As we age, the skin on the eyelid stretches and the muscles supporting the lids begin to weaken. Excess fat starts to collect around the eyes causing “bags,” droopy lids, and on occasion, visual impairment.
Often referred to as eyelid lift or eyelid surgery, cosmetic and functional blepharoplasty (BLEF-uh-ro-plas-te) procedures are performed by removing excess skin, fat, and/or muscle from the eyelids. While the results for both appear similar, the reasons for having cosmetic vs. functional blepharoplasty are distinctly different.
The primary goal for cosmetic blepharoplasty is to improve the overall look of the lid – giving a more rested appearance. The primary goal for functional blepharoplasty is to provide improved vision and comfort. Occasionally, patients undergo functional blepharoplasty because the excess skin of the upper lid causes the lashes to rub and irritate the outer surface (cornea) of the eye. The irritation can lead to infection and/or scarring and should be treated before permanent damage occurs.
Relatively safe and proven procedures, blepharoplasty and ptosis repair are most often performed in an outpatient surgical setting using oral sedation and local anesthesia. Recovery is quick and the scars, which are placed in the crease of the lid(s), begin to fade approximately in approximately 6 months.
It is important that you discuss all risks, benefits, and alternatives with your surgeon to determine if surgery is an option for you.