Blepharoplasty – Eyelid Surgery

Upper Eyelid Blepharoplasty

Your eyes are probably the first feature to show your age because the skin on your lids is so delicate that lines and wrinkles appear there first. New and wonderful procedures exist which can virtually turn back the clock for you. LASER EYELID LIFTS can tighten your loose skin and virtually erase fine lines in the earlier stages.

Dr. Schaffer also performs traditional BLEPHAROPLASTY, which in addition to tightening your skin, can remove unwanted bags. Oftentimes, the appearance of excess upper lid skin is caused by brows which have loosened and sagged. This type of brow ptosis causes hooding and crowding of the lids, especially at the outer corners and can even block vision towards the upper outer areas. Many times a brow lift may completely correct the appearance of excess upper lid skin and significantly improve the visual field without the need for actual eyelid surgery itself. During your thorough informative consultation with Dr. Eric Schaffer, your goals and physical attributes will be evaluated and a detailed analysis performed and related to you.

The recommendations may include a brow or an upper eyelid lift (blepharoplasty) or combination of the two. The role of laser, Botox, fillers, and/or skin care products will be reviewed as needed. An individualized plan will be developed for you.

This is extremely important as an inappropriately selected procedure may preclude a subsequent optimal result. For example, when only eyelid skin is removed, and sagging of the brows (brow ptosis) is not recognized and corrected as well, generally too much skin will be removed from the lid with blepharoplasty. At best, the brow position will not be corrected. At worst, this may tend to pull the brow down even further. Either way, rejuvenation of the periocular area will be incomplete. This may preclude subsequent ideal correction of the brow position as proper brow elevation may prevent adequate lid closure if too much skin was initially resected. This may render a brow lift inadvisable under the circumstance.

Lower Eyelid Blepharoplasty

If lower lid bags are your primary concern, Dr. Schaffer may suggest transconjunctival blepharoplasty. This procedure removes excess fat bags through a hidden incision on the inner part of your lower lids. This procedure is best for patients who have lower lid bags and no significant skin excess. This procedure only removes the fat bags and it does not correct loose redundant eyelid skin.

If excess skin with or without bags under your eyes is your problem, then a transcutaneous blepharoplasty may be recommended. With this procedure, a small incision is fashioned just below the eyelashes (near the area where one would apply lid liner) with a small extension to the side in a natural skin crease. This incision usually heals in excellent fashion and many times, even with magnification, is almost impossible to see. With this approach, excess skin can be removed from the lower lids in addition to the bags. Dr. Schaffer will examine you carefully and discuss with you in a thorough fashion which procedure is most likely to help you achieve your goals. Transconjunctival blepharoplasty has a very rapid recovery time, commonly just a few days. With transcutaneous blepharoplasty, you will have your stitches removed after just four to five days but the full recovery will take slightly longer as more time is needed for the swelling to resolve. Discomfort is commonly relatively minimal. In either case, most of Dr. Schaffer’s patients with either type of blepharoplasty will usually return to work within a week or so after surgery.

Schedule A Consultation

If you are interested in our blepharoplasty procedures, call 210-227-3223 to schedule a consultation with Dr. Eric Schaffer. Our practice serves San Antonio, Austin, and surrounding areas in TX.


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