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Blepharoplasty

Blepharoplasty or eyelid surgery is a surgical procedure to improve the appearance of the eyelids. Eyelid surgery can be performed on the upper lids, lower lids, or both. This surgery repairs droopy eyelids and may involve discarding excess skin, fat, and muscle.

Face Blepharoplasty (Upper and Lower Eyelid Surgery)
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Blepharoplasty in Mississauga,
Burlington, North York & Toronto

Whether you want to improve your appearance or are experiencing functional problems with your eyelids, eyelid surgery can renew the area surrounding your eyes. Eyelid surgery can be performed on adults of all ages.  Patients undergo this procedure to correct problems issues that are a result of aging, while others have inherited traits that cause them to seek treatment as early as their 20s or 30s. Because of individual factors, not everyone will achieve the same results from Eyelid Surgery. Your GraceMed surgeon will select the surgical technique that he feels will obtain the best outcome for you.

What Is Eyelid Surgery?

An eyelid lift, also known as Blepharoplasty, is a quick procedure for both men and women. If you look tired after a full night’s sleep, or if you look in a mirror and see too much fullness/sagginess of the upper lid area or hanging skin, you are certain to benefit from an eyelid lift. Eyelid surgery is beneficial to those who would like to reduce the appearance of wrinkles, reduce puffy eye bags, and remove the heaviness of the eyelid. This results in a rejuvenated, youthful appearance.

Upper Eye Blepharoplasty Procedure

The operation is performed under local anaesthesia. You are conscious and aware during the procedure but will feel no pain whatsoever. Excess skin on the eyelids is removed. If there is excess fat behind the muscle (usually on the inner corner of the eye) or under the eyebrow, it is also removed.

The opening is delicately closed with a very fine thread, which is barely visible at the edge of each incision. These sutures will need to be removed five to seven days later by either your surgeon or nurse.

Lower Eye Blepharoplasty Procedure

There are several surgical techniques used to improve the appearance of lower eyelids and correct the bags under the eyes. During the consultation, your GraceMed surgeon will discuss which one is best suited to your face and expectations.

Trans-conjunctival blepharoplasty:

Trans-conjunctival blepharoplasty consists of removing the pockets of fat on the lower eyelids through an incision at the level of the conjunctiva, therefore avoiding an external incision through the skin and leaving no obvious scar. This is a very effective procedure, but only a slight tightening of the skin of the lower eyelid is possible with this approach. As such, it is often combined with other non-invasive treatments such as CO2 laser resurfacing or radiofrequency treatments, which can improve eyelid skin.

Subciliary blepharoplasty:

The subciliary approach requires a 2-mm incision below the lash line to remove extra skin and to tighten and lift the skin and the muscle. The incision is made parallel to the edge of the lower lid leaving a very discreet scar.

This procedure is an effective way to renew the lower eyelids and remove excess fat and skin. In certain cases, this procedure must be combined with canthopexy (eyelid tightening).

Complementary treatments

Certain surgical or non-invasive procedures can be combined with lower blepharoplasty to optimize the results. These procedures include:

  • Canthopexy: this is a surgical procedure that suspends and tightens the lower eyelids to fight the effects of aging.
  • Laser skin resurfacing: This procedure improves skin texture, treats minor facial flaws on the lower lids, reduces fine lines around the eyes, and moderately tightens the skin.
  • Injection of autologous fat: this procedure consists of removing fat by liposuction from an area of your choice (stomach, thighs, etc.) and reinjecting it into certain parts of the eyelids such as the tear trough (dark circles), or where the cheek and the lower eyelid meet, to refine results and soften the transition between the eyelid and the cheek.
  • Dermal Fillers: similar to autologous fat injections, fillers make it possible to refine results, shape, and effectively treat pronounced dark circles.
  • Botulinum toxin injections (Botox, Dysport, Jeuveau): these injections can erase or reduce crow’s feet and wrinkles.

What Areas Can Be Treated With Eyelid Surgery?

After your eyelid lift, you can see more defined upper lid areas and wear eyelid makeup more effectively. Lower eyelids will appear smoother with fewer lines. As a result, you will look more rested and refreshed. Depending on your problem areas, which is the surgery option that addresses both the lower and upper eyelids, or simply have either a lower or upper eyelid blepharoplasty performed depending on your area of concern.

Aside from the cosmetic benefits of this procedure, Blepharoplasty has benefits beyond this. Eyelid surgery can be performed for practical reasons too, such as heavy, drooping eyelids that lead to vision impairments. Patients who have their vision impaired by loose skin on the upper or lower eyelids will need a functional blepharoplasty completed in order to restore complete peripheral vision. This procedure has been specially designed to improve vision or to allow patients to be able to wear contact lenses or glasses again. Even if enhancing the cosmetic appearance is not the end goal, your results will make you appear refreshed and more youthful.

How Do I Prepare For Eyelid Surgery?

In preparation for your eyelid surgery, you may be asked to stop smoking a few days prior to the procedure. We also recommend patients avoid taking aspirin or other inflammatory medications as they can increase the amount of bleeding and bruising after the procedure. Patients will be allowed to return home on the same day following their surgery, so be sure to arrange for a friend or family member to take you to and from surgery.

Upper Eyelid Bleph

Upper eyelid lift surgery allows your surgeon to remove excess skin and fatty tissue that creates the appearance of droopy, inflated eyelids. While the fat deposits, loose skin, and drooping of the eyelids typically occur due to the natural aging process, this simple procedure can reverse the hands of time to restore a youthful, refreshed appearance. Also, the fat underneath the skin can protrude, which causes abnormal puffiness of the upper eyelid, and this can happen early on in life. For Upper Eyelid Surgery, generally, an incision is hidden within the natural fold of the upper eyelid and extends slightly beyond the outside corner into the laugh lines or other existing creases. Through this incision, excess skin and fatty tissue are removed. Because the incision follows the natural contour of the upper eyelid, it will be well camouflaged when healed.

Lower Eyelid Bleph

Lower eyelid surgery will correct puffiness, bags, and fine wrinkles in the lower eyelids. Upper eyelid surgery is performed similarly in most patients, lower eyelid surgery is performed in many ways. The reason for that is the anatomy of the lower eyelids and, the changes brought about by aging present challenges that are totally unique. For Lower Eyelid Surgery, often an incision is hidden just below the lower lashes. Through this incision, excess skin, muscle, and fat are removed, or fat may be redistributed to eliminate puffiness or bulges. Other adjustments to correct special problems such as muscle laxity may be performed. Like Upper Eyelid Surgery, the incision is hidden by natural creases.

Double Eyelid Surgery

Double eyelid surgery is a unique segment of Asian plastic cosmetic surgery and concerns the formation of the double eyelid. Many Asians are born with a single eyelid fold. The eyelid skin can encroach on the eyelid margin and eyelashes and make the eye look smaller. The creation of a double eyelid can decrease this anatomical variant and give the eye the appearance of being larger and more open. The double eyelid crease makes the eye look bigger because of the shadow it creates on the face. This shadow associates the darker iris (in contrast to the stark white sclera) to give the illusion of a bigger eye.

Facelift with a Blepharoplasty

Not all patients are candidates for the combined procedure of a Facelift and Blepharoplasty.  However, our team at GraceMed can recommendations based on experience performing eyelid surgery, facelift surgery, and neck lift procedures. When you visit a GraceMed surgeon for a consultation, we will make an assessment of your overall health, skin, health, and surgery objectives. This combined procedure can be performed for suitable candidates.  The decision to have eyelid surgery or a facelift first or even both simultaneously depends on the patient’s health, lifestyle, aging, skin laxity, and other variables.

What should I expect after an Eyelid Lift?

The eyes are often the first place to show signs of aging. The aging process, environmental exposure, sun, and stress can accelerate changes to your eyes that can make you look older and more tired than you really are. Eyelid surgery is an option for those who would like to reduce the appearance of a heavily wrinkled upper eyelid, puffy under-eye bags, and loose skin surrounding the eye area for a dramatic fresh appearance.

Eyelid surgery is not designed to address the outer corners of the eyes, or where crow’s feet tend to form. A blepharoplasty procedure will especially benefit those who have excess skin and reduce the appearance of puffy eyes. The upper eye area can be affected and weighed down by the eyebrows pushing the skin down toward the eye. Because of this, a brow lift (forehead lift) can further enhance the look of the eyes and of the “crow’s foot” area beside the eyes, which will complement this procedure very well. Fillers may help the lower lid area to improve hollow areas or hide bags. Our Lines & Wrinkles Treatment enhances the eye area by lessening crow’s feet and other lines, lifting the brows, or correcting the frown lines. Facelifts can help you achieve total facial rejuvenation.

Blepharoplasty Recovery

Straining, bending, and lifting should be avoided during the early postoperative period. In many instances, you will be able to resume most of your normal activities within ten days or less. Although you might feel like going back to work just a few days after surgery, your vision may still be slightly blurry which could make reading or other paperwork more difficult. You should not wear contact lenses for a week or two.

Procedure Overview

Lower Eye Surgery Treatment Timeline

Objective: To remove excess skin and fat from the lower eyelids, correct under-eye bags, and treat dark circles.
Anaesthesia: Local / general
Procedure duration: 45 minutes to 1.5 hours
Pain level: 3/10
Recovery time: 1 to 2 weeks
Resumption of physical activities: 2 weeks

Upper Eye Surgery Treatment Timeline

Objective: To remove the excess skin and fat from the upper eyelid, which makes you appear older and can interfere with your vision.
Anaesthesia: Local
Procedure duration: 45 minutes
Pain level: 1/10
Recovery time: 1 week
Resumption of physical activities: 1 week

GraceMed Clinics that Offer Blepharoplasty

Blepharoplasty is offered these GraceMed Clinics:

Generally, most people who have this procedure are extremely happy – Eyelid Surgery has a 95% “Worth It” rating on RealSelf.

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Before / After

GraceMed Lower Blepharoplasty
Lower Blepharoplasty
Upper Blepharoplasty 1
Upper Blepharoplasty
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Locations this procedure is offered

Central Burlington

481 John Street Ste. 200,
Burlington, ON, L7R 2K8
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North York

1333 Sheppard Ave E,
North York, ON M2J 1V1
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Mississauga – McLean Clinic

50 Burnhamthorpe Rd W Suite 343,
Mississauga, ON L5B 3C2
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Commonly Asked Questions

How will I look after my eyelid lift?

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. The first evening after surgery, you should rest quietly with your head elevated.  Your GraceMed surgeon may instruct you to apply cold compresses to your eyelids.  Remember, you must not take aspirin or certain anti-inflammatory medications.

Initially, you may feel a “tight” sensation around the eyes and some mild discomfort that can be controlled with oral medication.  During the first 48 hours following surgery, patients experience varying degrees of swelling and bruising.  Some patients find that mild swelling persists for several weeks, while others may see swelling resolve in as little as one week.  Bruising typically disappears within seven to ten days.  Within the first week, you will be permitted to use makeup, if desired, to conceal any discoloration.  Stitches are usually removed within a week after surgery.

Your vision may continue to be somewhat blurry for a few days or longer.  Your eyes may be temporarily sensitive to light, and you may experience excess tearing or dryness.  You may want to wear dark sunglasses for a couple of weeks to protect your eyes from wind and sun irritation.

Why would I want eyelid surgery?

Our patients choose blepharoplasty to reduce the appearance of bags or puffiness under their eyes, to correct sagging and tired-looking eyelids, and to restore peripheral vision that has been impaired by severely droopy eyelid skin.

Can Blepharoplasty surgery fix my impaired peripheral vision?

Eyelid surgery only fixes peripheral vision that is obstructed by sagging eyelids. There are many causes of impaired peripheral vision loss such as occlusions, glaucoma, detached retina, or even nerve compression. If you are experiencing peripheral vision loss, make sure you make an appointment with your eye doctor for an examination and proper diagnosis.

When can I resume my normal activities after my eyelid surgery?

Straining, bending and lifting should be avoided during the early postoperative period.  In many instances, you will be able to resume most of your normal activities within ten days or less.  Although you might feel like going back to work just a few days after surgery, your vision may still be slightly blurry which could make reading or other paperwork more difficult.  You should not wear contact lenses for a week or two.

When should I see results of my eyelid surgery?

Eyelid Surgery has the effect of making you look more rested, refreshed and alert.  Since the healing process is gradual, you should expect to wait at least several weeks to get an accurate picture of the results of your Eyelid Surgery.  Incisions will fade over a number of months until they become barely visible.

How long will my eyelid surgery results last?

The results of Eyelid Surgery are long-lasting, but they may be affected by your heredity and lifestyle factors. Removal of fat from your eyelids, which is usually the cause of puffiness and bags, is permanent, and these conditions generally will not recur. The skin continues to age, however, and skin laxity along the fine wrinkling of the eyelid area may, at some point, return. Sometimes a loss of tone in the forehead causes additional sagging of the eyebrows, which mimics a recurrence of drooping upper eyelids. This condition can be resolved by pursuing a secondary eyelid lift or forehead lift in Burlington.

Even though the aging process continues, patients are usually happy with their appearance for many years following eyelid surgery.  Some patients find that they want to make additional improvements at a later time.