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Eyelid tone & Blepharoplasty

Posted: 2:50 p.m. Friday, July 17, 2015

By Anita Mandal, M.D.
Question: I have heavy lower eyelid bags that make me look old and tired. One plastic surgeon advised an eyelid lift. Another suggested lid tightening surgery at the same time. Why did I get contradictory advice?

Answer: It sounds like the second surgeon evaluated your eyelids in more detail. Decisions about lower eyelid surgery for excess fat, loose skin or both must take lower eyelid tone into consideration. Two simple tests for lower lid tone help the surgeon decide between blepharoplasty alone or additional lid tightening procedures. In extreme cases of poor lower lid tone, surgery may have to be avoided altogether.

With age, the lower eyelid tissues loosen and sag. Fat pockets also begin to protrude. A lower eyelid lift or blepharoplasty to remove excess fat and/or skin can be corrective. As aging progresses, lower lid tone worsens with eyelid corner sagging. These conditions can be surgically treated at the same time as a cosmetic blepharoplasty to avoid serious complications.

Of course, complications are always a risk of any eyelid procedure and can occur even with good lower eyelid tone. A keen surgeon can identify high risk patients in advance to significantly reduce the risks.

Your question raises a key point. Many patients believe in holding off on surgery until their aging gets worse. However, facial tissues reach a point where the elasticity is so poor that surgical correction can result in an unnatural appearance. Natural results can be more likely when surgery is performed on a mild to moderate aging eyelid.

It is a misconception to think you should only seek a surgeon for surgery. Facial Plastic Surgeons have in-depth knowledge of facial anatomy and expertise in both non-surgical and surgical facial aesthetic treatments. An alarmingly growing number of doctors, not board certified in plastic surgery, are performing cosmetic treatments. Each time you have a non-surgical cosmetic procedure by a less qualified doctor, you increase your risk of complications and poorer results. When it comes to your face, why would you consider less than a Board Certified Facial Plastic Surgeon? Go to www.abfprs.org to verify that your doctor is board certified in Facial Plastic Surgery.


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