Cosmetic Upper and Lower Eyelid Blepharoplasty

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Eyelid Surgery in Nashville, TN

When excess tissue in the eyelids makes the eyes appear aged and tired, a technique known as blepharoplasty, or eyelid surgery, can often be used to make the eyelids appear more youthful.  With eyelid surgery, sagging tissues are removed or repositioned to create a bright, more youthful look.

Upper and Lower Blepharoplasty

Upper blepharoplasty, also known as an eyelid lift, is performed through a fine incision hidden in the eyelid’s natural fold. Lower blepharoplasty is often carried out through the inside of the eyelid, avoiding visible scars. Sometimes, redundant lower eyelid tissue is removed via an incision made beneath the lower eyelashes. The procedure does not pose a risk to the eyelashes. In many patients rather than removing the bulging lower eyelid fat, the excess tissue is spread into the depressions that develop beneath the lower eyelid. This prevents an excessively hollow appearance after surgery

Where the Surgery Is Performed

Blepharoplasty is performed either in an outpatient surgery center or the office. The outcomes are identical in either location. Dr. Biesman often uses a laser that reduces both the surgical time and the recovery period. Here are the main differences between the two options:

  • Outpatient Surgery Center: The patient is typically in a state of twilight sleep, during which he or she is unaware of surroundings. There are additional costs associated with procedures performed in a surgery center.
  • In-Office Treatment: Instead of being in twilight sleep, for an in-office treatment, the patient remains awake during the procedure. When undergoing in office blepharoplasty, most patients choose to take something to help them relax.

This procedure typically takes between 1-1.5 hours.

What to Expect Before and After the Procedure

Patients should avoid taking aspirin or blood thinners for two weeks prior to surgery to reduce the risk of bleeding and bruising. After treatment, most patients have very little discomfort and find that Extra Strength Tylenol provides suitable relief. Cold compresses applied for the first day or two after surgery help reduce swelling and bruising, as does sleeping on an extra pillow at night.

For at least two weeks after surgery, heavy bending and lifting should be avoided. Routine activities such as driving, walking, bathing, etc. may be resumed on the next day. About 80% of bruising and swelling is usually resolved within the first two weeks. Patients may resume wearing contact lenses one one week after eyelid surgery, but should avoid rubbing the eyelids vigorously for several weeks. If removable stitches are used, these will be removed at the first visit (approximately one week) after surgery.

Internal Brow Lifting or Browpexy

For patients who have both heavy upper eyelids and mild drooping of the eyebrows who are not candidates for a full endoscopic forehead and brow lift surgery, the eyebrows may be stabilized through the eyelid incision used to perform the upper blepharoplasty. This is known as internal brow lifting or “browpexy”. The internal brow lift does not provide as much elevation as a standard brow lift and does not address the frown muscles, but does provide nice stabilization of the eyebrows without inducing a dramatic change in one’s appearance, elevating the forehead or creating incisions in areas that may be visible in patients with a receding hairline. During your consultation session with Dr. Biesman, it will be determined which of these procedures would best suit your specific needs.

Undergoing Treatment from Dr. Biesman, Nashville Oculoplastic Surgeon

As a specialist in Ophthalmic Plastic Surgery, Dr. Biesman has an in-depth understanding of the complex relationship between the eye, the eyelids and the underlying facial structures. This helps make him particularly qualified amongst cosmetic surgeons to design an operation that will not only produce the best aesthetic result, but also preserve your eye’s safety and health.