Blepharoplasty, the medical term for eyelid reduction surgery, removes unwanted fat from the eyelids, and/or tightens eyelid muscles and ligaments. This procedure revitalizes eyelid appearance and function. Eyelid reduction surgery can be completed as a single procedure, or in conjunction with procedures such as a facelift.
Eyelid reduction is typically recommended for men over age 35 who have dropping or baggy eyelids. If these physical traits are apparent in one’s family history, the procedure may be recommended for younger patients. The best candidates for eyelid reduction have reasonable goals for their appearance following the procedure.
During your consultation with Dr. Kotis, he will examine your eyelids and review your medical history to determine the best course of treatment in your situation. Records of recent eye exams and/or ophthalmologist visits are helpful in determining your treatment. If you use glasses or contacts, please bring them to your consultation.
At this time, Dr. Kotis will discuss with you the expectations you have for the eyelid reduction procedure. Together, it will be determined if both sets of upper and lower eyelids should be reduced, or just the upper eyelids or lower eyelids. Dr. Kotis will decide if skin and/or fat is to be removed and if other procedures would be appropriate to meet your physical and functional goals.
Before your procedure, Dr. Kotis will give you guidelines to follow as you prepare to undergo eyelid reduction. These guidelines address eating, smoking, and medications. You will require someone to drive you home following the procedure, so plan accordingly. You may also want someone to stay with you for assistance in the days following eyelid reduction surgery.
In most cases, eyelid reduction surgery is done under general anesthesia. If other options are available, Dr. Kotis will discuss them with you during your consultation.
A blepharoplasty procedure requires one to three hours in most cases. When all four eyelids are being reduced, Dr. Kotis typically performs blepharoplasty on the upper eyelids before moving to the lower eyelids.
Incisions are made along the eyelid’s natural creases and below the lower eyelashes. Incisions may extend to crow’s feet along the eye’s outer area. Dr. Kotis will separate eyelid skin from eyelid muscles, trimming away fat and skin while correcting sagging eyelid muscles. Extremely fine sutures are utilized to close all incisions.
Transconjunctival blepharoplasty may be performed when fat pockets exist underneath the lower eyelids, yet there is no skin to be removed. To deploy this technique, Dr. Kotis will make an incision within the lower eyelid; there will be no external scar. This technique is often used in younger patients with high skin elasticity.
The extent of an eyelid reduction surgery varies from patient to patient and affects the final cost. Dr. Kotis will inform you of the cost of the procedure during your consultation. We accept cash payment, checks, and major credit cards. Financing is available as well.
Once the eyelid reduction procedure is completed, the eyes are lubricated, and ice will be applied. Your head must remain elevated for several days to facilitate healing. All stitches will be taken out one week after the procedure; this typically allows patients to look and feel far better. Your recovery will be closely monitored by Dr. Kotis for the week or two following the procedure.
If you wear contact lenses, you cannot wear them for approximately two weeks following the procedure. They may be uncomfortable to wear even after the two-week period, so you may need to wear glasses longer for your comfort.
Activities such as reading and viewing TV is ok a day or two following the procedure. Typically, patients are comfortable venturing out in public and returning to work in about a week. At this point, if your healing is on track and if approved by Dr. Kotis, you may wear eye makeup. The Wind, sunlight and other irritants may cause discomfort for several weeks after eyelid reduction; always wear sunglasses and sunblock specifically for the eyelids when leaving the house.
Stick to light activities only for three to five days following your surgery. Strenuous activities should be restricted for at least three weeks – this includes any activity that would increase your blood pressure, such as bending, lifting weights, and active sports. Alcohol may also be restricted during your recovery, as it leads to fluid retention.
Dr. John A. Kotis is a renowned plastic surgeon, considered one of the most skilled in the Midwest. Dr. Kotis sees male plastic surgery patients in his practice’s Arlington Heights and Lakeview offices. If you’re a procedure, contact us today to set up a consultation with Dr. Kotis.Contact Us