Eyelid Surgery | Blepharoplasty

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What Is Blepharoplasty

Blepharoplasty treats sagging eyelids, puffiness, and under-eye bags from aging or genetics and can improve both appearance and vision when excess skin obstructs the field of view.

Upper blepharoplasty removes excess skin and fat from the upper eyelid to reduce heaviness and restore a refreshed, alert look.

Lower blepharoplasty addresses puffiness and bags under the eyes by contouring fat and tightening skin for a smoother transition.

Who Is a Good Candidate

Candidacy focuses on anatomical concerns and overall health to ensure safe surgery and realistic outcomes.

Typical concerns include droopy, sagging, or baggy upper eyelids that make the eyes look tired or heavy.

Excess upper eyelid skin that reduces peripheral vision may indicate functional benefit from surgery.

Persistent puffiness or bags beneath the eyes can be addressed surgically when conservative measures fail.

Good overall health and realistic expectations support safe surgery and satisfaction with results.

What to Expect During the Procedure

The procedure is commonly outpatient and tailored for comfort, precision, and efficient recovery.

Evaluation includes measurements, photos, and a customized plan aligned with goals and anatomy.

Local anesthesia with sedation is typical, while general anesthesia may be chosen when combining procedures.

Small incisions are placed in natural creases to minimize visible scarring and enable precise tissue work.

Careful removal or repositioning of skin, muscle, and fat restores youthful contours while preserving function.

Fine sutures close the incisions and are usually removed within about a week depending on healing.

Recovery and Results

Most individuals experience a brief recovery with gradual improvements as swelling resolves.

Bruising and swelling commonly last 1 to 2 weeks, with cold compresses and head elevation aiding comfort.

Mild discomfort is typical and can be managed with recommended medications and supportive care.

Many resume routine activities and work within 7 to 14 days, avoiding strenuous exertion as advised.

Results are often long lasting, revealing a brighter, more alert appearance for many years.

Risks and Considerations

Eyelid surgery is generally safe with an experienced surgeon, though risks exist and should be reviewed carefully.

Risks may include infection, bleeding, dry eyes, temporary blurred vision, or visible scarring.

Choosing a qualified surgeon and following pre and postoperative instructions reduce risk and support outcomes.

Frequently Asked Questions

Common questions help clarify expectations for planning, anesthesia, recovery, and combined procedures.

Blepharoplasty can improve asymmetry by adjusting skin and tissue, but perfect symmetry is not guaranteed and expectations should be discussed in consultation.

Local anesthesia with sedation is standard for comfort, and general anesthesia may be considered for complex or combined procedures.

Strenuous activity, heavy lifting, swimming, and bending are typically restricted for about two weeks, with head elevation and no eye rubbing encouraged.

Natural-looking results are expected with expert technique, and significant eye shape changes are uncommon when the plan matches anatomy.

Preparation may include stopping certain medications, arranging transportation, avoiding smoking, and following skincare and dietary guidance from the surgeon.

Yes, combining with a brow lift or facelift can achieve comprehensive rejuvenation with a single recovery period.

Glasses are usually recommended for at least one to two weeks after surgery until clearance is given to resume contact lens wear.

Functional blepharoplasty may be indicated when drooping eyelids interfere with vision, and coverage may be available with documentation.

Mild dry eye can be managed with precautions, while severe dry eye may require alternative approaches based on risk assessment.

Waiting about two weeks before applying eye makeup helps reduce infection risk, pending surgeon approval.

Personalized, Compassionate Care

Alden Leifer MD and Associates provides experienced functional and cosmetic blepharoplasty with personalized aftercare for patients in Paterson, Hawthorne, Teaneck, Passaic, Clifton, Fair Lawn, Garfield, and nearby communities.

"After visiting several eye dr.s in other locations, Dr Varkey took the time to hear me out, and come up with a plan. She was extremely detailed, and patient. I highly recommend Dr. Varkey, and her team."

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"Dr Joyce Varkey is extraordinary. It truly does require a true expert to rightly assess all the complexities of your eye health and of course any vision correction you may require Dr Varkey will address."

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"Dr. Varkey is excellent, highly recommended."

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Schedule your eye exam today!