Eyelid Surgery Morristown New Jersey - Blepharoplasty Morristown

Eyelid Surgery

Blepharoplasty is a procedure performed on the eyelid that can remove excess skin, muscle or fat  from the from the lower and/or  upper eyelids. It can correct puffy bags below your eyes and drooping or hooding of the upper lids–both things that make you look more tired and older. These conditions may interfere with your vision. The eyelid is a complex trilaminate structure of outer skin, a middle layer of muscles and an inner layer of conjunctival mucousa.  Blepharoplasty eyelid procedure can be done alone, or combined with other facial procedures, like a facelift or brow lift.

Click here to see select before and after photos of Dr. Weinstein’s Eyelid Surgery cases.

Eyelid Surgery Before & After
Before
Eyelid Surgery Before & After
After

*Results May Vary

Am I a candidate for for an eyelid procedure?


A blepharoplasty procedure can enhance your self-confidence and appearance. The best candidates are women and men who are psychologically stable, physically healthy and realistic in their expectations. Most patients are 35 years old or older. However, some patients decide to have an eyelid procedure at a younger age if baggy, droopy eyelids run in their family.

As people get older, fat accumulates around the eyes, the muscles weaken, and the eyelid skin stretches, causing “bags” both above and below the eyes.

Some medical conditions make an eyelid surgery more risky. These conditions include thyroid problems like Graves’ disease and hypothyroidism, high blood pressure, dry eye or lack of enough tears, circulatory disorders, diabetes, and cardiovascular disease. A glaucoma or a detached retina is also a reason for caution. You may need to be checked by an ophthalmologist before your procedure.

What are the risks involved with eyelid surgery?

Complications are minor and infrequent when an eyelid surgery is is performed by Dr. Weinstein a qualified plastic surgeon. However, there are always risks involved with every surgery. The following risks should be considered:

  • Infection or a reaction to the anesthesia
  • Double or blurred vision for a few days
  • Temporary swelling at the corner of the eyelids
  • Slight asymmetry in healing and scarring
  • Small whiteheads might appear after your stitches are taken out, however your doctor can easily remove them.
  • Some patients find it difficult to close their eyes when they sleep after surgery. This may be long-lasting in very rare cases.
  • Ectropion, or a pulling of the lower lids, is very rare. This can be controlled with squinting exercises, push up eyelid exercises and steristrip support. In very rare cases, a further surgery may be required.

Dr. Weinstein will provide instructions both before and after surgery to help you reduce your risks.

What can I expect in my initial consultation?

This consultation is very important. You will need to check your own records ahead of time so you can be ready to provide your complete medical history. You will also need to inform Dr. Weinstein if you are taking any medications (prescription or over-the-counter), if you have any allergies, if you are taking any vitamins and if you smoke.

In your consultation a nurse or Dr. Weinstein will examine your eye, eyelids, assess your eyelid function, examine the displacement of your eyelid fat and test your gross vision. Provide any information that may be relevant from your ophthalmologist or bring the record of your latest eye exam. Bring your glasses or contact lenses if you wear them.

Then, you will be able to discuss your goals and expectations with Dr. Weinstein. You will need to discuss if you want all four eyelids or just the upper or lower eyelids to be operated on.

Do not hesitate to ask any questions you may have with Dr. Weinstein or his staff.

What happens the day of your procedure?

Dr. Weinstein will provide instructions on how you can best prepare for your eyelid procedure. These instructions will include guidelines on what to eat, drink, to stop smoking, and what medications or vitamins to avoid. If you follow these instructions, your surgery or procedure will go more smoothly.

Make sure to arrange for someone to take you home from after the surgery or eyelid procedure, as well as help you out for the next few days.

The eyelid procedure

Your eyelid procedure will be performed in an the Chester Surgery center an accredited outpatient surgery center or at Morristown Medical Center. A blepharoplasty eyelid surgery is usually done on an outpatient basis and it rarely requires an inpatient stay.

This procedure is generally performed under local anesthesia. This will numb the areas around your eyes. You will also be given oral or intravenous sedatives. You can be awake or completely asleep throughout the surgery, but you will feel insensitive to pain and relaxed.

The surgery usually takes about one to three hours, depending on how extensive it is. The procedure goes as follows:

  • Dr. Weinstein will make the incisions following the natural lines of your eyelids. They are made just below the lashes in the lower lids and in the creases of your upper lids. These incisions may extend into the laugh lines or the crow’s feet at the outer corners of each eye.
  • The skin is separated from underlying fat tissue and muscle and the excess fat is removed or repositioned. Then the sagging skin and muscle is trimmed.
  • The incisions are closed with very fine sutures.
  • Your eyes are then lubricated with ointment and a bandage is applied.

Your eyelids might feel tight or sore, but any discomfort can be controlled with prescribed medication by Dr. Weinstein.

 

What happens after surgery?

Your head should be elevated for several days. You should use a cold compress to reduce the bruising and swelling. Dr. Weinstein will show you how to clean your eyes and recommend eye drops. For the first couple of weeks, you might experience sensitivity to light, excessive tearing, and temporary blurred or double vision.

Dr. Weinstein will closely monitor your progress for the first two weeks. Two days to a week after surgery, your stitches will be removed. Once the stitches are removed, the discoloration and swelling around your eyes will gradually disappear.

You will not be able to wear your contact lenses for at least two weeks. You will be able to watch television or read after about three days. Most people are ready to go back to work or go in public after about 10 days. By that time, you should be able to wear makeup. You should wear sunglasses and special sunblock for eyelids when you go out, as you may be more sensitive to sunlight.

You will be instructed to keep activities to a minimum for at least three to five days, and avoid strenuous activities for at least three weeks.

Your new look

The healing process is gradual, and your wounds may be invisible within days of the procedure. They may remain pink for longer then six months after your procedure. They will eventually fade to a near invisible, thin white line.

After your surgery, your upper eyelids will no longer droop and the skin under your eyes will be smooth and firm. You will look more alert and youthful, and these effects will last for years.


To learn more about Weinstein Plastic Surgery Center and the services we offer, please call 908-879-2222 or click here.

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