The most commonly done eyelid surgery is an upper eyelid blepharoplasty. The surgery takes less than half an hour and is done under conscious or general anesthesia with an anesthesiologist present. The excess skin and fat is removed from above the upper eyelid. Return to normal function is within days, and return to normal appearance is within weeks. Stitches are removed at 14 days postoperatively. Complications, such as excessive bleeding and scarring, are rare.

Medical Upper Blepharoplasty / Anterior Approach Ptosis Repair

Preoperatively, patients report that their heavy, droopy eyelids obstruct their vision. They often constantly raise their eyebrows, and/or tilt their head back (chin up) in order to compensate; they usually are unaware that they are doing this. They may notice an obstruction of their peripheral vision, either from above, to the sides, or both. Symptoms can vary by the time of day. With proper testing, photography, and measurements to document visual impairment, insurance (including Medicare) does pay for all or part of the surgical cost.

Cosmetic Upper Blepharoplasty

Preoperatively, patients typically report unattractive eyelids that make them look tired. They often are tired of being asked, “What’s wrong?” or “Are you okay?” They can be misunderstood socially, because their appearance may suggest negative emotions (sadness, anger, displeasure, stress, deception), although their true nature may in fact reflect none of these things.

We all acknowledge the importance of nonverbal communication, but few of us truly recognize how important a factor the upper eyelid appearance is when forming a first impression, or even making judgment calls about a person’s character. As you look at the following before-and-after photographs of my patients, ask yourself, what is this person feeling, is it positive or negative? Also ask yourself, who do I like more? Who do I trust?