double-board certified specialist inplastic surgery of the face and neck
la Jolla - San Diego, California 858.658.0595

Eyelid Surgery

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Eyelid Surgery San Diego (Blepharoplasty)

Consider eyelid surgery in San Diego. Information on eyelid lift, blepharoplasty, laser eyelid surgery, recovery period, incision sites, upper and lower lid surgery and more.

Blepharoplasty or eyelid rejuvenation surgery (also called eyelid lift) is an operation designed to correct drooping skin around the eyes as well as bulges that may appear with age or due to heredity. Drooping skin is often most evident in the upper eyelids, where it can hide the normal skin crease above the eyelashes and even impair vision. “Bulging” seen in the upper or lower eyelids is actually due to normal pockets of fat which have become more pronounced with age. Together, these factors may combine to give the eyes a tired, aged look, which may be out of proportion to the rest of the face. An eyelid lift can produce dramatic improvement in appearance, restoring a more youthful and energetic look. Good candidates for eyelid lift are patients with normal tear production and good eyelid tone and function. Contact lens wearers may be asked to refrain from lenses for one to two weeks.

Upper eyelid surgery or upper blepharoplasty is often done at the same time as lower eyelid surgery in our San Diego office, although either procedure may be done alone, or in combination with other facial cosmetic procedures such as facelift or rhinoplasty.

For eyelid lift surgery in San Diego or La Jolla California contact Dr. Roy David today at 858.658.0595.



Upper Eyelids

Upper eyelid surgery is commonly performed using local anesthetic and a mild oral (by mouth) sedative for patient comfort. Gentle intravenous sedation is also an option in our clinic. The excess skin is carefully marked for removal, usually in an oval shape just above the natural eyelid crease. The final scar will actually lie within the crease, making it very difficult to notice once healing is complete. Following marking of the skin, the upper eyelid is injected with anesthetic solution. The skin is then carefully excised, exposing the underlying muscle and fat of the upper eyelid. A variable amount of muscle and fat is then removed from the upper eyelid to create and shape an optimal aesthetic balance. The skin is then closed with suture that will be removed in approximately one week.

The entire eyelid lift procedure can take 20 minutes to one half hour to perform.

“An experienced facial plastic surgeon will remove the appropriate amount of skin and fat to rejuvenate the upper eyes without creating an unnecessary hollow or surgical appearance. It is also important to differentiate between droopy brows and droopy eyelids. The former are best addressed with a brow lift; a surgeon should not attempt to compensate for droopy brows by removing excessive eyelid skin.”

Upper eyelid ptosis or droopiness is a common condition and can be hereditary or age-related. This is not caused by excess skin, but by a weak eyelid muscle. Ptosis repair can be performed at the same time as an upper eyelid lift to achieve a fresher, more alert appearance.

Recovery from upper eyelid lift in our La Jolla office is generally rapid, with patients resuming regular activities in several days to one week. Bruising is either absent or very mild. The incision line may remain slightly red while healing, but due to its location in a natural crease is often hard to notice after suture removal at seven days.

Example of Upper Eyelid Surgery

Blepharoplasty patient that opted for eyelid surgery
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Example of Upper and Lower Eyelid Surgery

Eyelid surgery patient before and after photo - worked performed by Dr Roy David
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Lower Eyelids

For lower eyelid surgery, patients are offered gentle intravenous sedation with our anesthetist, although this procedure can also be comfortably performed with only local anesthetic.

For patients with prominent fat bags of the lower eyelids and only a small amount of excess skin or muscle, the lower eyelid surgery can be performed with no external incisions. Instead, and incision is made on the inner side of the lower eyelid and excess fat is carefully removed . No sutures are required for this approach, and patients are asked to use a topical eye drop for one week to aid healing.

“The nasojugal crease is a hollow area below the lower eyelids, and below the actual fat “bags” of the lower lids. This depression is caused by fat loss and descent of the cheek pad with aging. This deformity is commonly addressed with fat repositioning or fat transfer at the time of lower lid surgery.”

When excess skin and wrinkles are present around the lower eyelid, an external incision approach may be chosen. This incision is made just beneath the lower eyelashes, which easily camouflage it during the healing phase. Through this lower eyelid incision excess skin and muscle, as well as fat, may be removed. The incision is then closed with suture which is removed in approximately one week. Bruising and swelling are slightly more common with lower eyelid surgery, however this generally resolves within one week. Regular activities are resumed within one to two weeks.

Lateral canthoplasty or eyelid tightening is a procedure that is often done concurrently with lower eyelid surgery or blepharoplasty in order to tighten an excessively loose lower eyelid. This procedure aids in restoring a more youthful position of the lower lid in relation to the iris.

Additional ancillary procedures include fat transfer or fat grafting to the lower eyelid region, as well as lower eyelid laser resurfacing or chemical peel, both of which may enhance the results of a lower lid blepharoplasty or lower eyelid lift. .

Laser Eyelid Surgery

Laser eyelid surgery or laser blepharoplasty is a technique by which the CO2 laser replaces the scalpel for more meticulous incision-making. Dr. David commonly uses the laser for this portion of the procedure, thereby reducing bleeding, bruising, and healing time.

Patients often inquire about “crow’s feet” lines or other fine wrinkles or spots around the eyes. These areas can often be improved with a chemical peel or laser resurfacing at the same time as eyelid surgery, or shortly after.

Thin, absorbable sutures placed in the eyelid incisions usually disappear or are removed at one week after eyelid surgery in San Diego. Patients generally complain of little or no pain with this procedure, and are usually able to return to their routine within several days to one week, depending on the extent surgery.

Some swelling or discoloration is normal with eyelid surgery. This will resolve for the most part within one to two weeks, and can be camouflaged with makeup after several days.

For laser eyelid surgery in San Diego or La Jolla California contact Dr. Roy David today at 858.658.0595.


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