Whether a patient suffers from depleted volume in the lower eyelid or droopiness in the upper eyelid, eyelid surgery can repair these issues. Extraneous skin, fat and tissue in the eye area are removed and the underlying muscles are tightened to restore and rejuvenate eyes. The aged and perpetual tired look can be caused by the aging process or through heredity but is erased when Chicago plastic surgeon, Dr. Karol Gutowski, performs eyelid surgery. Patients will notice a refreshed and more alert appearance, along with a softer and smoother look in and around the eye area.
"I feel natural, and I can't put a price tag on how I feel with self confidence - After having 4 kids naturally I was uncomfortable with how my body looked. Nursing had depleted my breasts and my belly button still stuck out like I was 9 months pregnant. My husband and I agree that my body needed some attention. I needed a breast augmentation and surgery to push my belly button back in. After an intensive research process which also included 4 in-person consultations in..."- B. / RealSelf / May 28, 2017
"Very Pleased with my Results. - One of my friends recommend Dr.Karol A.Gutowski for my eye lid surgery. I made the decision to see him and I was very pleased with the results. He and his staff was very professional and helpful. They explained every move to me throughout the process and made me feel very safe. A couple after the surgery I had a question and I was able to contact him directly through his cell phone and..."- S. / RealSelf / Mar 28, 2019
"He is very competent, caring and kind - Dr. Gutowski is FANTASTIC! He is very competent, caring and kind. You can feel very confident with any procedure you have that the outcome will be beautiful. He does an amazing job and always has the best interest of patient at heart. He is the best and I wouldn't see anyone else!"- M. / RealSelf / Mar 11, 2019
"Wonderful Experience - I am 68 years old and consulted with Dr Gatowski and Jocelin for noninvasive treatment for my neck. After discussing my options, I chose to have liposuction and the Profound RF. I experienced no pain and the entire staff couldn’t have been more attentive and accommodating during and after the procedures. It has now been 12 days and I am so pleased already with the improvement I see. My only r..."- T. / RealSelf / Feb 25, 2019
"Under Eye Injections by Dr. G - My experience with Dr. G was awesome! I’ve never had anything cosmetic done before so I was very nervous. I did a lot of research for Drs who do injectable fillers for the eye bag area. I came across Dr. G and decided to go with him. He made me feel very comfortable and never pushed anything on me. He listened to my concerns and chose which filler would be best for me. The procedure was way b..."- A. / RealSelf / Jan 28, 2019
The procedure may either be performed on the upper eyelid only or the lower lid, or both. There will be a difference in approaches when it comes to the upper and lower eyelids but the method is similar; removing any loose skin or tissue, and extracting or repositioning the fat deposit. There will also be separate incisions spots. It is important to understand that this will not help with other cosmetic issues such as crow’s feet, wrinkles or dark circles. The results of an eyelid surgery are fairly isolated within the upper and lower lid section only. There are other procedures that can be combined, for example the use of BOTOX®, to create a maximized outcome.
Upper Eyelid Surgery
The most common problem with the upper eyelid is excess skin that droops and hangs over the eyes. Not only does this look unappealing, but it can also obstruct vision for a patient. The doctor will create an incision along the natural fold of the eyelid and extract any excess fat and tissue to remove any bulges. Once done, excess skin will also be trimmed and the cut will be closed with fine sutures. There are cases when fat tissues are only repositioned instead of excised.
Lower Eyelid Surgery
There are two options for incisions when it comes to lower eyelid surgery. This treatment will improve any appearance of bulging and sagging below the eye. Incisions may be made just slightly below the lash line and excess fat, tissue or skin will be excised. If the skin has retained good elasticity, a transconjunctival incision may be a better option as the cut is made inside the lower eyelid, which effectively makes any resulting scar concealed. A lower lid lift does not necessarily improve the dark circles that may occur under the eyes. The surgeon may recommend combining a lower blepharoplasty with another procedure such as a chemical peel or an injectable filler.
Eyelid surgery is performed with general anesthesia. If the procedure involves both upper and lower eyelids, the plastic surgeon will typically manage the upper eyelid first. On average, it takes 1-2 hours to complete the operation. The patient will be sent home for recovery. For the first few days, there will be swelling and discoloration around the area. It is advised that the head is elevated for the first few days. Pain medications and antibiotics will be prescribed to manage the initial discomfort. Strenuous activities must also be restricted.
Plan Your Procedure
- Procedure Recovery Location
Eyelid Surgery FAQs
Eyelid surgery, whether upper or lower, generally does not cause visible scarring. This is because the surgeon takes great care to ensure that the incisions are made within the natural lines and folds of the eyes. Once the surgical healing has passed, the incisions will not be noticeable even to the naked eye.
Wrinkles and Crow's Feet?
Crow’s feet and forehead wrinkles are better treated with procedures such as a facelift, browlift or a cheek lift as the results of the eyelid surgery are confined to the eyelids only. Eyelid surgery can also be combined with a nonsurgical procedure such as BOTOX, which combats wrinkles on the forehead and around the eyes. An injectable filler can also be effective because it adds volume to hollow areas for a softer, smoother appearance.
Complications and irritations after surgery are rare. Patients must strictly adhere to care instructions prescribed by the surgeon to minimize any risks of infection as the eyes can be sensitive after surgery. Patients must always take precaution of protecting the eyes from the sun and wind during the first few weeks of recovery.
Blepharoplasty not only corrects a cosmetic issue, but a functional one as well. Many patients with excess hanging skin on their upper eyelid are able to regain normal vision after surgery. For many, simply applying makeup without maneuvering around the excess skin is refreshing in and of itself.