Blepharoplasty usually takes one to three hours, depending on the extent of the surgery. If you’re having both upper and lower eyelids done, Dr. Lesavoy will probably work on the upper lids first, then the lower ones.
In a typical procedure, Dr. Lesavoy makes incisions following the natural lines of your eyelids; in the creases of your upper lids, and just below the lashes in the lower lids. The incisions may extend into the crow’s feet or laugh lines at the outer corners of your eyes. Working through these incisions, Dr. Lesavoy separates the skin from underlying fatty tissue and muscle, removes excess fat, and often trims sagging skin and muscle. The incisions are then closed with very fine sutures.(Pict.01)
Before surgery, Dr. Lesavoy marks the incision sites, following the natural lines and creases of the upper and lower eyelids. Underlying fat, along with excess skin and muscle, can be removed during the operation. (Pict.02)
Dr. Lesavoy closes the incisions with fine sutures, which will leave nearly invisible scars.
If you have a pocket of fat beneath your lower eyelids but don’t need to have any skin removed, Dr. Lesavoy may perform a transconjunctival blepharoplasty. (Pict.03)
In this procedure, the incision is made inside your lower eyelid, leaving no visible scar. It is usually performed on younger patients with thicker, more elastic skin.
In a transconjunctival blepharoplasty, a tiny incision is made inside the lower eyelid and fat is removed with fine forceps. No skin is removed, and the incision is closed with dissolving sutures. (Pict.04)