As people age, the eyelid skin stretches, muscles weaken, and fat accumulates around the eyes, causing "bags" above and below. Technically know as blepharoplasty, this procedure can dramatically refresh your eyelids getting rid of that tired look. Eyelid surgery not only corrects problems caused by aging but also inherited traits that patients in their 20's and 30's have.

Blepharoplasty Ideal Candidates

• loose skin hanging down from the upper eyelids, perhaps impairing vision and hiding the natural folds of the upper eyelids
• a puffy appearance to the upper eyelids, making the eyes look tired especially in the morning
• excess skin and fine wrinkles of the lower eyelids
• bags and dark circles under the eyes, often with a depression along the bony border of the lower eyelids
• droopiness of the lower eyelids, showing white below the iris (colored portion of the eye)

Aesthetic eyelid surgery can usually correct these problems, though other treatments may also need to be considered. For example, if the upper eyelid condition is accompanied by sagging of the eyebrows, then a forehead lift may be recommended. Smoothing of crow's feet may require chemical peeling or laser resurfacing procedures. Circles beneath the eyes caused by dark pigmentation may be treated with a bleaching solution or chemical peel.

Blepharoplasty Surgery

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.

For the lower lids, an incision is made just below the lower lids which may extend in the crows feet so it will be well camouflaged. If just fat needs to be removed, Dr. Gartner uses a transconjunctival approach (from the underside of the lid) eliminating any visible scar.

Eye Lid Surgery Recovery

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 of surgery.

After the surgery, the upper eyelids no longer droop and the skin under the eyes is smooth and firm. Eyelid surgery has the effect of making you look more rested, refreshed and alert. Take a look at some before and after photos.