Eyelid surgery is intended to remove the excess fat, along with skin and muscle, from the upper and lower eyelids. A properly performed procedure will help restore a more youthful appearance. An eyelid lift won't remove the wrinkles around the eyes nor will it elevate a droopy eyebrow. There are other procedures designed for these purposes. In some patients the procedure will improve peripheral vision by removing the excessive skin of the upper eyelids which can hang down and interfere with peripheral vision.

You'll need to discuss whether to do all four eyelids or just the upper or lower ones, whether skin as well as fat will be removed, and whether any additional procedures are appropriate.

Where will my eyelid surgery be done and how long does it take?

The procedure is most often performed on an outpatient basis in our office surgical suite. The procedure usually takes about 1 hour.

How is eyelid surgery done?

Eyelid surgery can be performed on the upper or lower eyelids separately or both at the same time. The upper eyelid incision is made in the natural skin fold. The lower eyelid incision may be made directly under the eyelash line or on the inside of the lower lid. The excess skin and fatty tissue is removed and the incisions are carefully closed. The external incisions blend in beautifully and are minimally noticeable after a short time.

What are the risks involved with eyelid surgery?

Complications are infrequent and minor. All patients will experience some bruising and swelling for a few days after the surgery. In addition, a temporary problem with closure of the eyelids can be seen. Some patients may have temporary blurring of their vision, usually due to the ointments applied to the incisions post operatively. In rare instances, the lower eyelid may be pulled down. If this does not resolve on its own, further surgery may be necessary. The theoretical complications of any surgical procedure, such as bleeding, infection, wound disruption and heavy scarring are also possible, but rare.

How should I prepare for my eyelid surgery?

In your initial consultation, Dr. Bailey or Haghighi will ask you what your goals are and discuss the possibilities with you. You should look at before and after photographs and speak with previous patients (ask Dr. Bailey or Haghighi for referrals to previous patients and where to contact them).

Note: Most insurance policies don't cover eyelid surgery, unless you can prove that drooping upper lids interfere with your vision. Check with your insurer.

Dr. Bailey or Haghighi will give you specific instructions on how to prepare for your surgery, including guidelines on physical activity, eating and drinking, smoking, and taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly. In addition, it is important that you let Dr. Bailey or Haghighi know about any allergies and serious medical conditions you may have. And be sure you let him know about any medications you're taking. If you smoke, it's especially important to stop at least one month before and after surgery.

Here are some questions you should ask:

Are my expectations realistic?
What kind of anesthesia will be used during the surgery?
How much does the procedure cost and what other elements factor into that cost (i.e., hospital fee, anesthesia, etc)?
What percentage of patients experience complications with this procedure?
What is the policy in regards to correcting or repeating the procedure if the surgery does not meet agreed upon goals?
What should I expect, post-operatively, in terms of soreness, scarring, activity level and so on?