Home » Plastic Surgery Procedures and Treatments for the Face » Eyelid Lift (Blepharoplasty)
|Pain Level After Surgery||Mild|
|Anesthesia||General or local anesthetic with oral sedation|
|Duration of Surgery||1 hour (upper eyelids) 1-1.5 hour (lower eyelids)
2-2.5 hours (Upper and lower eyelids)
|Scars||Minimal scar (upper eyelid crease) Minimal scar (under lower eyelashes)|
|Final Results||6 months|
|Return to regular activity||1 week (upper eyelids or lower eyelids) 2 weeks (upper and lower eyelids)|
|Resume Exercise||4 weeks|
The eyes are the windows to the soul. They are our most cherished feature of individualism, beauty, and self expression. They are also the first target in the face that is affected by the aging process. Eyelid lifts can offer a huge improvement in the general facial appearance when the eyes start showing their age. Moreover, removal of the excess skin of the upper eyelid improves the visual fields tremendously as well as “adds light” to the room.
Women apply eye shadow and mascara, so they may notice laxity of skin and excess fat around their eyes sooner than men. Women tend to have eyelid lifts as early as their twenties. In men, it is usually an operation that is sought as early as in their forties. By having upper and/or lower eyelid lifts, the look of “being tired” or having not had “enough sleep” is replaced with a refreshed look and that “just came back from vacation” appearance.
This technique is simple, safe, effective and yields excellent results consistently with a very low complication rate. When people have eyelid lifts, they want their character to be preserved. They want to look natural, and not like somebody else. This technique achieves that goal.
We believe a well-prepared patient leads to a successful surgery and recovery. Whether you are flying in internationally or a local, our staff strives to give you a great experience. During your initial call to our office, one of our patient care coordinators will discuss the different options available to improve the areas of your concern. A consultation is scheduled with the doctor who best fits your personal situation. The doctor will review your medical history, spend the appropriate time to review all surgical and non-surgical options, and discuss whether surgery can be performed in-office under local sedation or at the hospital under general anesthesia. In sharing our before and after photos, you get a better sense in the quality of surgery our doctors offer and what outcome you can expect to achieve. We will review pre- and post-operative care so you can be prepared for what your role is in surgery. You will be asked to stop smoking two weeks prior to and post-surgery. Safety is our top priority, so we will ask you to see your primary care physician to perform a physical exam, lab work and, in some patients, an EKG 30 days prior to surgery. Next, we see you for a pre-op appointment two weeks prior to surgery to discuss any questions you may have and review surgery details, ensuring everyone is on the same page. You will then receive a courtesy call the evening before surgery to review instructions and any questions you may have.
THE UPPER EYELID LIFT PROCEDURE
People fall into three categories: Excess skin of the upper eyelid, excess fat of the upper eyelid, or both. The procedure is relatively simple and straightforward. A patient, who is deemed a good candidate for this procedure, is given antibiotics, and anesthetized in the operating room. Local Anesthesia is used to anesthetize the eyelids and give post-operative relief. Next, the excess skin is excised and the excess fat is removed from the upper eyelid, as needed. The incision is closed, leaving a fine scar in the upper eyelid crease that is usually imperceptible with time. Care is taken not to remove too much fat and give a “hollow” look.
“Dr. Bitar performed upper and lower eyelid lifts on me and I’m seeing amazing results. I don’t look tired anymore. My eyes look longer and brighter. I think because I look better, I feel better.”
THE LOWER EYELID LIFT PROCEDURE
People usually seek lower eyelid lifts to improve the look of “bags” under the eyes. These “bags” are usually pockets of fat. Lower eyelid lifts can be performed in one of two ways: Either fat removal alone, or fat and skin removal.
If fat alone needs to be removed, then the procedure is fairly straightforward. The patient is anesthetized and an incision is made on the inside of the lower eyelid. The fat is removed without leaving any scars on the eyelid skin.
The second procedure is performed on people who need both skin and fat removed. An incision is made under the eyelashes along the length of the eye. Excess skin is removed, and fat is excised from the lower lid. The scar usually heals very well, and is difficult to find. If the lower eyelid has laxity, then the outer corner of the eye is tightened in a canthopexy procedure.
This eyelid lift technique is performed under anesthesia and requires about a week off of work for the upper eyelids or the lower eyelids only. Two weeks may be required if both upper and lower eyelids are done simultaneously. The swelling and bruising usually decreases significantly after a week and the patient becomes socially presentable.
Our office will provide a comprehensive post-operative plan to ensure the best possible outcome. The plan will include what to expect postoperatively, such as estimated recovery time, pain management, garments or dressings, and anticipated activity level. For your safety, we require that an adult stay with you at least the first 24 hours after surgery and drives you to your next day follow-up visit. With most facial procedures, you will be instructed to limit activity for the first week or two, which could include restrictions on driving, prolonged travel and flying. In addition, we ask you refrain from exercise until cleared by the physician, usually around four weeks post-op. You are asked to refrain from smoking for a minimum of two weeks. To optimize healing, we recommend that you eat a high protein diet. You should anticipate a variable degree of bruising and swelling, as with any surgical procedure; light make-up may be used to cover bruises starting a week after surgery. We also offer scar creams at an additional cost to optimize results.
To promote healing and minimize complications, you will be seen in a series of post-op appointments, including the day after surgery. These appointments will continue throughout the first year after the procedure to make sure you are healing as planned. For your added convenience, you also have direct access to Dr. Bitar’s and Dr. Lickstein’s cell phone numbers if you need to reach your physician after hours. The final post-op visit, one year after surgery, is one of our favorites since the results are fully apparent and we love seeing our patients happy. You are always welcome to come back and see us, even years after your surgery.
At the Bitar Cosmetic Surgery Institute, we take pride in providing our patients with the best surgical experience possible, emphasizing patient safety while trying to optimize surgical results. This is a process that includes comprehensive pre-operative preparation and patient education, the development of a personalized operative plan, and a thoughtful post operative care regimen emphasizing patient comfort and promoting recovery.
There are a number of strategies which the Institute has adapted to further ensure patient safety. We are selective and only offer surgery to patients whose general health and lifestyle choices permit healing and facilitate recovery. To minimize risk, we require a preoperative assessment that includes a thoughtful history and physical exam, as well as targeted laboratory tests.
We operate at accredited hospitals and surgicenters that have demonstrated a commitment to the highest standards of care, employing board certified anesthesiologists and nurses. We adhere to well established surgical principles designed to ensure patient safety and have developed policies and protocols to minimize the risk of infection. Our surgeons are committed to continuing education, honing their skills and introducing new techniques always with the aim of improving safety and surgical results.
We emphasize patient safety in our peri-operative care plan, advocating early mobilization, optimizing nutrition, and providing detailed care instructions. After surgery, patients are seen in our office frequently and early, starting the day after their procedure, and a staff member is available around the clock for any questions or concerns. Our entire team is committed to our patients’ well being and every measure is designed to minimize potential complications, promote comfortable and rapid recovery, and optimize surgical results.
Our commitment to excellence and exceptional patient care is in every step of your doctor-patient experience. Dr. George Bitar and Dr. Larry Lickstein are distinguished board certified plastic surgeons, with over 30 years of combined experience, who exclusively perform cosmetic surgery. Our doctors stay on the cutting edge of advancements in cosmetic surgery and technology to offer the best possible results. With a blend of artistry and meticulous surgical technique, they are able to achieve beautiful and natural results for our patients. We provide a high level of patient safety and our experienced and caring staff will be with you every step of the way. Our institute offers a wide variety of surgical and non-surgical options, from skin care, injectables and lasers to in-office or hospital options, to provide a versatile approach to fit individual patient needs. Your aesthetic goals are our priority and each procedure is customized to ensure you receive the best possible outcome.
For more information, call our office at 703-206-0506.
Content on this website is for information only and should not be used to diagnose or treat your plastic surgery or cosmetic surgery problems. Please contact your plastic surgeon with all questions and concerns.