Explore Plastic Surgery - Dr. Barry Eppley

On this week’s Doc Chat Radio show on WXNT 1430AM in Indianapolis from 12:00 - 1:00PM on Saturday afternoon, hosted by Dr. Barry Eppley Indianapolis plastic surgeon,  the topic of rejuvenation of the eyelid and brow area was reviewed. Known globally as Periorbital Rejuvenation, it includes the well known procedures of eyelid tucks (blepharoplasty) and browlifting. This area is the most common facial plastic surgery performed, exceeding even facelifts, rhinoplasties, and chin augmentation. Becuase the eyes are of great social significance, most people feel that they are their most important facial feature. The eye area is the first region of the face which shows aging. Rejuvenation of the eyelids and brows can make a big difference on one’s appearance.

 

Topics discussed with listener questions included blepharoplasty and its many variations for the upper and lower eyelids, browlifts, botox, injectable fillers, orbital implants, micropigmentation (permanent eyeliner), eyelash extensions, and Latisse eyelash growth stimulant.

 

Specific questions answered included:

What is blepharoplasty?

Blepharoplasty, or simply having your eyes done, is a popular procedure that can dramatically improve sagging upper eyelids and bulging bags in the under eye region. The delicate eye area is one of the first to be visibly effected by the aging process, causing a tired or fatigued appearance. Bllepharoplasty restores a refreshed and youthful look to your eyes. The lower eyelids achieve a smoother appearance. The droopiness in the upper eyelids is corrected. In addition to its cosmetic effects, those who are experiencing a decrease in their field of vision because of sagging upper eyelids may benefit from this procedure.

What can blepharoplasty do and not do for my aging eye appearance?

Excess hanging skin in the upper eyelids and bulging lower eyelid bags and excess skin are removed, freshening up one’s look and getting rid of that tired look. Blepharoplasty will not correct sagging of the brows, forehead furrows, or deep lines and wrinkles. These problems require additional solutions such as a browlift.

What is actually done during an eyelid lift?

During a blepharoplasty procedure, the excess skin, muscle and fatty tissue that have created a sad or tired appearance are simply removed through a tiny incision hidden in the crease of the upper eyelid and underneath the lashes of the lower eyelid. 

Can blepharoplasty be combined with other procedures?

A number of other cosmetic procedures may be safely performed at the same time as blepharoplasty. These include skin resurfacing, facelift, necklift, brow or forehead lift, neck and cheek fat removal.

Where are the incisions and scars after blepharoplasty?

Dr. Eppley makes a fine line incision in the upper eyelid crease. These incisions are made in such a way that they will heal into tiny, virtually hidden scar. For the lower eyelids, an incision can be made either on the inside of the eyelid (transconjunctival) or on the outside just underneath the eyelashes depending upon the amount of excess skin present.

How bad will I look after surgery?

Patients may expect to have some swelling and bruising for as little as one to two weeks. Patients sometimes experience temporary dryness, itching or burning of the eyes, excessive production of tears, a sensitivity to bright light, or blurred or double vision.

How much time should I take off work for my eyelid surgery?

I would recommend that one take off five to seven to ten days of work after their blepharoplasty procedure. The recovery is largely social. You can go back to work when you feel comfortable being seen. Mineral makeup is an excellent coverup for the temporary bruising which occurs. 

When can I return to working out after surgery?

Even though you be itching to get back, the healing process is a delicate time. You should cease your exercise regimen and avoid other strenuous activities for several weeks after your procedure. You may get back to full speed by three weeks after surgery.

When are the stitches removed after the blepharoplasty procedure?

Dr. Eppley uses sutures that are take out on the upper eyelid. On the lower eyelid,  resorbable sutures are used that are gone in a week or two.

What are the risks or complications associated with blepharoplasty?

Potential complications associated with blepharoplasty may include the following: bleeding, difficulty in completely closing the eyes, dry eyes, infection, pulling down of the lower lids, slight asymmetry in healing or scarring, swelling at the corners of the eyelids, temporary blurred or double vision, and milia. (whiteheads)

Q-Does insurance cover the cost of blepharoplasty?

If your blepharoplasty is performed solely to achieve a cosmetic benefit, insurance will not provide coverage. In such instances where your vision is being affected by drooping of the upper eyelids, insurance may cover part of the cost of the procedure.

 

Free plastic surgery consultation with Dr. Barry Eppley can be arranged by calling his Clarian North office in Carmel Indiana at 317-814-4100 or his Clarian West office in Avon Indiana at 317-217-2200.

Tags: blepharoplasty, browlift, doc chat radio show, dr barry eppley, eyelid tucks, indianapolis, plastic surgery