The eyelids are one of the first facial features to show signs of aging. Eyelid surgery, clinically known as blepharoplasty, corrects a number of conditions, including excess skin on the lids, under-eye bags or loss of elasticity that causes the skin to look thin and wrinkled or discolored. Since this is such a delicate area, the procedure should be performed by the surgeons who have enough experience in this field. Dr. Bahman Guyuron has more than 30 years of surgical experience handling a variety of complex eyelid surgery procedures in Cleveland, Ohio. His goal is to produce gratifying results that help his eyelid surgery patients look naturally alert, youthful and well-rested.
Dr. Guyuron frequently shares his techniques with other plastic surgeons internationally through lectures during symposia, courses and articles.
The Blepharoplasty Consultation
The consultation is the best opportunity for the candidates to explain what they don’t like about the appearance of their lids, and describe their ideal surgery outcomes. Dr. Guyuron will provide details to the patient about how his surgical expertise can provide them with the best results. Eyelid surgery patients usually focus on the following:
- Loose skin on the upper or lower lids that droops (possibly obscuring their field of vision)
- Excess fat deposits that make the upper eyelids look puffy
- Bags or dark circles underneath the eyes
- Fine wrinkles along the lower lid with dark discoloration
- Droopy eyelids limiting the opening the eyes because of stretched muscles which is called eyelid ptosis
During the consultation, Dr. Guyuron will start to develop a treatment plan that targets all of the candidate’s concerns. He will explain his approach to surgery and the likely outcomes, and answer any questions the candidate has. He may also discuss other available treatments such as rhinoplasty, browlift or facelift surgery if inquired. Depending on your age he may require an ophthalmology examination to augment the safety of the operation.
Patients who plan to visit Dr. Guyuron from out of town can opt for a phone, Facetime or Skype consultation. Dr. Guyuron works with patients internationally who want to refresh and rejuvenate their eyelids.
Eyelid surgery is performed on an outpatient basis next to Dr. Guyuron’s medical facility.
To treat the upper lids, Dr. Guyuron makes an incision within the natural crease of the upper eyelid. Through the incision, he will reposition/remove any fat deposits, tighten the eyelid muscles and tissue and remove excess skin. To treat the lower lids, Dr. Guyuron makes an incision just below the lower lash line or in the inner surface of the eyelid, and removes or reposition excess skin/fatty tissue, tightens skin if needed, and makes the eyelid skin thicker and smoother with injection of your own fat or use of laser, or both.
Surgery will take 30 to 90 minutes, depending on the particular treatment plan. After the procedure, patients recover at the surgical facility for a short time, and are then released to go home.
Recovering from Blepharoplasty
It’s normal for the eyelids to be swollen and bruised after surgery. Patients may need to apply soothing ointments and cool compresses, and take oral pain medications, depending on Dr. Guyuron’s specific recovery instructions. It’s universally recommended that eyelid surgery patients rest and relax while avoiding strenuous activities, at least until Dr. Guyuron clears them, often three weeks after the surgery. Recovery varies by patient, but in general, results become visible within a few weeks.