New York City Eyelid Surgeon Dr. Brian Brazzo

Your eyes are often the first aspect that people notice about you, and an important component of your overall appearance. Young eyelid skin is smooth, but over time it stretches, and the fat around the eye begins to bulge. The eyebrows may also droop and sag, contributing to heavy upper eyelids and excess skin. Age, heredity, and sun exposure all contribute to this process.
Baggy eyelids detract from your overall appearance and often make you look older or tired. When severe enough the upper eyelid skin may hang over the eyelashes and obstruct peripheral vision.

Blepharoplasty in New York and Florida

Surgery to improve the appearance of the upper and lower eyelids is called blepharoplasty. The goal of this procedure is to give the eyes a more youthful appearance by removing excess skin and underlying fat. If the sagging skin obstructs vision then this procedure can improve vision and help return your eyelashes to the normal position.
During upper eyelid surgery, excess skin and fat are removed through an incision made through the eyelid crease. In lower eyelid surgery, the incision is usually made behind the eyelid to remove excess fat. In this condition, the eyelid appearance is significantly improved and there is no visible scar on the skin.

After Eyelid Surgery

Cold compressors are applied to the eyelids for approximately one day after surgery to reduce bruising and swelling. Topical antimicrobial, anti-scar silver gel (Argengel), and antibiotic/steroid drops are commonly used to help the healing. All blepharoplasty patients should avoid strenuous activity for 3-4 days. Discomfort is generally mild and can be managed with one or two doses of Tylenol on the evening after surgery. Bruising and swelling usually last for one to two weeks, but the patients can return to their normal activity after about four days.

What are the risks and complications?

Pain, bleeding, infection, and change in vision are extremely rare. Blepharoplasty is a safe procedure, and Dr. Brazzo has used this technique on tens of thousands of patients. The surgery is designed to improve your appearance and turn back the hands of time. The benefits of this surgery for most people significantly outweigh the small risk of delayed healing.

Who performs blepharoplasty?

Dr. Brazzo is a trained oculoplastic surgeon in New York City who specializes in ophthalmic and facial plastic surgery. He has successfully completed tens of thousands of blepharoplasty surgeries. Dr. Brazzo has written articles and textbooks on the topic and has trained other physicians around the United States.

How do I know if I am a good candidate for eyelid surgery?

Both men and women and people of all races and ethnicities can be good candidates for blepharoplasty. Most patients are older than 35; however, since ptosis (drooping eyelids) is a hereditary condition, you might consider blepharoplasty at a younger age if droopy eyelids and puffy bags under your eyes are prevalent in your family.
The best candidates for blepharoplasty are typically:
  • In good physical condition
  • Realistic in expectations of what the procedure can achieve
  • Nonsmokers
  • Healthy with no medical conditions that can impair healing

How long do the results of blepharoplasty last?

For most patients, blepharoplasty is a long-lasting procedure. While it’s not uncommon for the longevity of results to vary slightly between patients, you can expect the results of upper eyelid surgery to last about 8 to 10 years, and lower eyelid surgery to last indefinitely.

Is there much scarring with a blepharoplasty?

As with any surgical procedure, some scarring is to be expected. However, scarring with blepharoplasty tends to be minimal and basically nonexistent after several weeks of healing. To help keep scarring minimal it is important that the surgical incisions not be subjected to excessive force, abrasion or motion during the time of healing.

Will blepharoplasty get rid of my eye wrinkles?

Eyelid surgery (blepharoplasty) is best for removing excess upper eyelid skin and lower eyelid fat pads, or bags. Most patients estimate they look ten to fifteen years younger after they heal.  Blepharoplasty is not designed to remove the wrinkles at the outer corners of your eyes (crow’s feet) or to fix sagging brows. There are other procedures available that can be used to remove fine wrinkles near the eyes.

Will insurance cover the cost of blepharoplasty?

Eyelid surgery procedures are usually considered cosmetic surgery, which is not reimbursable from insurance. However, if the patients vision is impaired due to sagging eyelids, then insurance may cover the procedure.

Will I need someone to drive me home after surgery?

Yes, you will need a designated individual to pick you up and drive you home after the surgery. Your vision will be blurry following blepharoplasty for usually one day, so you may need some assistance with some tasks including driving.