Loose, redundant skin around the eyes can make you look
and feel much older than you are. The presence of periocular
puffiness and sagging skin is associated with fatigue and sadness,
and often the outside appearance doesn’t mesh with what you
may feel on the inside. Patients seeking to change this perception
and obtain a more energetic and youthful look often elect for a bleparoplasty, or eyelid surgery.

This procedure, performed under local anesthesia, is performed
in the office. For the upper eyelids, the surgeon places fine
incisions in the natural eyelid crease. A thin crescent of excess
skin is removed and additional muscle or fat may be sculpted.
The incisions are closed with very fine sutures. To remove the
fatty deposits beneath the eyes, there are a variety of approaches. Incisions can placed inside the lower eyelid known as the transconjunctival approach, into the skin itself below the eye,
or immediately below the hairs on the lower lid, the subciliary approach. Which surgical method that is utilized depends upon
each individual patient, and what needs to be corrected to
restore a younger appearance.