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Eyelid surgery can be a good choice for patients who have droopy skin on their eyelids and puffy bags below their eyes. The procedure may focus on the upper eyelids, lower lids, or both. Through blepharoplasty (eyelid surgery), Dr. Savalia can create a refreshed, alert appearance that naturally restores the characteristics of a more youthful eye area.

Eyelid surgery performed correctly

Take a look at any young model in a magazine—you will see that the upper eyelids are full and there is a little gap between the brow skin and eyelid. To maintain youthful fullness, Dr. Savalia either conservatively trims eyelid skin and retains the natural fat of the eyelid, or combines limited excision of upper eye skin with a fat transfer procedure in the superior orbital rim (the hollow above the eye) to create a more youthful appearance.

He may also need to address sagging on the outside or lateral edges of the brow through a brow lift. Sagging of the outer brow can greatly affect upper eye appearance, and he often finds that patients who come in for eyelid surgery also need some surgical correction of the brow to achieve the appearance they want. This is different than a typical brow lift, where the entire brow is lifted. Dr. Savalia finds that most people don’t need the central portion of the eyebrow lifted, only the outer corner.

Why have eyelid surgery?

Here are some common reasons patients consider eyelid surgery:

  • I look tired even when I am feeling well-rested
  • I have excess upper eyelid skin that is visible and redundant
  • My upper eyelids sometimes obstruct my field of vision
  • I’ve noticed increased puffiness below my eyes as I’ve aged
  • I’ve always had heavy lids or bags under my eyes due to genetics

Upper Eyelid Surgery

As we age, the tissue beneath the eyebrow and rim of the upper eyelid loses volume, as fat disappears. This is why the excess, sagging skin you see can look a lot like a deflated balloon. An earlier technique for upper blepharoplasty emphasized the aggressive removal of this excess skin and the removal of fat from the upper eyelids. Unfortunately, this can leave a bony, sunken, hollowed look to the upper eye, which is the antithesis of a youthful eyelid.

When the upper blepharoplasty is a simple trim of skin, Dr. Savalia can often perform this in his office under local anesthesia in less than an hour. When fat transfer or brow correction is needed in addition to upper blepharoplasty, he performs this procedure in an accredited outpatient surgery center. Incisions are made within the folds of the upper eyelid so they are not visible after surgery.

Lower Eyelid Surgery

Again, as with upper eyelid surgery, Dr. Savalia’s focus is on restoring volume, not simply removing skin and tissue. When performing lower eyelid surgery, he wants to avoid simply removing the fat below eyes and trimming excess skin. This can all too often create a “sunken in” look. Everyone has “pads” of fat under their eyes, but usually they are covered by a thicker, smoother layer of fat in the midface that masks it. When this covering layer is lost, the under-eye fat pads become visible and can lead to a puffy under-eye appearance.

Dr. Savalia’s philosophy is to focus first on restoring the lost fat in the midface. Much of lower lid aging is caused by deflation of midface fat deposits, which then exposes bulging fat pads below the eyes. When performing lower lid blepharoplasty, he will generally remove a conservative amount of excess fat pads and create a sling to lift the sagging muscle surrounding the eye. This technique provides increased support for the lower eyelid and masks the fat pads.

Lower eyelid surgery is performed on an outpatient basis. Dr. Savalia uses a lash line incision that is hidden once fully healed. He works carefully to craft a naturally rejuvenated appearance without the telltale signs of eyelid surgery, such as an altered shape of the eye.

Combining the procedures

Many people find they have unwanted signs of aging in both their upper and lower eyelid areas. Dr. Savalia can combine the procedures in this case for more comprehensive rejuvenation. In some instances, eyelid surgery may be combined with nonsurgical rejuvenation treatments, such as BOTOX® Cosmetic, to treat wrinkles and aged skin on the outsides of the eyes or between the brows.

I perform both upper and lower eyelid blepharoplasty. The procedure can deliver a refreshed, alert appearance that naturally restores the characteristics of more youthful-looking eyes.

Is blepharoplasty right for me?

The best candidates for eyelid surgery are men and women experiencing signs of aging around the eyes. As we age, natural fatty deposits in the face begin to thin out, which can create a hollowed appearance in and around the eye area. Sagging skin around the eyes can also make the eyes seem sunken. Eyelid surgery can help patients seeking a more youthful look in the upper face. During your consultation, Dr. Savalia will listen to your concerns and determine if eyelid surgery can treat the signs of aging in your face and give you your desired appearance.

What is recovery like after eyelid surgery?

Before you are released home to begin your recovery, our staff will provide you with detailed post-operative instructions to help ensure your healing goes as smoothly as possible. You will also receive full-service support from Dr. Savalia and his team throughout your recovery. For more information on eyelid surgery, we encourage you to contact us online today.

Dr. Savalia was so kind and compassionate. I came out of it all with my brand new breasts and very well rested, nice bright eyes. I was very happy! I feel like I look like me…but a little better than me.

Eyelid surgery FAQ

If you’re considering blepharoplasty, also known as eyelid surgery, you likely have lots of questions about the procedure and how it can improve the harmony of your facial features. In his practice, Dr. Savalia works closely with patients to ensure their concerns are fully addressed, and their questions are answered, so they feel comfortable and confident about their decision to undergo facial surgery.

What’s the difference between upper and lower eyelid surgery?

Upper eyelid surgery is a technique for correcting the deflated look caused by lost volume beneath the eyebrow and in the upper eyelid by addressing the excess skin. Rather than aggressively removing all baggy skin, which can contribute to a bony appearance, Dr. Savalia’s technique involves a conservative trim of eyelid skin to enhance the natural volume in the upper eyelids. He frequently supplements with fat transfer to restore lost volume, and occasionally corrects sagging of the outer brow with a customized brow lift. Lower eyelid surgery is used to treat puffy bags under the eyes that can result from a loss of volume in the midface. In this procedure, Dr. Savalia removes small amounts of excess fat pads and gently lifts the sagging muscle surrounding the eye to increase lower eyelid support and minimize the appearance of puffy bags.

Can I have lower and upper eyelid surgery at the same time?

Yes. In our practice, Dr. Savalia sees many patients who experience unwanted signs of aging in both their upper and lower eyelids. Combining procedures can be an appropriate option for a more comprehensive treatment.

What other procedures can be performed at the same time?

To treat a wider range of age symptoms, blepharoplasty can be combined with nonsurgical facial rejuvenation, such as BOTOX® Cosmetic to improve crow’s feet or other nonsurgical med spa treatments, or facial cosmetic surgery, including a facelift.

Will the scars be noticeable?

Dr. Savalia takes special care to make the incisions as discreet as possible when performing eyelid surgery. During upper eyelid surgery, incisions are made within the upper eyelid folds to keep them well hidden. During lower eyelid surgery, he makes the incision in the eyelash line so that when it fully heals, it is concealed by the lashes.

When will I see results?

Immediately following surgery, you can expect some degree of swelling and bruising, along with some amount of discomfort at the incision sites. However, this usually subsides within the first few days or a week after surgery. Over the next several weeks, you should see your final results. You will receive continual support from Dr. Savalia and his team to ensure you have an optimal experience as you move through to a full recovery.

Newport Beach Center for Plastic Surgery

Please contact us today to schedule an eyelid surgery consultation at Newport Beach Center for Plastic Surgery in Orange County. We are committed to helping you reach your cosmetic goals and provide practical recommendations and education on all your eyelid surgery options.

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