to 18 months.
Alternatives to Lower Eyelid Surgery
Lower lid puffiness can be addressed with fillers. Fillers create a smooth surface from the lower eye area to the upper cheeks. This is most effective if the patient has firm skin under the eyes with minor puffiness.
See below for a list of the top-rated eyelid surgery specialists in Chicago, IL.
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Patient Testimonials
Read real reviews from the Anzolo community
Doctor who is into deceitful behavior
If you want to get maimed, mutilated and traumatized, Sidle is a great choice for all of that. I went to Sidle wanting to get a surgery to fix my deviated septum. I was always happy with the front profile of my nose for the most part, but I never really liked the side profile so while I was at it I decided to get a small 1-2mm bump shaved down as well as a minor reduction in the size of the tip. I figured hey, these are some small changes, I'm paying a ton of money for a surgeon at a reputable hospital, and I've seen people get cheap rhinoplasties go from horrid looking noses to beautiful noses so I'm sure nothing bad could happen. I was wrong. Biggest regret of my life.
One thing that really set off a red flag was without asking for my permission, he told me he tried a new technique on me after the surgery. He also told me he "straightened" my nose with extended spreader grafts which was something I never asked for. While I was pissed at the time turns out that's the least of my concerns.
As my nose healed from the surgery, it started looking droopy and my breathing which was the reason I went into him in the first place, was much worse than when I started. I told him and he offered to do a revision for free, and when I asked him about the process he said it would be while I was awake. That kind of set off red flags because I've never heard of anyone getting any kind of nose work done while awake but he assured me it was normal and that he does many revisions (which should have also been a red flag) that way. When the surgery was over, it did look less droopy but now I had a huge dent on the side of my nose, a huge swelling on the inside that completely blocked my breathing in one nostril, as he aggressively expanded valves, and a huge dent on the tip. Plus it just looks asymmetrical when you compare both side profiles. When I asked him about it, he said that the swelling blocking my breathing could just be an infection and the bumps and dents will go away and if not to come back to him and he will fix it easily. Now that I have entered the medical field myself looking back I am realizing how little his explanations made sense. I mean if there is an infection why didn't he give me antibiotics? Why didn't he have any concern for it spreading? How would an infection to the point of inflammation go away by itself with no medication? Either he was bullsh**ing about the infection thing to shut me up or he is grossly incompetent. I'm thinking it was the former because he seems smart enough.
None of these things resolved on their own, so I saw him again and what really alarmed me this time was how he completely changed his stories. He said the dent must have been there all along (no it wasn't) and he changed his story about the swelling from being a possible infection to denying he ever said that and saying it was scaring. He offered to fix just the scarring on the inside of my nose (said he could do nothing about the bump and dent) and I scheduled it, but the more I thought about it the more I realized that with all these red flags I'd be an idiot to let him touch my nose a third time and make things even worse so I backed out last minute. I will never let him touch me again.
I never felt self-conscious about my nose before the surgery except from the side, and ever since he touched it, now I have these annoying flaws that do make me feel self-conscious and it sucks. My nose doesn't even look like the initial imaging we came up with when I described what I wanted and it does not look as feminine as my original nose. Plus my breathing is so much worse than I started and I can't feel the tip of my nose anymore. I wasted my money, my time and my health with not one but two procedures from this fraud. There is no reversal of harm and damage that Sidle has done to me. At the end of the day, that psychopath has caused me so much injury, harm and trauma that nothing in the world that can remedy it. Avoid at all costs.
Kathy E. on Douglas Sidle, MD via AnzoloMed
Dishonest provider Sidle
Dishonest provider! I first went to Sidle wanting to get a surgery to fix my deviated septum. I was always happy with the front profile of my nose for the most part, but I never really liked the side profile so while I was at it I decided to get a small 1-2mm bump shaved down as well as a minor reduction in the size of the tip. I figured hey, these are some small changes, I'm paying a ton of money for a surgeon at a reputable hospital, and I've seen people get cheap rhinoplasties go from horrid looking noses to beautiful noses so I'm sure nothing bad could happen. I was wrong. Biggest regret of my life.
One thing that really set off a red flag was without asking for my permission, he told me he tried a new technique on me after the surgery. He also told me he "straightened" my nose with extended spreader grafts which was something I never asked for. While I was pissed at the time turns out that's the least of my concerns.
As my nose healed from the surgery, it started looking droopy and my breathing which was the reason I went into him in the first place, was much worse than when I started. I told him and he offered to do a revision for free, and when I asked him about the process he said it would be while I was awake. That kind of set off red flags because I've never heard of anyone getting any kind of nose work done while awake but he assured me it was normal and that he does many revisions (which should have also been a red flag) that way. When the surgery was over, it did look less droopy but now I had a huge dent on the side of my nose, a huge swelling on the inside that completely blocked my breathing in one nostril, as he aggressively expanded valves, and a huge dent on the tip. Plus it just looks asymmetrical when you compare both side profiles. When I asked him about it, he said that the swelling blocking my breathing could just be an infection and the bumps and dents will go away and if not to come back to him and he will fix it easily. Now that I have entered the medical field myself looking back I am realizing how little his explanations made sense. I mean if there is an infection why didn't he give me antibiotics? Why didn't he have any concern for it spreading? How would an infection to the point of inflammation go away by itself with no medication? Either he was bullshitting about the infection thing to shut me up or he is grossly incompetent. I'm thinking it was the former because he seems smart enough.
None of these things resolved on their own, so I saw him again and what really alarmed me this time was how he completely changed his stories. He said the dent must have been there all along (no it wasn't) and he changed his story about the swelling from being a possible infection to denying he ever said that and saying it was scaring. He offered to fix just the scarring on the inside of my nose (said he could do nothing about the bump and dent) and I scheduled it, but the more I thought about it the more I realized that with all these red flags I'd be an idiot to let him touch my nose a third time and make things even worse so I backed out last minute. I'd rather spend another 10,000 then let him touch it again.
I never felt self-conscious about my nose before the surgery except from the side, and ever since he touched it, now I have these annoying flaws that do make me feel self-conscious and it sucks. My nose doesn't even look like the initial imaging we came up with when I described what I wanted and it does not look as feminine as my original nose. Plus my breathing is much worse than I started and I can't feel the tip of my nose anymore. My nose is by no means hideous thank god, but I'm pissed because I just wanted very minor changes to fix some minor flaws and my nose looks worse than what I went in with which means I wasted my money and my time with not one but two procedures.
The reason I am writing this review now after a couple of years is because 1) its finally fully healed and the issues I had with it are still here 2) I now have to spend another 10,000 on a revision and take off from school again just because of these dents and bumps all over the place that are making me self conscious and most importantly to take care of my breathing going to shit after this surgery, 3) tbh,I didn't want people knowing I got a rhinoplasty so I was hesitant to write this review.
This time after meticulously interviewing several top surgeons to do my revision they all agreed the work was sloppy and there are definitely things that need to be fixed, so it's not just me being overdramatic. Lesson I learned is never let a surgeon touch your nose for very minor things especially if you were never self-conscious about it before because they have no accountability for how it turns out or for wasting your time and money. See Jennifer's review below, her experience was very similar to mine. Also,all the people who talked about him bullshitting you when things go wrong aka "infection".
Kathy E. on Douglas Sidle, MD via AnzoloMed
Five stars are not enough!
Several years ago (5 or 6 or 7), Dr Sidle performed numerous procedures on my face--facelift, eye lift, chemical peel, chin...
Anne C. on Douglas Sidle, MD via Yelp
This was my second attempt (after 10 years) having liposuction done to my double chin. Dr. Sidle was recommended to me by my dermatologist (whom I adore and...
Florence Ann R. on Douglas Sidle, MD via Yelp