Eyelid Surgery


We’ve all probably heard the old adage that “the eyes are the windows to the soul.” It’s true, in that most people tend to focus on your eyes when they talk to you, and your eyes may be the first thing someone notices. But if you have lines and wrinkles around your eyes, or suffer from loose, sagging skin or excessive puffiness and bags, your eyes may be the last thing you want people to look at.

As the aging process progresses, several issues can contribute to a perpetually tired or aged appearance. Eyelid surgery (also known as blepharoplasty) is a corrective procedure used to reduce dark circles or “bags” under the eyes, remove excess wrinkles, and provide a more youthful appearance around your eyes.

An eye lift (or blepharoplasty) can rejuvenate and lift the skin and other soft tissue around your eyes, leaving you with a more refreshed, rested and youthful appearance. An eye lift can remove or reposition drooping skin and excess fat, eliminating bags and tightening the skin under your eyes, restoring harmony to your facial features. Blepharoplasty surgery can be performed alone or in conjunction with other facial procedures such as a facial rejuvenation or rhinoplasty. And for further enhancement, injectable fillers and fat grafting may also be used to diminish the appearance of hollows below the eyes.

Reasons to Consider an Eyelid Surgery

Did you know that the thinnest skin on your body is found around your eyes? The average thickness of your epidermis is .1 mm, but the skin around your eyes is only .05 mm, making it much more delicate and susceptible to damage. As you age, that skin not only begins to lose elasticity and stretch, but the muscles that provide support to your eyelids also begin to weaken. The result is excess tissue that hangs over your upper lid and below your lower lid, leaving you with:

  • Dark circles or bags under the eyes
  • Excess skin or wrinkles surrounding the eyelids
  • Excess skin on your upper lids that interferes with your vision
  • A perpetually tired or angry appearance

While the combination of gravity and age is a tough adversary to fight, taking care of your eyes can help to prevent these issues, or at least keep them at bay for a bit longer. A number of other factors can also contribute to loose eyelid skin, including:

  • Tugging or pulling at the skin around your eyes – Years of chronic or less-than-gentle treatment of the skin under your eyes can eventually cause permanent wrinkles and stretching.
  • Fat Prolapse – There are natural pads of fat both above and below your eyes. As the muscles in your eyelids weaken, they are unable to support those fat pads, and the result is drooping eyelids.
  • Genetics – Sagging eyelids are something that may be passed down in your family, so if your parents or grandparents have them, chances are you are more prone to them as well.
  • Fluid Retention – Allergies, salt and alcohol are just three causes of fluid buildup around your eyes, leaving you with puffy bags and stretched skin.
  • Lifestyle – Smoking, sun damage and improper eye care are just a few of the lifestyle choices that help accelerate the aging process, and the effects are especially noticeable around your eyes.

What To Expect from Your Procedure

When your eyelids begin to droop, it can be because of several factors, (some of which may include a potentially serious medical condition) so the first step in addressing sagging eyelids is to consult with your general practitioner to ensure that your issues aren’t caused by something other than age. Once you’ve determined that your drooping lids are merely a result of the natural aging process, you can take the next step toward fixing the problem.

Blepharoplasty is performed as an outpatient procedure an involves tiny incisions made in the natural contours around the eyes, designed to leave no visible scarring. Dr. Marotta will usually work on the upper eyelids first to remove any excess tissue, remove or reposition fatty deposits, and tighten the eyelid muscles. Lower eyelids are completed next with an incision placed just under the lash line. Dr. Marotta will remove any excess skin and fatty deposits, eliminating puffiness and reducing dark circles. If necessary, laser treatments may be used to further smooth lower eyelid areas, and newer techniques may include Botox injections to firm fine lines and wrinkles and enhance your results.

Blepharoplasty surgery typically takes about one to three hours and is performed right in our office using either general anesthesia or local anesthesia with sedation. If additional cosmetic procedures are being performed in conjunction with your eyelid lift, your surgery may last longer.

Eyelid Surgery Recovery and Results

Once your surgery is complete, Dr. Marotta will provide you with detailed post-operative instructions for caring for the incisions around your eyes. While complications are rare, patients can minimize the risk for potential problems by carefully following the post-operative directions given after the surgery. Patients may experience mild discomfort and some minor bruising and swelling at first, as well as dry or irritated eyes around the incision sites, but these are temporary issues and will resolve on their own. However, if these side effects persist or seem abnormal, call our office to follow-up and ensure that you are healing properly.

It typically takes around seven to ten days of rest and limited movement before you are cleared to return to your daily activities, and it will take about two weeks for any bruising and swelling you experienced to dissipate entirely, although any residual bruising can be easily covered with makeup. Once your final results are visible, they are considered long-lasting – you will notice a more rested and youthful appearance, as well as improved vision once the obstruction of the sagging skin has been removed. However, it is important to remember that you may eventually see minor changes to your results as you continue to age naturally. Proper care of your eyes, a healthy lifestyle and the use of sunscreen will also go far in helping to extend your blepharoplasty results.

Why Choose Dr. Marotta?

Dr. James Marotta has devoted his entire professional career to perfecting facial procedure techniques. He holds dual-board certification from both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology – Head and Neck Surgery. When you choose Marotta Plastic Surgery Specialists for your blepharoplasty, you can undergo surgery with confidence, knowing that you are working with a Long Island plastic surgeon who is committed to your safety and satisfaction, and who will implement the most sophisticated and effective treatments to achieve the best possible results.

If you have sagging eyelids and bags under your eyes that are making you look older than you feel or that are negatively affecting the function of your eyes, blepharoplasty may be the solution for you. Call Marotta Plastic Surgery Specialists today at 631-419-3164 to schedule a consultation with Dr. Marotta.