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Eyelid surgery, technically known as blepharoplasty, is a procedure that removes fat, excess skin and muscle from the upper and lower eyelids.

The surgery can correct drooping upper lids and puffy bags under the eyes that make you appear old and tired and that sometimes interferes with your vision. The effect is to give the eyes a more rested, youthful look with a brighter appearance.

If the upper lid condition is accompanied by sagging of the eyebrow, then a forehead lift can be combined to the eyelid surgery. This procedure is also frequently combined with a facelift if indicated.

The information provided will give you a basic understanding of the procedure but it can’t answer all of your questions, since a lot depends on your individual circumstances.

Frequently Asked Questions

Am I a good candidate for the surgery?

Your visit with Dr Larocque will determine if you are a good candidate. If you are in good physical and mental health with reasonable expectations you should be an appropriate candidate. Most candidates are over 35 years of age but if droopy, baggy eyelids run in your family, you may decide to have the surgery at a younger age.

What should I expect from my consultation?

During your consultation, you will learn about the surgery, its limitations and risks, and discuss your needs and concerns. This will help Dr Larocque understand your expectations and determine whether they realistically can be achieved. He will carefully examine your eyelids to assess the shape of the lids and asymmetries to determine what type of procedure would best maximize your result.

He will discuss your medical history and any medical problems that can influence the result of the surgery or its risks. Finally, you will meet with the patient coordinator to discuss the surgery fees and scheduling dates.

How is the surgery performed?

The surgery usually takes 1 to 2 hours to complete and is done under local anesthesia with sedation. Dr Larocque will make incisions following the natural lines of your upper eyelid creases and just below the lashes on the lower lids. He will separate the skin and muscle from underlying fatty tissue and conservatively remove a minimal amount of excess fat and trim the sagging skin and muscle if needed. Often a “lateral canthopexy” will be made to tighten the outer part of the eye. This makes the eyes appear youthful and fresh. If you have a small pocket of fat beneath your lower eyelids but don’t need to have any skin removed, Dr Larocque may perform a transconjonctival blepharoplasty. In this procedure the incision is made inside your lower eyelid leaving no visible scar.

How is the recovery like?

You should be able to return to work in approximately 7 to 10 days depending on your occupation and the extent of your surgery. Your bruising will resolve in the same period as will most of the swelling. Specific instructions will be given for an optimal recovery.

What should I know about my results?

You will see a noticeable difference in the shape of your eyelids soon after surgery. Some patients find that mild swelling persists for several weeks, while others may see swelling resolve in as little as one week. The scars from this procedure may remain slightly pink, depending on your skin tone, for six months. Eventually they will fade to a thin, nearly invisible line.