Eyelid Surgery, Blepharoplasty Morristown NJ

Blepharoplasty New Jersey, Eyelid Surgery, Morristown NJ


The aging process affects the eyelids in the same way it affects the rest of the face. The skin of the lids looses its elasticity and looks redundant. The eyelid volume seems to shrink and the lids look deflated. The orbital fat around the eyeball protrudes through the fibrous septum and creates the eyelid bags. Those are most commonly seen in the lower lids and the inner aspect of the upper lids. The operation that corrects these conditions is called blepharoplasty other wise known as eyelid surgery.


Upper Blepharoplasty New Jersey


After careful examination of the eyes and marking, skin is removed from the upper lid as necessary and small amounts of the orbicularis muscle is removed to better define the upper eyelid crease. Fat is removed as necessary, being careful not to create hollowness of the upper lids. The skin is closed with very fine sutures.


Lower Blepharoplasty New Jersey


Several conditions can affect the appearance of the lower lids. There could be excess fat bulging and causing the baggy lids. There could be excess tear through depression which can continue along the entire lower portion of the lid causing dark circles. The skin could be excessive. The lower lid could be too loose and bowing down causing a scleral show (the white of the eye showing above the lower lid margin). The eyeball could be protruding beyond lower lid supporting structures in a condition we call negative vector. All these issues need to be carefully evaluated prior to a lower lid blepharoplasty.

If there is no lid laxity and no negative vector, the operation can be done through an incision under the eyelashes. The fat could be removed and some excess skin trimmed. If there is lid laxity, a lateral canthopexy is needed to support the lid and prevent a scleral show. Lateral canthopexy is done by a suture that suspends the lateral side of the lower lid.

If there is too much tear through depression, the fat from the orbit is transferred to that area and sutured with fine absorbable sutures to fill the defect. If there is no need to remove skin, the operation could be done through the lower lid mucosa by approaching the inside of the lower lid.


Recovery from the Upper and Lower Blepharoplasty


Iced saline pads are used for the first twenty four hours to reduce the swelling and the bruising. The patient is asked to keep his/her back raised on pillows and avoid strenuous activities. An ophthalmic ointment is used over the stitches for the three days post-operation. The sutures are removed three to five days after the surgery. There can be slight bruising that would resolve within a week. The patient is allowed to use makeup to hide any bruising. Depending on the patient’s healing characteristics the incision may stay red, but this can be hidden by makeup.


Question and answers about eyelid surgery in New Jersey


Q: I was told I have dry eyes, can I have a blepharoplasty?


A: There is an equilibrium between the tear production and evaporation. The longer the eye stays open and the larger the opening the bigger the amounts of evaporation. If the tear production is limited, any procedure that increases the exposed eyeball will aggravate the dry eye syndrome. If the patient has dry eye issues, a consultation with an ophthalmologist is mandatory. If the dry eye is severe, the best course of action is not to do the upper blepharoplasty. Any procedure that can reduce the eyelid opening could improve the dry eye. Dr.Rafizadeh has taken care of patients who came to him with dry eye and lower lid retraction who had a great improvement after a lower lid blepharoplasty and lateral canthopexy. It reduced the palpebral opening, thus reducing the evaporative surface of the eye.


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