Eyelid Surgery

Eyelid surgery (also called blepharoplasty) corrects sagging upper eyelids and/or signs of aging under the eyes. The result is an overall younger look to the eyes and upper portion of the face.

At Cascade Facial Surgery, Dr. Jonathan Grant treats every patient as a unique individual. Your surgical plan is designed specifically to provide you with the result you want within the parameters of sound and safe medical practices. His training and experience as a reconstructive facial surgeon allows him to provide you with a natural-looking result from your eyelid surgery.

He performs rarely offered techniques for fine lines under the eyes, as well as for tear trough deformities – the appearance of dark rings or circles under the eyes.

Some patients who receive eyelid surgery also have a brow lift and/or a face and neck lift at the same time to address issues such as sagging eyebrows or sagging jowls.

I decided to have an eyelid lift. This choice has changed my attitude about cosmetic surgery. Before I was uncertain what to expect, but I needed to see better... Read More »

Who is a Candidate for Eyelid Surgery?

Candidates for eyelid surgery are usually men and women over the age of 35 who have signs of aging on the upper or lower eyelids, including:

  • Sagging, loose skin on the upper eyelids
  • Puffiness of the upper eyelids
  • Bags/puffiness under the eyes
  • Drooping lower eyelids
  • Tear troughs
  • Dark undereye circles
  • Crepey skin under the eyes

Eyelid surgery can be done on the upper or lower lids only, or it can be done on both lower and upper lids.

The surgery is also appropriate for younger patients who have premature loose skin on the upper lids or bags/puffiness under the eyes.

Understanding the Eyelid Surgery Procedure

Dr. Grant will examine you during your consultation and discuss what you dislike about your eyelids. Then, he can devise a surgical plan for you.

During the consultation, we may use the Canfield Mirror imaging software to simulate how your eyes will look after the surgery.

Eyelid surgery is an outpatient procedure that is usually performed using IV anesthetic and sedation, but some patients may require general anesthesia. You will be able to go home on the same day as your surgery.

Upper blepharoplasty involves an incision in the crease of the upper eyelids so that the very small scar will not be seen. Loose skin is removed, and fat is also removed, if necessary. The skin is then sutured for a tighter, but natural-looking result.

Lower blepharoplasty may require an incision under the lower eyelashes or on the underside of the lower eyelid (called transconjunctival blepharoplasty). In either case, the scar is well-hidden. Lower eyelid surgery is intricate and requires a great deal of skill. Excess fat or loose skin is removed and sutured for a tighter, more youthful look.

If Dr. Grant is improving tear troughs, he creates a pocket at the top of the cheekbone and repositions fat to restore the loss of volume. This technique reduces lower eyelid puffiness and softens undereye circles.

For those who have fine lines on the lower eyelid, he can perform what is called a “skin pinch” to make the skin smoother. Only a local anesthetic and no sedation is required for this simple procedure if it is done independently of other blepharoplasty techniques.

Dr. Grant may suggest that some patients have a chemical peel or laser resurfacing after eyelid surgery to address fine lines and wrinkles on the surface of the skin.

Actual eyelid surgery patient.

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Recovering From Eyelid Surgery

You can expect to need a week to ten days off from work after eyelid surgery. Please avoid sports and exercise for about three weeks. You can take pain medication to ease your discomfort as you heal.

After all surgeries, there is some pain, tightness, and swelling. Some patients also experience some mild bruising and numbness. These symptoms are to be expected. Your eyes may intermittently tear and feel dry. We will provide eye drops and ointment for you, and you can use cool compresses for the first three days or so to reduce swelling. Sleeping upright or on your back with your head elevated for a couple of weeks will also help to keep swelling to a minimum. We will give you instructions for showering and washing your face.

Note that swelling and numbness are the last symptoms to resolve. It will take a few weeks for you to see the final results of your surgery. Any external scars from eyelid surgery will mature for a full year. Most of our patients remark that the recovery period is easier than they expected and well worth the results.

Learn More

If you are interested in eyelid surgery in the Western Washington area, contact us to find out if you’re a good candidate for the procedure.

Call us at (360) 336-1947 or
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