Some people have eyelid surgery to correct problems that are a result of
aging, while others have inherited traits such as under eye bags that
cause them to seek treatment in their 20s or 30s.

If the upper eyelid condition is accompanied by sagging of the eyebrows,
then a forehead lift may be recommended. Smoothing of crow's feet may
require chemical peeling or laser resurfacing procedures. Circles beneath
the eyes caused by dark pigmentation may be treated with a bleaching
solution or chemical peel. Alternately, sinking around the bony orbit below
the eye can be addressed with fat grafting.

High blood pressure, thyroid problems or diabetes are some of the
conditions that can increase the risks of eyelid surgery. Dr. Gendler will
ask if you have allergies and if so, how they affect your eyes. We will also
need to know if you have been told that you have "dry eye" or any other
eye problems.

Dr. Gendler will discuss two different approaches to lower lid surgery: one
uses an external incision and the other is performed from inside the lower
lid. Your age and the extent of the fatty deposits you have will determine
which approach is used.

An incision is hidden within the natural fold of the upper eyelid for upper
eyelid surgery and it is through this incision that excess skin and fat are
removed. Because the incision follows the natural contour of the upper
eyelid, it will be well camouflaged when it is healed.

For lower lid surgery the incision is usually hidden below the lower
lashes. Through this incision, excess skin, muscle and fat are removed.
Fat may also be redistributed to eliminate puffiness or bulges. Other
Adjustments such as canthopexy may be made to correct special
problems such as muscle laxity.

You and Dr. Gendler may decide that the best approach for removing
excess fat is a technique that needs no external incision. This procedure
is called transconjunctival lower blepharoplasty. While it is a good
approach for younger patients, it cannot be used to remove excess skin
so a laser may be used in conjunction with this method to tighten the
skin under the eyes.

After your surgery, you may have a feeling of dryness or irritation in the
eye. This may require treatment. There is also a chance of a temporary
reduction in eyelid sensation or impaired eyelid function. Impaired lid
function can be treated with additional surgery.

Mild swelling persists for several weeks in some cases while others see
swelling resolve in just seven days. Bruising normally disappears in seven
to ten days and you may use makeup within the first week to hide
discoloration.

You may find your eyes are temporarily sensitive to light. You may also
experience some excess tearing or dryness. Dr. Gendler may
recommend eye drops to relieve burning or itching. You may want to wear
dark sunglasses for a couple of weeks to protect your eyes from the wind
and sun.

The incision lines will fade over several months until they become barely
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