About Eyelid Surgery (Blepharoplasty)

Your eyes are the most expressive part of your face. But with age and genetic predisposition, eyelids sag and droop, with bags and bulges appearing underneath. Don't let tiredness be your only expression. Let the trained surgeons at Toronto Cosmetic Clinic help you bring that sparkle back to your eyes with Eyelid Surgery.

Eyelid Surgery or Blepharoplasty is a cosmetic surgical procedure that is designed to improve the aesthetic appearance of the eyes and/or make them look more youthful. The procedure may require the removal of excess skin, fat, and weak muscle. Both the upper and lower eyelids can be targeted in the same surgery. The end goal is to help restore a youthful, well rested appearance to reflect the true you!

Problems Targeted by Eyelid Surgery

Problems Targeted by Eyelid Surgery

The eyes are the first feature on the face that show signs of aging, that is why after going through with a Blepharoplasty, you truly can take years off of your appearance. Either the upper eyelids, the lower eyelids or both upper and lower eyelids can be targeted to reverse the signs of aging.

Common problems include:

  • Excess fat pads in the lower eyelid
  • Droopy upper eyelids
  • Puffiness
  • Lack of a double eyelid

A benefit of eyelid surgery that is more practical includes the improvement of vision from the removal of sagging skin and excess fat.

Cost of Eyelid Surgery

The cost is based on a variety of factors, such as the anesthetic used, the experience of the surgeon and the detailing of the procedure. At Toronto Cosmetic Clinic, the price for eyelid surgery is $4,000 (for both eyes). If you want to proceed with surgery for both the upper and lower eyelids on both eyes, pricing starts from $7,500.

Cost of Eyelid Surgery

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Types of Blepharoplasty

  • Lower Eyelid Surgery - A Lower Blepharoplasty will remove excess skin and fat pockets in the lower eye region. The transconjunctival lower lid surgery is quite popular as this eliminates scarring all together as the incision is made on the inner portion of the lower eyelid.
  • Upper Eyelid Surgery - Loose, hanging skin is tightened in the upper lid, to allow the eyes to appear more open. A brow lift can be done at the same time for an overall rejuvenated appearance.
  • Asian Eyelid Surgery - This can be quite popular amongst those individuals who are from an Asian descent. The purpose of the surgery is to create an upper eye fold and for the eyes to appear more “open” in shape.

Prime Candidates for Eyelid Surgery

Prime candidates for eyelid surgery are those that have realistic expectations of the results and are in good physical and mental health. Though surgical correction is appropriate for all ages, it is necessary to consider other medical problems such as allergies or thyroid disorders that may affect or produce the undesirable appearance. An alternative medical, rather than surgical, treatment may be required to properly resolve the problem.

Prime Candidates for Surgery
Before Eyelid Surgery

Before Eyelid Surgery

Before you undergo eyelid surgery, you'll be asked to visit a physician for a consultation. This consultative process is important, as you'll be able to discuss the goals of the procedure and learn more about it in a confidential setting. You may also discuss how much correction you'd like with your physician. For example, you may only want to eliminate the bags located in the area of your lower eyelids.

Specifics of your eyelid surgery will be discussed, such as how to adequately prepare for surgery, details on what the actual surgery entails, and what to expect while you recover. Your facial plastic surgeon will answer any questions or concerns you may have.

For a very general list of things to do to adequately prepare your body for surgery, please visit preparing for Cosmetic/Plastic Surgery. This list, however, is not exhaustive.

The Eyelid Surgical Procedure

Eyelid Surgery at Toronto Cosmetic Clinic is performed on an outpatient basis and generally takes anywhere from one to three hours. No pain is felt as a local anesthetic and sedatives are administered.

The actual surgery depends on the extent of correction and the problem targeted. The following is a general outline:

After the area is injected with anesthesia to locally freeze the tissues around your eyes, incisions are made within the natural creases of the eyelids so that any resulting scars remain well hidden. To correct the upper eyelids, an incision is typically made in the natural creases. For the lower eyelids, an incision is typically made just underneath the lashes or inside the lower eyelid. Both locations allow for the scar to be well concealed. Through the incisions, the desired amount of sagging skin and any excess fat will be removed. The experienced facial plastic surgeons at Toronto Cosmetic Clinic will ensure that only the necessary amount of fat and/or skin is removed to achieve a desirable outcome so that hollowness does not result. Then, the incision is closed and dressed.

Generally, the scar will heal into a thin and fine line, making it almost impossible to detect.

It is recommended that transportation home is arranged prior to the procedure as you should have a loved one with you for one day after the procedure. Pain medication and antibiotic ointment will be prescribed, and sometimes eye drops as well. In most cases you will return to Toronto Cosmetic Clinic in one week for your follow-up.

The Eyelid Surgical Procedure
Functional Upper Blepharoplasty

Functional Upper Blepharoplasty

As a non-cosmetic form of an eyelid surgery, a Functional Upper Blepharoplasty is intended to restore the critical purpose of the eyelids. Remember the reason we have eyelids is to protect the eyes in order to maintain our vision. For those individuals who have ptosis of the brow and redundant sagging skin, to the point where their vision is obstructed would be suitable candidates for the procedure. Some individuals may also suffer from overuse of their forehead muscles in order to compensate and lift the eyebrows up for a clearer vision. This can result in more horizontal forehead wrinkles. Sometimes this type of eyelid lift is performed by oculoplastic surgeons. The end result is improved vision as the obstruction from the upper eyelid has been removed. It is important to note that a Cosmetic Blepharoplasty of the upper eyelid will also help to improve vision obstruction due to excess skin; however the main purpose of a cosmetic upper eyelid surgery is to improve the overall aesthetic appearance.

After the Eyelid Surgical Procedure

Following the surgery, expect to feel some degree of soreness in the treated area. Bruising will appear and generally lasts from two to four weeks. There are makeup techniques you can use in order to camouflage bruising. Your physician will be available to respond immediately to any concerns you may have while you recover, particularly if you experience any severe pain that cannot be controlled by the prescribed medication.

You'll need to take care of your eyes while you recover. This includes keeping your head elevated and limiting physical exertion. Cold compresses can be applied to reduce swelling and discomfort.

For a few weeks following eye surgery, blurring and double vision may occur. Your eyes may also feel itchy; eye drops recommended by your physician can alleviate this. However, you'll be able to watch television and read about three days following surgery, and in ten you'll most likely be back at work if it is not too physically strenuous.

Most patients need a few days off work, in some cases up to one week.

The results of your eye surgery will last for a long time and for many, are permanent!

After the Surgical Procedure
Eyelid Surgery (Blepharoplasty) FAQ
  • Can I have the lower and upper eyelid done at the same time?

    Yes, definitely if you are a good candidate!

  • When Can I see the results?

    You will see a noticeable difference to the eyes right after surgery, however after swelling subsides, you will be able to see much better results 1-2 weeks later. Redness around the incision lines takes longer to subside, around 4-6 weeks, but gradually fade over the next couple of months.

  • Are the results permanent?

    The results of eyelid surgery are permanent. They can be adversely affected by childbirth, trauma and aging.

  • What age do I need to be to have eye surgery?

    There is no specific age that you to be, some patients in their 30’s have noticeable aging around the eyes, and decide that eye surgery will give them the desired appearance they need. Usually these patients have either inherited excess lid skin or prominent under eye bags.

  • What problems cannot be corrected by eyelid surgery?

    Eyelid surgery is best performed on those who have realistic expectations of the outcome of the procedure and are in relatively good mental and physical health. Because this is an optional cosmetic procedure, individuals should make the choice to go ahead with surgery based on their own decisions. That way, the outcome is generally more satisfying.
    During an initial consultation, you will be able to discuss your expectations and goals with a patient consultant in order to determine whether eyelid surgery is appropriate for you. Alternatives that are more suitable may be presented during this consultation.

  • What type of anesthesia is used?

    Local anesthesia with sedation is generally administered.

  • What are the risks associated with eyelid surgery?

    All surgery carries some risk. Those related to eyelid surgery include temporary side effects such as blurry vision, swelling, discomfort and bruising.
    In the event too much fat is removed, hollowness around the eyes may result. The risk of this occurring is dramatically reduced when an experienced and knowledgeable physician performs the procedure.

  • Will eyelid surgery get rid of my wrinkles?

    The intention of Blepharoplasty is to remove excess fat and excess skin. Some wrinkles can be removed if they are on this skin that is removed. If you specifically just want to remove Crows Feet, then BOTOX COSMETIC® would be more suitable.

  • What’s a “double” eyelid?

    Many people, particularly those originating from East Asia, do not have a crease in the upper eyelid. As a result, their eyes may appear smaller or less bright than those who do have this crease. This crease in the upper eyelids is also known as a double eyelid. A double eyelid is one aesthetic improvement achieved by Blepharoplasty.

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