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Our skin loses elasticity as we age due to the reduced production of collagen. The skin of our eyelids can start to sag due to loss in elasticity. Sometimes the eyelid can droop so much that it gets in the way of vision, especially in older patients.

The muscles around our eyes may also weaken, making them less suitable to support the surrounding fat, which sags as a result. Sagging fat creates eyelid puffiness. Puffy drooping eyelids can create a constantly fatigued appearance.

Blepharoplasty is a surgical solution to these problems, removing excess tissue from the eyelids to rejuvenate them. People choose blepharoplasty for cosmetic reasons and to remove the drooping skin that blocks their peripheral vision.

The Blepharoplasty Procedure

Blepharoplasty is performed under either local or general anesthesia. Local anesthesia means the area around your eye will be numbed but you will still be able to see everything. Local anesthesia is supplemented by oral or intravenous sedatives, so you will be relaxed and drowsy.

General anesthesia is provided intravenously and will put you to sleep during the procedure. It is reserved for the more complicated forms of the procedure.

If you are undergoing surgery on all four eyelids, the doctor will start with the upper eyelids and then move to the lower lids.

On the upper eyelid, the incision is made along the natural line at the top of the lid. When the doctor works on the lower eyelid, he either makes an incision inside the lid or on the outside of the lid on the lash line.

The excess skin is removed, excess muscle tissue is trimmed as needed, and excess fat is removed or repositioned to reduce puffiness. The incisions are then stitched closed with tiny seams.

Preparation for the Procedure

To prepare for the procedure, your doctor may advise you to eat light and stay away from food and minimal water after midnight prior to the day of surgery. It is best that the patient arranges to have someone drive them home after the procedure and even stay a few nights at their house while they recover.


During the recovery period, swelling, redness, and soreness may arise but should disappear within two weeks. The sutures will dissolve on their own. If your stitches need to be removed, you may have to return for a follow-up visit after a few weeks to get this done.

After the eyelids have fully healed, you will be able to enjoy more youthful and awake appearance. Many express great satisfaction with the results of blepharoplasty. Results can last anywhere from five years to a lifetime.

The doctor will likely provide precautionary advice such as refraining from smoking, excessive exercise, swimming, and certain medications during the healing process. They may also advise that you maintain a certain posture while sleeping and use ice packs on the area for a few weeks.

Take the First Step

Deal with eyelid puffiness and sagging skin once and for all – contact Marietta Plastic Surgery and schedule your informative blepharoplasty consultation today. You’ll be glad you did.

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