Q: What is a blepharoplasty?
A blepharoplasty, or eyelid surgery with Dr. Shridharani in New York City, is a cosmetic surgery procedure for the upper and/or lower eyelids that is performed to improve the appearance of “tired eyes” and rejuvenate the appearance of the eyelids. Surgery can be performed on the upper lids, lower lids or both. If you want to improve your appearance or are experiencing functional problems, eyelid surgery can rejuvenate the area surrounding your eyes.
Q: What can eyelid surgery do?
Eyelid surgery with Dr. Shridharani in Manhattan can improve loose or sagging skin that creates folds or disturbs the natural contour of the upper eyelid, sometimes impairing vision. Eyelid surgery can improve excess fatty deposits that appear as puffiness, bags under the eyes, droopy lower eyelids, and excess skin and fine wrinkles of the lower eyelid.
Q: What is an upper eyelid blepharoplasty?
An upper eyelid blepharoplasty is a surgical procedure performed to remove extra skin and fat on the upper eyelids. This gives the appearance of a more awake and alert appearance without making you look surprised. The goal is make you look more youthful and not have a heavy eyelid.
Q: What is a lower eyelid blepharoplasty?
A lower eyelid blepharoplasty is a surgical procedure performed to remove extra fat and skin on the lower eyelids to lessen the appearance of “sad eyes” and fatigue. This gives the appearance of a nicer transition from the lower eyelid to the cheek without a bulging appearance.
Q: Can you take fat out of my upper eyelid?
Absolutely…if you need it. During an upper eyelid blepharoplasty, Dr. Shridharani will assess your eyelid fully to determine whether or not you need fat removed from the upper eyelid. Dr. Shridharani will thoroughly discuss your surgical plan during your consultation.
Q: Do I have to have general anesthesia for my procedure?
Select individuals may be candidates to have an upper eyelid blepharoplasty with local (awake) anesthesia only. Dr. Shridharani will thoroughly discuss your anesthesia options during your consultation.
Q: Why have my eyelids changed?
Very commonly, Dr. Shridharani sees patients that dislike the bags or dark circles under the eyes. This can occur because of aging, hereditary traits, or sun exposure, regardless of whether you sleep well or are properly rested.
Q: What are the benefits of a blepharoplasty?
A blepharoplasty can provide a more youthful, rested, and alert appearance. A blepharoplasty can reestablish a sense of self-confidence and may restore impaired vision by reducing eyelid hooding.
Q: What is the bulging that I see in my lower eyelids?
The bulging is excess fat that is present in everyone’s lower eyelid. There are three distinct compartments in the lower eyelid where fat is housed. An incision can be placed on the underside of the eyelid so there is NO external scar and the fat can be removed from inside of the eyelid.
Q: What can be done for my lower eyelid skin if I do not want a visible scar?
Excess skin can be removed through a traditional lower eyelid incision. Alternatively, the skin can have a laser applied, so the skin is tightened and resurfaced. This leads to a natural result and improved overall result and no external scar.
Q: I have a deep crease below my lower eyelid. What is that? Can anything be done about this?
The deep crease below the lower eyelid is generally referred to as a “tear trough.” It is a natural junction between the lower eyelid and cheek. A few things can be done about this. During your lower eyelid surgery, your own fat can be repositioned to fill this naturally occurring crease. Alternatively, dermal fillers (Juvederm, Restylane, Belotero, etc…) can be conservatively placed to fill in this area.
Q: Is eyelid surgery permanent?
While eyelid surgery can be expected to correct certain conditions permanently, you will continue to age naturally. Life-long sun protection will help to maintain your results. Satisfaction with your new image should continue to grow as you recover from surgery. As swelling and bruising subside, the results of eyelid surgery will reveal a smooth, better-defined eyelid and surrounding region and an alert and rejuvenated appearance.
Q: When can I go back to work?
Most individuals are able to go back to work approximately 1 week after surgery. Depending on the nature of your work, many patients find that they are able to work from home even a couple of days after their eyelid surgery. Eyes can sometimes be light sensitive and prolonged computer screen viewing can lead to eye fatigue.
Q: How long will I be swollen or bruised?
Bruising generally lasts approximately 7-10 days, but depends on your own healing. Swelling generally subsides at 2 weeks, but can last for up to 1 year. The bulk of the swelling will resolve in the first few weeks, however.
Q: What should I do during the recovery process?
After surgery, lubricating ointment and cold compresses may be applied, and in some cases your eyes may be loosely covered with gauze, after your procedure is completed.
Q: What should I expect after surgery?
Initial healing may include some swelling, bruising, irritation or dry eyes, and discomfort that can be controlled with medication, cold compresses, and ointment. Irritation at the incision sites is also possible.
Q: I have really dry eyes, am I a good candidate for extensive cosmetic eye surgery?
Individuals who have very dry eyes may have healing issues after surgery. It is important to be cleared by an ophthalmologist or have thorough recommendations on how to keep your eyes moist after surgery. When you see Dr. Shridharani for your consultation, he will examine your eyes and check to see if you are a good candidate and if it is safe to proceed with surgery.
Q: Will a blepharoplasty affect my vision?
A blepharoplasty should not affect your permanent vision. Patients that have obstructed vision due to excess skin find that their vision improved after their eyelid surgery.
Q: When can I go back to wearing contact lenses after my blepharoplasty?
Generally, most individuals refrain from wearing contact lenses for at least 2 weeks.
Q: How long does a blepharoplasty procedure generally take?
Generally, the surgery takes around 2 hours to perform.
Q: Where do you generally perform the procedure, and would I have to spend the night?
My patients have the ability to have their procedures performed at my office or at area hospitals and “surgicenters” in New York City. My operating room and facility have certification and accreditation by the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). Our team provides patients with the option of having their procedure performed in the safety, convenience, and comfort of our office/facility.
Patients are not required to stay overnight and generally go home the same day. Some of our patients choose to stay in a nearby luxury hotel with private nurses who monitor them overnight while they rest and recover.