Blepharoplasty
(Eyelid Lift)

An upper eyelid lift, or upper blepharoplasty, focuses on removing excess skin and fat from the upper eyelids. This procedure is designed to correct drooping or sagging upper eyelids that can create a tired or aged appearance and, in some cases, obstruct vision.

During the Procedure:

• Anesthesia: The surgery is usually performed under local anesthesia with sedation or general anesthesia, depending on the patient’s preference and the surgeon’s recommendation.
• Incision: The surgeon makes a small incision along the natural crease of the upper eyelid, ensuring that any resulting scar is well-concealed.
• Tissue Removal: Excess skin, muscle, and sometimes fat are removed to create a smoother, more defined eyelid contour.
• Closing the Incision: The incision is closed with fine sutures, which may need to be removed within a week after surgery.

Recovery:

• Initial Healing: Swelling and bruising are common and can be managed with cold compresses and prescribed medications.
• Return to Activities: Most patients can return to normal activities within 7-10 days, but should avoid strenuous activities for a few weeks.

An upper eyelid lift can result in a more alert and youthful appearance, with long-lasting results that enhance the natural beauty of the eyes.

A lower eyelid lift, or lower blepharoplasty, targets the removal of excess skin and fat from the lower eyelids, addressing issues such as under-eye bags, puffiness, and sagging skin. This procedure differs from an upper eyelid lift in its focus and technique.

During the Procedure:

• Anesthesia: The surgery is typically performed under local anesthesia with sedation or general anesthesia.
• Incision: The incision is usually made just below the lower lash line or inside the lower eyelid (transconjunctival approach), which leaves no visible scar.
• Tissue Removal: Excess fat is either removed or repositioned, and any excess skin is trimmed to create a smoother, firmer under-eye area.
• Closing the Incision: The incision is closed with fine sutures or left to heal naturally, depending on the technique used.

Recovery:

• Initial Healing: Swelling and bruising are common and can be managed with cold compresses and prescribed medications.
• Return to Activities: Most patients can resume normal activities within 10-14 days, but should avoid strenuous activities for a few weeks.

A lower eyelid lift can significantly reduce the appearance of under-eye bags and puffiness, resulting in a more rested and youthful look.

A Brow Lift, also known as a forehead lift, is a cosmetic surgical procedure aimed at raising the eyebrows to create a more youthful and refreshed appearance. The procedure targets sagging skin on the forehead, drooping eyebrows, and deep furrows or lines between the eyes. By lifting the brow, it can smooth out wrinkles, reduce the appearance of frown lines, and open up the eye area, giving the face a more alert and rejuvenated look.

Good candidates for a Brow Lift are typically individuals who:

• Have Sagging or Low Eyebrows: This can create a tired, sad, or angry appearance.
• Experience Deep Forehead Wrinkles or Frown Lines: These lines can develop due to aging, genetics, or repeated facial expressions.
• Are in Good Overall Health: Candidates should be free from serious medical conditions that could impair healing or increase surgical risks.
• Do Not Smoke: Smoking can interfere with the healing process and increase the risk of complications. It’s advisable to quit smoking several weeks before and after surgery.
• Have Realistic Expectations: Understanding the potential outcomes and limitations of the procedure is crucial for satisfaction with the results.

During the consultation, Dr. Geldner will evaluate your facial structure, skin elasticity, and overall health. He will discuss your aesthetic goals and determine the best surgical approach, which may include traditional brow lift, endoscopic brow lift, or temporal (limited incision) brow lift. Dr. Geldner will also explain the procedure in detail, including the expected results, risks, and recovery process.

Recovery from a Brow Lift typically involves some swelling and bruising, which can be managed with prescribed pain medications and proper post-operative care. Most patients can return to normal activities within one to two weeks, although strenuous activities should be avoided for a few weeks. Some numbness can occur but is usually short lived.

A Brow Lift can provide long-lasting results, enhancing your facial appearance and boosting your self-confidence. By choosing a qualified and experienced plastic surgeon such as Dr. Geldner and following their pre- and post-operative instructions, you can achieve a smoother, more youthful brow and a rejuvenated facial appearance.

Recovery after blepharoplasty involves several stages and requires careful management to ensure proper healing and optimal results. Here’s what to expect during the recovery process:

Immediate Post-Operative Care:

• Swelling and Bruising: Swelling and bruising around the eyes are common and typically peak within the first few days. Cold compresses and prescribed medications can help manage these symptoms.
• Suture Removal: If sutures are used, they are usually removed within 2-5 days after surgery.

First Few Weeks:

• Activity Restrictions: Patients should avoid strenuous activities, heavy lifting, and bending over for at least two weeks to prevent increased blood flow to the eyes.
• Follow-Up Visits: Regular follow-up visits with Dr. Geldner is essential to monitor healing and address any concerns.

Potential Risks:

• Infection: Keeping the surgical area clean and following post-operative care instructions can minimize the risk of infection.
• Scarring: Scars from the incisions are usually well-concealed within the natural creases of the eyelids, but some patients may experience more noticeable scarring.
• Dry Eyes: Some patients may experience temporary dry eyes or irritation, which can be managed with prescribed eye drops.
• Asymmetry: While every effort is made to achieve symmetry, there is a slight risk of uneven results that may require additional correction.

By closely following Dr. Geldner’s post-operative instructions and attending all follow-up appointments, you can ensure a smoother recovery and achieve the best possible results from your blepharoplasty.