We perform minimally invasive surgery and volume preservation techniques to help allow you to heal as quickly as possible while having a result that is still natural and desirable to you. Blepharoplasty surgery can be performed at the same setting as a brow lift, facelift, and most types of Rhinoplasties. When you visit with Dr. Zoumalan, ask how a Blepharoplasty can also be performed at the same time as other cosmetic surgeries you wish to have.

Upper lid Blepharoplasty

Excess upper lid skin occurs through the aging process where one loses volume in their upper lids and the eyelid tissue becomes more loose (or lax) with time. This results in excess upper lid skin and bulginess from excess fat pockets. Both of these can be improved with an upper lid Blepharoplasty. Upper lid Blepharoplasty is a type of cosmetic Eyelid surgery, and it can be performed at the same time as a Brow Lift (i.e. Endoscopic Brow Lift, Temporal Brow Lift), Facelift or a Rhinoplasty. We perform minimally invasive techniques to help allow you to heal as best as possible while having a natural looking result.

What kinds of incisions are made for upper lid Blepharoplasty?

Delicate incisions are made along the upper lid to remove the excess skin. We use the highest quality sutures around your incisions, all of which are placed carefully and removed usually around 6 or 7 days after surgery. The incisions usually heal well and end up healing like a natural wrinkle.

What kind of anesthesia is used for upper lid Blepharoplasty?

Most upper lid Blepharoplasty surgeries can be performed under local anesthesia in our office. They can also be done using mild IV sedation, which can be performed in an accredited surgery center. When done with other combined surgeries, you will likely have some form of anesthesia to keep you very relaxed and comfortable.

Lower lid Blepharoplasty

The lower lid undergoes aging changes, which usually result in excess or prominence of lower lid fat pockets and excess skin. Lower lid Blepharoplasty can help remove the excess fat pockets and skin. There have been several advancements in lower lid Blepharoplasty over the past decade, some of them which involve less removal of fat while preserving volume through either fat repositioning and/or fat grafting. We use all the latest and advanced lower lid Blepharoplasty techniques to help leave you looking natural and refreshed in your looks. Lower lid Blepharoplasty can be performed at the same time as upper lid surgery, a brow lift, and/or other facial plastic procedures. We often do lower lid Blepharoplasty at the same time of a Facelift/Necklift, Brow Lift and upper lid Blepharoplasty for a full facial plastic surgery rejuvenation. Depending on the type of Blepharoplasty that is best recommended for you, it may also be done at the same time as a Rhinoplasty.

What approach for lower lid Blepharoplasty is best?

Lower lid Blepharoplasty surgery can be performed through a transconjunctival approach or a transcutaneous approach. Both approaches provide excellent results when performed in the right patient. A proper examination will help determine which approach is best suited for you.

Transconjunctival Blepharoplasty

Transconjunctival uses hidden incisions through a minimally invasive approach to help remove your excess fat pockets. The incision is made inside your eyelid so there is no direct cut into visible. The incisions heal without ever being noticed. This advanced approach allows us to directly access and identify your excess fat pockets and remove them. If there is volume loss that we need to address at the same time along the lower lid and cheek area (infraorbital rim hollows), we can reposition your own fat pockets to fill in the hollows. In order to address any fine wrinkles you have, laser resurfacing or chemical peel can also be done at the same time to help tighten your skin.

Transcutaneous Blepharoplasty

If you have excess lower lid skin and excess fat, both can be addressed with a transcutaneous approach. A very delicate incision is made just below your eyelid lashes to help remove the excess skin during the Blepharoplasty surgery. The incision heals very well and difficult to see since it is made so precisely below your lashes. Various techniques are used to help remove the skin during a Blepharoplasty. Skin pinch is one type of a skin removal technique during a Blepharoplasty where the skin is removed and the underlying muscle is left alone. If the doctor finds that your lower lid muscle also needs to be slightly tightened, a skin-muscle flap suspension during a Blepharoplasty may be required. In either case, the excess fat pockets are removed and/or repositioned to fill in the infraorbital rim hollows similar to the transconjunctival procedure mentioned above.

Fat repositioning

Fat repositioning is performed during a lower lid Blepharoplasty when a patient has hollowing or volume loss along the infraorbital rim along with excess lower lid fat pockets. Rather than removing all the excess fat in the lower lid, which can leave the patient looking even more hollow, some of the excess fat is prepared and repositioned to fill in the underlying areas of hollowing. The lower lid volume is still preserved with repositioning and this helps prevent hollowing that traditionally would occur with just removal of lower lid fat. Despite fat repositioning though, some patients may still have some hollowing which injectable fillers may be required at a later date after the surgery.

What kind of anesthesia is used for lower lid Blepharoplasty?

Lower lid Blepharoplasty requires some form of ‘deep’ or ‘twilight’ anesthesia to keep the patient relaxed and comfortable during surgery. The procedure is performed in an accredited surgery center. Patients can go home the same day to rest or stay at an overnight nursing facility if they desire.

Is there a lot of pain with associated with a Blepharoplasty surgery?

Patients may have some discomfort from the surgery and icing and pain medications can often help, especially the first day. Pain is often relieved after the first day but the doctor will determine how you are healing to make sure you are on the best course of recovery.

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  • I was injured on January 7, 2012 in a mo-ped/scooter accident in Cozumel, Mexico. My entire body head to toe (literally) endured horrendous road rash, my nose broke & plenty more. The level of care I received from dr Zoumalan & his entire office was/is truly indescribable but I shall try!

  • It’s been a year since my septoplasty and rhinoplasty and I am extremely happy with my results.Not only has my breathing dramatically improved, I am sleeping better than ever. I feel healthier and it has significantly changed my exercise routine. I can definitely push myself harder and my workouts are longer and more efficient. Best part is I don’t get that winded feeling or stuffy or runny nose while running. I didn’t realize how many aspects of my life would change after the surgery.

    Lauren C.
  • I had a Face and Neck Lift on December 3rd, 2014. Dr. Zoumalan does excellent work! He is very thorough in explaining the procedure, and has an excellent bedside manner. I am so happy with my result. I would highly recommend Dr. Zoumalan.

    Carol Burt
  • So when I met with Richard Zoumalan, I gave him a picture of me when I was 42, and I said, “That’s what I want. Is that possible?” And he said, “Yes!” He explained what he’d do, and how he would do it. I had surgery less than a month ago, and amazingly, I look almost exactly like me, only about 25 years younger.

    Past Life Love
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