Recovery Time: 2-3 weeks
The shape and position of the eyes and surrounding structures such as the eyelids and eyebrows play a critical role in the perception of youthfulness. As we age, our eyelid skin begins to sag, sometimes giving us the appearances of having a tired or angry look despite feeling young and rested. The fat tissue surrounding the eyeballs start to bulge through the thin connective tissue that once kept everything in its youthful position and we develop eye bags. As the cheeks start to droop, and we lose volume around the eyelids, tear trough deformities and undesirable hollowing about the eyes occurs and of course, the eye brows start to descend.
Optimal cosmetic rejuvenation of the eyes, therefore, can only be achieved when a complete understanding of the underlying changes has been reached. Removal of the eyelid skin has for decades been the teaching in plastic surgery of the eyes. Most surgeons will offer that technique as means to achieve more youthful eyes and eyelids in their patients. But that only addresses the sagging eyelid skin.
As a trainee in Facial Plastic Surgery, I began to wonder if that original teaching was sufficient to achieve a comprehensive eye and eyelid rejuvenation. I began to examine the issue more closely and when looking at hundreds of postoperative results critically, it was clear to me that to achieve optimal results, the procedure had to be customized for each individual patient’s needs. A one-size-fits-all eyelid surgery was not what I considered an artful cosmetic procedure.
So I developed a new way of approaching the issue. For each of my patients, I will fully assess the periorbital area to understand the underlying changes. Eye rejuvenation is beyond simple skin excision. After understanding the underlying changes in my patient’s eyes, I can devise a plan that most optimally addresses all issues to achieve a well-rested youthful look.
Surgery itself takes about an hour and in most cases my patients go home the very same day. Recovery is simple and my patients experience minimal bruising, swelling and discomfort. Most resume normal activity in about one week.