Blepharoplasty is a general surgical term that includes many different procedures all aiming to improve and rejuvenate the eyes. Eye surgery or blepharoplasty, offered at our Orange County cosmetic surgery office, is one of the most common cosmetic surgery procedures performed today. Eye lift or eyelid lift adresses the droopy upper eyelids and puffy lower eyelid bags which are the first signs of facial aging that in the face may be interpreted by others as tired, angry, and uninterested. In today’s society, physical appearance is important in meeting new people and also excelling in your work environment.
Eyelid rejuvenation represents a gamut of procedures including CO2 laser skin resurfacing to remove fine lines and wrinkled skin, reducing the fatty bags of the lower eyelid through excision of the fat and removing the droopy and excess skin over the upper and lower eyelids, and most importantly using fat and other fillers such as (Restylane, Juvederm,..) to replenish the lost volume to improve the hollows of the eye area that occur with aging.
This upper eyelid surgery is performed in our office under local anesthesia or I.V. sedation and generally takes between 1-2 hours. Dr Roham performs his upper eyelid lifts with the use of CO2 laser to make his incision in order to minimize bleeding and optimize recovery. Using the CO2 laser, excess skin, muscle, and fatty tissue that tend to accumulate are removed from the upper eyelids.
The upper eyelid surgery incision is hidden in the natural creases above the eyelids. One fine stitch is used to close the incision which will be removed subsequently.
The recovery from this procedure is minimal, stitches are removed in 5-6 days and the patient can resume normal activity within one week.
The lower eyelid lift can be very effective at targeting the signs of tiredness and aging from the eyes by removing the excess fat and wrinkly skin. The latest advances in Blepharoplasty or eyelid rejuvenation involve conservative removal of herniated fat and skin with Co2 Laser resurfacing of the wrinkly skin. Most importantly Dr. Roham believes in replenishment of the lost volume around the eyes using your own body fat or dermal fillers (Restylane, Juvederm). This combined approach for lower eyelid surgery that is used by Dr. Roham tends to avoid the operated look and create a very natural youthful almond shape to the eye. Dr. Roham’s goal in eyelid surgery is to create a more youthful look and not a tight and operated one. For lower lids, we also use local anesthesia or I.V sedation with the procedure taking typically between 1-2 hours. In lower eyelid surgery, the bulging fatty tissue is removed through a transconjunctival approach which means that the surgery is performed through the inside part of the eyelid so that no external visible scar is created. Then the skin is tightened using the CO2 laser resurfacing.
If Dr. Roham finds that the patient has significant amount of skin drooping, then he might elect to perform the procedure through a transcutaneous approach which means that the incision is made in a crease about 1mm underneath the lash line so that it can be completely hidden and camuflaged. The excess fat and skin can be removed through the incision and a tiny absorbable stitch is placed to close the incision. Recovery is generally between 5-6 days.
This is a minimally invasive procedure that improves dark cirles, small lower lid bags, and hollows around the eyes without surgery. This procedure can be done either with your own body’s fat or by using synthetic dermal fillers (such as Restylane, Juvederm).
Fat is better for people that have thin skin or need a lot of volume and is performed by removing fat using a needle under local anesthesia or I.V sedation from an undesired location and replacing it back into face and around the eyes to recreate a smooth, natural and rejuvenated look.
Another option are synthetic dermal fillers, better suited for younger patients with thicker skin. Restylane and Juvederm are used to fill around the bags and in the hollow areas to create a smooth look from the eyes down to the cheeks