For the individual with baggy eyelids and hooding of the upper eyelids, Blepharoplasty or eyelid surgery, is an excellent procedure to make her/him look energetic and refreshed again.

Hooding of the upper eyelids and bags under the lower lids give one the tired look. Blepharoplasty procedure removes the excess skin and/or fat of the eye region to restore the youthfulness. Typically, a crescent shape os excess skin and underlying orbicularis muscle is removed. The incision is closed with a very fine suture under skin. I perform the lower lid surgery with a subceliary incision. The incision line is within 1 mm from the lower eyelash line. I prefer this incision to transconjunctival (through the inside of the lid) because I can remove excess skin to tighten the skin much better.

Recovery: There will be bruising for 7-10 days for most people. I recommend cold pack on the eyes the first 24 hours and then warm compress starting the second day to facilitate resolution of bruising. Do not do vigorous exercise, lift, or strain in the first week to avoid bleeding from the surgical sites. Make sure adequate fluid is consumed and stool softener is recommended to avoid constipation, which can occur with use of pain medication.

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She is a 56- year old woman who underwent upper and lower eyelid surgery.

Age: 52
Note: This middle-aged woman has moderate blotchy hyperpigmentation skin from sun damage. In addition, she had lost quite a bit of weight and had resulting laxity of the facial skin. She underwent upper and lower eyelid blepharoplasty and facelift and subsequent IPL skin treatment. She was very happy with the dramatic improvement.

Age: 52
Note: Note in the pre-op pictures that she has deep creases at her forehead due to chronic attempts to raise her eyebrows as well as the deep nasolabial folds (the "parenthesis" lines) and skin folds at her jaw line. After facelift, upper and lower eyelid surgery and browlift, significant improvements occurred.

Age: 52
Note: She has noticeable bagginess at her lower lids which gave her the tired look. Excess fat pad and some excess skin needed to be removed. Lower blepharoplasty was done. She appeared be much more rejuvenated.

Age: 35
Note: Some people has hereditary fat pads under the lower lids. This often give them the tired look. Her significant excess lower eyelid fat pads and mild excess skin were addressed with subciliary lower blepharoplasty with the incision just below eye lashes.

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