4 Blepharoplasty Questions Every Patient Should Ask
On this edition of Take 4 we ask our plastic surgery team to submit four interesting questions regarding blepharoplasty (also known as Eyelid Surgery) submitted by potential patients:
1. When does a patient need just an upper blepharoplasty (versus a combination upper and lower blepharoplasty)?
Generally upper blepharoplasties are more commonly performed than both lower blepharoplasties and the combination of upper and lower eyelid surgery. This is because the upper eyelid manifests the signs of aging earlier, and often more dramatically than the lower eyelid. However, the true determinant is the patient’s individual need.
2. Will most blepharoplasty patients also need a brow lift (forehead lift)?
The interplay between the upper eyelids and the brow is very interesting and continues to be studied. As we age, our brow continues to descend. Concurrently, the upper eyelid skin and muscle become lax and redundant. So, almost every patient who visits with eyelid concerns will also have some degree of brow ptosis (drop) on close examination. However, not every patient necessarily needs brow surgery to achieve their final results. The short answer is it all depends on the individual patient’s characteristics and goals in terms of result.
3. Are the results of blepharoplasty permanent?
Blepharoplasty results are not permanent. Generally, a patient can expect the age clock to ‘continue ticking’ after the procedure. Therefore, the aging process will continue. The same is true with facelifts. It is reasonable to expect to enjoy 10 years of improved appearance before noticing recurrence of the offending issues.
4. Does the approach to blepharoplasty surgery differ by ethnicity?
Yes. In terms of blepharoplasty technique the most obvious distinction to make is between Asian eyelids and non-Asian eyelids. It is extremely important to work with the patient in determining their desired final result to avoid dissatisfaction. The general goal should be to open up the eye without compromising a person’s natural characteristics. Similar to rhinoplasty, I find that most eyelid surgery patients are interested in ethnicity-preserving results after their procedure.