The top concerns of aging patients who seek rejuvenation of their facial contour are focused primarily on the eye area. These frequently cited aesthetic concerns are specifically droopy eyelids, puffiness, bags and crow’s feet.
Our eyes and the area around them constantly move throughout the day. Considering that the skin on your eyelids is only .05mm thick and has fewer oil glands than the rest of your face, it is more susceptible to the damage caused by environmental factors and repeated muscular contractions. Weakened skin leads to laxity, which develops faster here than any other area on your face or body. It’s no wonder that the first place wrinkles and bags form is around the eyes. And once crepiness, bulging, and sagging develop, they only worsen. This negatively impacts your ability of expression, as fatigue, sadness, and weariness become the overriding emotions you convey. You don’t feel like that all the time, do you?
Our patients find blepharoplasty, or an eyelid lift, as the best solution to reclaiming the smoother, firmer, and resilient skin of youth. After their surgery, patients remark that they look so many years younger. Their family and friends also say the same, but without believing that they’ve had surgery because their results look so natural.
Dr. Stephen Brown has found that in the 25 years he has been a plastic surgeon, the most pleasing results from blepharoplasty, or eyelid surgery, are based on an enhancement that doesn’t look artificial and abnormal. This means that the surgery will help you look your best, rather than make you look like a different person. Dr. Brown carefully retains the unique structure and traits of your face, taking into account the thickness and elasticity of your skin, environmental damage, allergies, genetics and other factors. All of these allow for a customization of the advanced surgical techniques applied during your eyelid lift, designed to give you a rejuvenated appearance that you’ll find beautiful and highly satisfying.
Dr. Brown has devoted the majority of his medical career to resolving the aesthetic issues that arise from the aging process. He has great knowledge of facial anatomy and meticulous surgical skill in blepharoplasty, as well as a fastidious and gentle demeanour. Dr. Brown oversees residents from the Department of Medicine at McMaster University, who perform cosmetic surgery in their final year and also serves as an expert witness for the College of Physicians and Surgeons of Ontario. As such, he is one of the leading anti-aging plastic surgeons in Canada.
Eyelid Lift FAQ
How do I prepare for my eyelid lift?
In addition to talking about your goals and expectations of the procedure during your initial preoperative visit with Dr. Brown, your medical history including all your medications, allergies and previous surgeries will also be reviewed. Once blepharoplasty is considered suitable to achieve your desirable enhancement, you will undergo a thorough physical examination and blood tests. Patients over 50 years old may also be required to take an electrocardiogram.
Before your surgery, you’ll receive specific care directions on how to prepare for your procedure. These instructions generally include the kinds of activities to avoid or minimize, cautions about taking certain vitamins, supplements, and medication as well as limiting or avoiding alcohol and smoking.
What should I do right before my surgery?
Eight hours before your surgery is scheduled, you must not eat or drink anything. If you take daily medication or vitamins/supplements, ask Dr. Brown if it is safe to take them before your procedure. Please inform Dr. Brown if you have any sores on your body or have a cold, sore throat or allergic condition. Your surgery may need to be postponed until after you’ve recovered for your safety.
How long does the procedure take?
If both upper and lower eyelids are done together, the procedure generally takes about one hour. If it is only the upper or lower eyelids, your surgery may take less time.
What type of anesthesia is administered?
Local anesthesia with light sedation may only be necessary. General anesthesia is administered if the procedure is performed in conjunction with another one, for example a facelift. General anesthesia is administered by our expert anesthesiologist, who will monitor your well being during and shortly after your surgery.
How is the procedure performed?
An eyelid lift is performed by creating incisions to allow for the removal of excess skin and fat. Muscles are also tightened to achieve a smoother, firmer contour. All incisions are then closed (sutured). The incisions are always placed in discreet locations so that once healed, barely any visible scar remains.
Please note that an eyelift is not designed to address darkening under the eyes. This concern may be better addressed by a chemical peel or other non-surgical cosmetic treatment, which can be performed once you’ve recovered fromyour eyelift. (A peel is rarely done at the same time as an eyelid lift.)
When can I go home?
You may go home after a short stay in the recovery room of our facility. Please have someone that you can trust to pick you up, as you won’t be in a suitable condition to drive or take public transport. You should also have someone with you for at least the first 24 hours following your surgery.
What should I do to help my recovery?
To help with swelling, you can apply cold compresses to the eyelids for a full day after your surgery. Your eyes won’t be bandaged, but your sight may be a little blurry for one to two hours due to the medication administered during your surgery. You’ll need your rest to properly recover. A complete list of post-operative care instructions are given to you before the surgery. Follow them closely, as they will include instructions regarding rest, sleeping position, washing your face and hair, driving and work involving any eye strain.
To hide bruising around the eyes, you can wear lightly tinted glasses. Makeup may be blended onto the lower lids starting four days after your surgery. Wait a full week after your surgery before applying other facial and eyelid makeup, such as mascara, eye shadow, eyeliner, and artificial eyelashes. Once you start wearing makeup again, make sure to remove thoroughly using an upward motion, using oiled eye pads for makeup removal if necessary. This is important, as you’ll want to keep the area clean to avoid infection.
What can I expect immediately after the surgery?
Some swelling and discoloration are expected following an eyelid lift but usually subside in five to ten days. Following the procedure, there will be slight discomfort that can be relieved by medication. You will be given a prescription for any pain. Eyelid stitches are removed four days postoperative.
Remember that an eyelid lift cannot stop the aging process around your eyes. Although excess skin is removed and wrinkles are diminished, your skin continues to age. “Bags” beneath the lower eyelids usually do not recur. As you grow older the skin of the upper lids becomes looser and may create additional folds in which case an upper lid “touch-up” can be done. In time you may feel the need to have a second procedure. There is no set limit as to how many eyelid lifts you may have.
Your eyelid lift is designed to give your eyes the lighter more vigorous appearance you seek. Be sure to address any questions or concerns about this procedure to your surgeon immediately. Your health and contentment are the most important considerations any time.
When can I return to normal activity?
Most people return to work and regular daily activities in less than a week, but Dr. Brown will let you know before your surgery.
What are the related complications and risks?
It is rare for serious complications to occur with blepharoplasty, nevertheless, you should know them before you proceed with your surgery.
Scarring: any form of surgery will leave scars. With an eyelid lift, the scars are placed within natural eyelid folds and facial lines so that they are inconspicuous and rarely detectable. Nevertheless, you should be aware that scars are permanent, and their width, height, and color are not totally predictable.
Blindness: while this complication has been reported, it is very rare.
Lesser complications include improper closure of the eyes during sleep (lagophthalmus), dryness of the eyes, light sensitivity and sagging (ptosis) of the upper eyelids.
Dr. Brown never wants you to rush into a procedure. Take the time to go over the benefits and risks before deciding on whether to proceed. Feel free to ask Dr. Brown about any questions you may have about your eyelid lift, and express your concerns so that he may address them.