David Y Globerman MD PLLC
Board Certified Plastic Surgery
(954) 987 - 0222
Cosmetic eyelid surgery addresses three separate problems; excess skin, excess fat, and muscle bulges. These problems may exist in any combination, and involve both the upper and lower eyelids. Men and women are both affected, but to differing degrees. Men tend to have thicker skin and have more muscle involvement, whereas women tend to have thinner skin.
Upper eyelid incisions are made in the eyelid fold, and are therefore hidden.
Lower eyelid incisions are made just below the lash line, so that they are hidden by the lower eyelashes.
The amount of skin to be removed is decided preoperatively with the patient upright.
Just beneath the skin is the muscle layer. Hypertrophic (large) muscles are visible as bulges, usually in the lower eyelids, that increase in size when you smile. After the incision is made, a small amount of muscle can be removed to reduce these bulges.
Beneath the muscle is the fat. There are two separate fat pockets in the upper lid. One is medial, just beside the nose, and the other is central to the upper lid. There are three fat pockets in the lower lid, medial central and lateral. Each of these fat collections are examined preoperatively to determine how much fat will be removed at the time of surgery. Care must be taken not to remove too much, to prevent a hollow eyed appearance later on.
Upper eyelid skin excision can be done under local anesthesia in the office. More involved procedures are usually done in the outpatient surgery center.
Patients can expect some swelling and bruising, that usually resolves within three weeks. Sutures are removed at 3 to 5 days.