Eyelid surgery is called blepharoplasty. Most people think they have two eyelids, but you actually have four, two upper and two lower eyelids.

As skin ages, it gradually loses its elasticity. A lack of elasticity plus the constant pull from gravity causes excessive skin to collect on the upper and lower eyelids. On the upper eyelids, an extra fold of skin can hang over the eyelashes (hooding) and may result in vision impairment. Excess skin on the lower eyelid causes wrinkles and bulges. The fat that cushions the eyeball from the skull can also cause bulges in the upper and lower eyelids. The thin membrane that holds the fat in place weakens with age, letting the fat come forward into the lids like a hernia.

In upper eyelid surgery, the excess skin is removed along with any excess fat hidden in the natural fold of the eyelid. Fine sutures are used to close the incisions, thereby minimizing the visibility of any scar. In lower eyelid surgery, the surgeon makes the incision in an inconspicuous site along the lash line of the lower lid. Excess fat, muscle, and skin are then trimmed away before the incision is closed with fine sutures. Eyelid puffiness caused primarily by excess fat (bags) may be corrected by a making a small incision inside the eyelid, and excess fatty material is removed for a completely invisible incision.

Eyes are the window to the soul, the eyelids are the framework to that window. Blepharoplasty surgery make the eyes appear bigger but will not change the shape of your eyes. Dr. Sal’s patients often remark that they look many years younger and well rested.