The eyes are a central focus of our face. They convey emotion, and communicate with others.
What happens to our eyes as they age?
The orbital septum, which is a membranous sheet in the eye, can weaken, allowing the protrusion of orbital fat and creating “bags” under the eye or in the upper eyelid. The skin may develop wrinkles. The orbicularis muscle, which is the main muscle of the eyelid, may weaken and descend, in addition to the cheek fat pad. This weakening and descent of the cheek and fat herniation of the lower eyelid may create significant hollows under the eyelids or the “tear trough” deformity. These changes in the skin or fat around the eyes can produce noticeable signs of aging. This can result in a tired or aged look.
Eyelid surgery, or blepharoplasty, can produce dramatic results, rejuvenating the eyes and making you look more refreshed and rested. It is very important in blepharoplasty surgery to be conservative, since the excessive removal or skin or fat can create long term functional and aesthetic consequences.
What is an Upper Blepharoplasty?
An upper blepharoplasty is best for patients with crowding of the upper eyelid due to hanging skin or fat herniation. Occasionally, an upper blepharoplasty is performed with a browlift for patients with sagging of the forehead, brow, and upper eyelid, causing increased heaviness of the upper eyelids An upper blepharoplasty is occasionally performed with a ptosis repair, for patients with droopy eyelids. Aging can also create a hollow appearance to the eyelid region, and fat grafting can be performed in addition to blepharoplasty to create the best results..
Procedure details: This patient was bothered by the tired look to his eyes. Dr Harirchian performed an upper blepharoplasty, lower blepharoplasty, and fractional Co2 laser resurfacing of his eyelid skin.
What is a Lower Blepharoplasty?
A lower blepharoplasty is best for patients with puffiness of the lower eyelids, wrinkling of the lower eyelid skin, and/or hollowing or shadowing of the lower eyelid. Dr Harirchian performs a lower blepharoplasty through a hidden incision on the incision of the eyelid, called a “transconjunctival approach.” Through this approach, the protruded lower eyelid fat can be either be removed or repositioned to fill in adjacent hollows in the lower eyelid/cheek region. A very conservative amount of lower eyelid skin can be removed through a “skin pinch” technique. Additional procedures may also be performed as needed, such as fractional Co2 laser resurfacing, canthoplasty or fat grafting to the midface, for the most natural and best results.
Procedure details: This patient had undergone a previous lower blepharoplasty by another surgeon, resulting in a hollowed look under the eyes due to excessive fat removal. In addition, she had mild crepiness of the skin of the upper eyelid, as well as hollowing of the upper eyelid bony region due to normal aging. Dr Harirchian performed a conservative upper blepharoplasty with fat grafting to the upper eyelid & brow region. In addition, she performed a revision blepharoplasty with fat grafting to the lower eyelid and cheek region, as well as a full face fractional Co2 laser resurfacing procedure. This procedures added volume to the patient’s eyes and cheeks while addressing the patient’s crepey skin, creating a more youthful and rejuvenated appearance.
Corrective Surgery for Droopy or Puffy Eyelids
If you are bothered by drooping or puffy eyelids, you can trust that Dr. Harirchian carries the knowledge, experience and skill to successfully reverse your tired and aged appearance. When it comes to your upper or lower blepharoplasty, she will choose a surgical approach that will best fit your unique needs. In general, blepharoplasty incisions heal exceptionally well and are hidden in the natural creases around the eyes. Dr. Harirchian understands how to correct and improve this thin, delicate skin of the eyes in a way that produces the most sustainable, youthful and natural looking results.
To learn more about corrective surgery for droopy or puffy eyelids, please contact our office today to schedule a consultation with Dr. Harirchian. We perform a full menu of cosmetic eye procedures for both men and women in Houston.