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 CA
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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 CA, 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 CA.
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 CA, 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 Glendale, CA.
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I couldn't be happier with my Titon laser treatment! Dr. Chobanian, her husband, and the entire staff made the experience exceptional, and this is the FIRST center that actually listened & recommended exactly what I needed based on my request. The treatment worked wonders on my face, leaving it feeling remarkably tighter and rejuvenated. The results have been incredible, and I've received numerous compliments on the improvement. The team here are truly a master at what they do, and I wholeheartedly endorse their expertise. Thank you for helping me look and feel my best!
Jenifer Abi Hamad on Susan Chobanian, Dr via Google Reviews
Dr. Susan Chobanian is the best doctor ever!! She is so kind and also has an amazing staff! Her work is amazing, especially rhinoplasty. I have never seen an unhappy patient enter or exit her office. Anyone who knows Dr. Chobanian only has amazing things to say about her and her work. 10/10 recommend!!
Shannon Rad on Susan Chobanian, Dr via Google Reviews
There are no words to express what an amazing and caring doctor Dr. Chobanian is. Both my parents went to her for their rhinoplasties so I decided to follow their paths and do mine with her too. I have absolutely no regrets at all whatsoever. Her professionalism is unmatched. The day I met her I felt like I had known her for years. As a teenager, I was obviously nervous to go through with my first ever surgery, let alone cosmetic surgery, but I was immediately welcomed by everyone in the office. Thank you so much to Dr. Chobanian and her team, I will be grateful to you all for life!
Angelina Zeytuntsyan on Susan Chobanian, Dr via Google Reviews
Nazy eb?? I know its 4 years later but i just saw your comment about me im Mary. I was really interested in what your were talking about like how you couldnt see my name but the doctor could!?!!
I had came back here for an update and to delete my previous review. As i was scrolling in search of my old review i saw ur comment and my name! I was like wait what!??!
Ok so let me give an update. I am very honest person so here it goes. Before the procedure, i had read the reviews and were in shock of all the bad stuff everyone was saying but i do always keep it in mind. So when entering their office for the first time i kept in mind about the staff and how they can be rude. To be honest sometimes they were nice and other times they can be a bit defensive (especially if they feel attacked or if u try to negotiate price with them) also they could be rude at times over the phone. But when they got to know me and post surgery when i had to come in for like weekly/monthly check ups they were really kind with me. They were especially nice including doctor when i would tell them i was happy with my nose.
Noww…that was just after the procedure and my nose was still swollen. The doctor gave me hope that the swelling would go down 90%! I said 90% that should be a dramatic difference right? Nope..they lied. I waited a year and noticed my nose is CROOKED! I didnt complain on here though because they use to be nice with me i felt bad. However, i went back in few years ago to complain about it and how i cant breathe still even though she fixed my “deviated spectum”. The doctor was being extremely defensive. I was trying to explain in the nicest way possible and she kept denying it and showing me my before pictures which made me feel awful. I was with my mom and we talked them into giving us a discounted price for a revision. I said i would think about but i didnt do it at the time (which i highly regret) because i was scared it would look worse or i would regret it.
A few months ago, i went back because i am extremely unhappy with my nose. Idk if this has happened with anyone else but i feel like my nose is growing back! Lol. Also just really cant stand how it looks in pictures. I cant even contour it to get it to look nice and its crooked and asymmetrical! Idk why it got crooked. I remember didnt keep the tape on my nose for very long while in other countries, they use a stiff tape to hold the shape. Also told me i could wear glasses 3 months in. I dont recommend it! I say wait a full year!!! Its not worth the damage trust!! Ik it sucks but u have to be really careful! Anyway, im not happy with it and it makes me cry sometimes because honestly it looks worse than my old nose, especially in pictures! I don’t even take pictures anymore!
One more thing , it swells up like crazy to this day, especially in mornings and looks god awful and huge. It only looks a little nice and smaller later in the day or at night.
Oh i forgot, yea so when i went back recently to complain like i was saying , she seemed pretty chill? Like i was explaining everything that i didn’t like and she completely understood and could awe exactly what was upsetting me. Interesting , because thats not how she got a few years ago post surgery when i was complaining. And guess what? This time when negotiating price they charged me hella crazy!! I was like what happened to the 3k we agreed on before? They said “there is no way we could have offered that”. But i clearly remember how they came to 3k before and said we can offer for this much the least. So yea i just walked out in shock because i dont grow money off a tree. It was supposed to be done once and nicely why should a patient pay that much for a crooked nose and continued breathing problems?
Nazy b, if you’re still reading, here is what i found interesting. To all the negative comments about her, she will say she has no record of them ever being her patient right? Ok so we know for a fact though i am her patient so lets see how this goes
Thanks
M Z on Susan Chobanian, Dr via Google Reviews