Eyelid Surgery FAQs

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Blepharoplasty, often called eyelid surgery, from Orlando facial plastic surgery specialist Dr. Kenrick Spence is one of the best ways to turn back the clock on the signs of aging around the eyes. With this procedure he corrects sagging upper eyelids and excess fat under the eyes. Dr. Spence is also exceptionally experienced in designing combined rejuvenating procedures, such as eyelid surgery with a brow lift. To help you learn more, he has answered the following frequently asked questions from his patients about this procedure.

Take the first step on your journey to enhancing your appearance beautifully and naturally. Request a consultation with Dr. Spence today. Or, you can give us a call at (407) 999-2585, and one of our knowledgeable staff members will be happy to help you.

Note: This information is not intended to be taken as medical advice; it is based on Dr. Kenrick Spence's many years of experience at his facial plastic surgery practice in Orlando performing eyelid surgery .

Eyelid Surgery Questions Answered by Dr. Spence

Which signs of aging can eyelift surgery improve?

The eyes often are portrayed as the windows to the soul — but they tend to reveal the signs of aging first. As you age, your eyes may be affected in two key areas: lower eyelids and upper eyelids; eyelid surgery can improve either area or both. On your upper eyelids, you may notice wrinkled skin, bulging fat pads, excess lower eyelid skin, and dark circles under your eyes. Your eyes also may show more of the white area. In addition, your upper eyelids may be impacted by bulging fat, drooping, excess skin, and an overall tired appearance.


Is surgery the only way to fix my aging eyelids?

No, various components of the signs of aging on your eyelids can be addressed with non-surgical treatments. For example, deep troughs beneath the eyelids can be filled with dermal fillers such as Restylane®, JUVÉDERM®, or Perlane®. Wrinkles on the eyelids can be removed with laser resurfacing or chemical peels, while dark circles due to pigment can be treated with topical skin care.


I would like all the excess skin removed from my lower eyelids. Is that possible?

The structure of the lower eyelids is delicately balanced. Consequently, removing all loose eyelid skin is not safe because it may cause the lower eyelids to pull downward, which causes the lids to turn out and excessive white to be revealed. This condition is known as ectropion. Consult a facial plastic surgeon skilled in eyelid surgery for an evaluation.


Can my eyelid surgery be done under local anesthesia?

Yes, it can be performed under local or general anesthesia. I recommend discussing your concerns with a plastic surgeon that specializes in blepharoplasty to determine which is best for you.

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I am only 25 years old but have these bags under my eyes. Can anything be done about this?

Yes, eyelid surgery can be performed to correct this condition. In fact, bags under the eyes from bulging fat can often be seen at a very young age. Because the outer eyelid skin is tight, I can remove the excess fat through a small incision inside the eyelid to avoid an external scar.


How long do I have to take off work for laser resurfacing to the eyelids?

Based on my experience with fractional laser resurfacing, my patients can return to work as early as four to seven days with the aid of a small amount of camouflage makeup.


Will eyelid surgery remove the wrinkles by the sides of my eyes called crow's feet?

No. In my practice, I use BOTOX® Cosmetic injections with laser resurfacing, which in my experience is significantly better than eyelid surgery for crow's feet.


My upper eyelids are very heavy. Can anything be done about that?

Yes, eyelids may appear heavy due to excessive amounts of upper eyelid fat or excessive skin. Both of these issues can be corrected with upper eyelid surgery.

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My left eyelid seems lower than my right. Can this be fixed?

Yes, eyelid surgery for this is called ptosis repair.


Do I have to have my brows lifted to do my eyelid surgery?

No, not all patients require a brow lift. Your plastic surgeon should evaluate your brow position to make that determination. If your eyebrows are already low, they will only go lower with the removal of upper eyelid skin


What is the recovery time for upper eyelid surgery?

Most eyelid surgery patients can return to work within just a few days of having their upper eyelids done under local anesthesia.


I do not have a crease in my upper eyelid. Can this be added?

Yes, creating a crease in the upper eyelid can be done either under local or general anesthesia.

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I had eyelid surgery years ago, and they cut out a lot of skin. There is a lot of white showing. Can I have eyelid surgery again?

Yes, a plastic surgeon skilled in revisionary eyelid surgery can reconstruct your eyelids to create a more youthful appearance by raising the lower eyelids.


I have severe "dry eye." Can I get cosmetic eyelid surgery?

Patients with the condition known as dry eye are at risk of worsening that condition if they have lower eyelid surgery.


I just had the LASIK procedure. Can I have lower eyelid surgery?

I prefer to wait between several weeks to several months before performing lower eyelid surgery on patients who have had the LASIK procedure.


How can I best prepare for cosmetic eyelid surgery?

Notify your facial plastic surgeon about all pre-existing conditions associated with your eyes. Be sure to note if you have a history of dry eye or thyroid problems. In addition, inform your surgeon if you have had LASIK or are taking hormones.

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