San Francisco Bay Area Facial Plastic Surgery in Walnut Creek, CA
Blepharoplasty for San Francisco Bay Area and Walnut Creek Residents by Board Certified Plastic Surgeon Joseph A. Mele, MD, FACS
As we age, the delicate skin around the eyes may begin to sag and wrinkle. Excess skin and fat around the eyes can cause puffiness and give you a tired, aged appearance. In more extreme cases, the sagging upper eyelid skin obstructs vision.
Blepharoplasty (Eyelid Lift) Before and After Photos
Eyelid Surgery, also known as Blepharoplasty, at our Walnut Creek, San Francisco East Bay Area plastic surgery office, is a great way to rejuvenate and refresh your appearance. By removing excess skin and fat, and tightening the skin around the eyes, an Eyelid Lift can enhance the appearance of your eyes, improve your peripheral vision and restore your self-confidence.
Schedule a Blepharoplasty Consultation
The best way to decide if Blepharoplasty is right for you is with a private consultation with our Board Certified Plastic Surgeon, Dr. Joseph Mele MD FACS. A generous amount of information about eyelid surgery is detailed below; however, a consultation is interactive. During your consultation, the options pertaining to your specific needs are discussed in detail, and you can have your questions answered in an individualized manner. This allows crafting the best possible approach for your particular needs.
Dr. Mele is experienced with multiple Blepharoplasty techniques including:
- Subciliary Blepharoplasty - allowing for the removal of excess lower eyelid fat
- Transconjunctival Blepharoplasty - this incision is hidden inside the lower eyelid
- Asian Eyelid Surgery - tailored to the unique anatomy of the Asian eyelid
Our Board Certified Plastic Surgeon is also trained in various reconstructive Eyelid Tightening procedures:
- Ptosis Repair - to lift a sagging upper eyelid
- Ectropion Repair - to repair a droopy lower eyelid
- Entropion Repair - to reposition the eyelid when the eyelashes rub on the eye
To schedule a consultation with our Walnut Creek, San Francisco Bay Area Eyelid Surgery Specialist, call (925) 943-6353 or fill out our contact form.
Eyelid Lift (Blepharoplasty) Videos
Each thumbnail along bottom is a different video.
Click or touch one to watch.
The Blepharoplasty Procedure
You may be a good candidate for Eyelid Surgery (Blepharoplasty), if you have:
- Excess skin obscuring the natural fold of the upper eyelids
- Loose skin hanging from the upper eyelids, maybe even impairing your vision
- Excess skin causing bags and wrinkles on the lower eyelids
- Puffy appearance on the upper eyelids, making your eyes look worn down and tired
- Bags and circles under the eyes, often with a depression that accents the bony border beneath the lower eyelids
- Droopiness of the lower eyelids, revealing the white (sclera) below the colored iris
During blepharoplasty surgery at our San Francisco East Bay Area facility, Dr. Mele makes a discreet incision along the crease of the lid. The exact location is selected to maximize your results, while minimizing the scar. Next, the extra skin, fat and occasionally a small amount of excess muscle are removed. The incision is then meticulously closed, resulting in smoother eyelid skin, which is both tightened and lifted.
Blepharoplasty can be combined with other facial plastic surgery procedures to achieve balanced facial rejuvenation. Blepharoplasty is often combined with brow lift, face lift, cheek augmentation (cheek implants) and other cosmetic plastic surgery procedures.
Dr. Mele is an experienced surgeon to turn to for your facial cosmetic surgery needs. He is Board Certified by the American Board of Plastic Surgery (ABPS) and the American Board of Surgery (ABS), as well as an active member of the premier plastic surgery professional organizations, including the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS).
All cosmetic procedures are performed in an accredited surgical facility. Blepharoplasty can be performed under local anesthesia with light sedation, or under general anesthesia. The method best for you, will be determined as part of your personal blepharoplasty consultation. Schedule a consultation with our Bay Area Cosmetic Plastic Surgery office in Walnut Creek, California, today.
Eyelid Lift Video Presentation (Blepharoplasty)
Click or touch to view a video presentation.
Upper Blepharoplasty - Upper Eyelid Lift Surgery
Upper Blepharoplasty: Blepharoplasty of the upper eyelids is often called upper blepharoplasty. While a variety of problems can be improved with upper eyelid surgery, the most frequent correction is the removal of excess skin. Upper blepharoplasty removes the redundant skin that accumulates on the upper eyelid, and allows for a more awake appearance. Too much upper eyelid skin makes us look tired and inattentive. If you wear eye make-up, you know this extra skin can rub and distort even the most carefully applied cosmetics.
Upper Blepharoplasty (Palpebral Fold Incision)
A thin curved incision is made in the upper eyelid fold to remove this extra skin. The removal is performed so that the closure will hide in the arch of the normal fold, and not be visible with the eye open. The upper eyelid has the thinest skin on your body, so this incision normally heals quickly and is usually difficult to detect.
Upper Blepharoplasty can also be combined with ptosis surgery. Ptosis surgery is designed to correct an eyelid that droops down to, and sometimes over the pupil, blocking vision. While too much upper eyelid skin can sometimes weigh the eyelid down and block peripheral vision, ptosis may be caused by stretching, weakness or detachment of the main muscle which opens the upper eyelid. It is important to be checked for ptosis as part of your blepharoplasty consultation.
Lower Blepharoplasty - Lower Eyelid Lift Surgery
Lower Blepharoplasty: Blepharoplasty of the lower eyelids is often called lower blepharoplasty. The most frequently used approach for correction of a baggy lower eyelid is the subciliary incision. Unlike upper blepharoplasty, lower blepharoplasty is concerned less with excess skin and more with excess fat of the lower eyelids. Bags beneath the eyes are seldom, solely a problem of excess skin. Often, the fat in the lower eyelid pushes forward beneath the skin and gives rise to excess lower eyelid fullness. Removal, or repositioning of this fat can smooth out the lid, and improve your appearance.
Lower Blepharoplasty (Subciliary Incision)
Subciliary literally means below the hairs, and a Subciliary Incision is placed just below the eyelashes of the lower eyelid. This provides a discrete location, and the ability to both remove the excess and tighten the lower eyelid skin, and more importantly, remove any excess lower eyelid fat. Repositioning the lower eyelid fat may work better if you have a hollow adjacent to your lower eyelid bags. The fat can be removed from where it is excessive, and transplanted to where is is lacking, further smoothing your results.
Lower blepharoplasty can also be combined with ectropion repair. Ectropion is a problem with the position of the lower eyelid, where the eyelid droops and gaps away from the eye. This can occur as a normal part of aging or from injury to the lower eyelid. If the eyelid is lax, cosmetic surgery can be performed; however, additional attention is paid to the lower eyelid to physically support and tighten the lid. Checking for lower eyelid laxity is a routine part of your blepharoplasty evaluation.
Lower Blepharoplasty (Transconjunctival Incision)
When the lower eyelid skin is already smooth tight, and the major problem is a bulging fat pad causing bags under the eye, a transconjunctival approach to lower blepharoplasty is preferred. The moist pink lining of the eyelids is called the conjunctiva. A Transconjunctival Incision is made along the inside of the lower eyelid. This provides completely hidden access to the fat pads of the lower eyelid, without any external scar.
Transconjunctival Blepharoplasty Before and After Pictures
Before surgery, the skin is tight but excess fat beneath the eye causes a visible bulge. Shadowing from this bulge can enhance dark circles under the eyes.
After lower eyelid surgery with the internal approach (transconjunctival blepharoplasty), the fat bulge beneath the eye is removed and there is no external scar.
The transconjunctival approach is ideal for the young patient with bags under their eyes who has good skin tone and smooth lower eyelid skin. Since most blepharoplasty patients do not have smooth lower eyelid skin, the transconjunctival approach is not performed as frequently. Patients with only fine wrinkles; however, can sometimes choose the transconjunctival approach for fat removal, and follow-up this with an ancillary procedure such as a chemical peel or laser skin resurfacing to reduce their fine wrinkles
Blepharoplasty (Eyelid Tightening Procedures)
As mentioned above, sometimes the changes in the eyelids are more than cosmetic. Functional problems can occur with age or as the result of injury. A thorough evaluation before your blepharoplasty can discern these types of problems, so they can be repaired concurrently.
For the upper eyelid, the lid can droop over the eye and obstruct vision. This is termed blepharoptosis, and different types of Ptosis Repair are available depending on the severity of the ptosis. For the lower eyelids, drooping results in downward migration of the eyelid, away from the eye. When the lid rolls outward, it is termed ectropion. Which Ectropion Repair will work best, depends on the amount of ectropion.
Malposition means wrong position. Eyelid malposition can result in visual obstruction, dry eyes, tearing, and if left untreated, can lead to blindness. Different corrections are needed depending on the severity of the malposition. It is important to see a qualified eyelid surgeon, like Dr. Mele, so that the best options for your eyelids are selected.
Asian Blepharoplasty (Asian Eyelid Surgery)
Asian Blepharoplasty: Asian eyelid surgery is blepharoplasty modified to the anatomy of the Asian eyelid. Since the structure inside the eyelid is different when compared to the Caucasian eyelid, different techniques may be necessary to achieve the best results. Additional attachments inside the Caucasian eyelid cause a single dominant fold in the upper eyelid skin, and block the eyelid fat from dropping down inside the eyelid. The upper eyelid fold in the Asian eyelid is less defined, and it is often a series of multiple incomplete folds, none of which extend fully across the lid. The fat in the Asian upper eyelid sits lower in the lid and adds to the upper eyelid fullness.
Asian Blepharoplasty Before and After Pictures
Before Upper Blepharoplasty: The upper eyelid skin is resting on the eyelashes.
After Upper Blepharoplasty: The fold above the eye remains smooth and discrete.
Different approaches are selected depending on the desired result. When a more distinct fold is desired, the goal is to create a single fold that extends completely across the upper eyelid which gently curves above the eyelashes. The upper eyelid fat can be positioned higher in the lid, or selectively removed to decrease the upper eyelid fullness. It is important to discuss these options as part of your blepharoplasty consultation.
More Asian Eyelid Surgery Information
For additional information about Asian Blepharoplasty, be certain to visit our Asian Eyelid Surgery Page.
Blepharoplasty Preparation | Before Eyelid Surgery
Dr. Mele will review what you need to do before your Eyelid Rejuvenation at your Preoperative appointment. Your individual instruction may vary, but in general, very little disruption of your daily routine is usually necessary. You should be in good health. Any preexisting medical problems should be identified and controlled prior to surgery. If you catch a cold prior to surgery, please call the office and let us know.
Avoiding medications or supplements that increase the risk of bleeding during the weeks leading up to surgery is very important. Bleeding not only makes the procedure more difficult, it also increases post-operative bruising and discomfort. Bleeding also increases the risk of complications, so minimizing the chance of bleeding is always worthwhile.
Regardless of the type of anesthesia selected, general or local with sedation, you should not eat or drink anything for eight hours prior to surgery, unless you are specifically instructed otherwise. Many prescription medications should be taken the morning of surgery with a small amount of water, but each medication needs to be reviewed.
The day of surgery, you will want to arrive rested and about an hour before the scheduled operative time. Avoid makeup, especially eye makeup, the day of the procedure. Dr. Mele will review the day's plan and outline the day's goals. A preoperative checklist is completed, so that nothing is forgotten and everything is ready for your Blepharoplasty procedure.
Blepharoplasty Follow-Up | After Eyelid Surgery
After your Eyelid Surgery you should have fairly mild discomfort. Tylenol is often sufficient for pain control, though stronger medication is sometimes needed for a few days. Elevation of the head and cool compresses to the eyes are recommended for the days after surgery. Sun glasses are recommended after Eyelid Surgery when you are outside. Dark glasses are not just a good disguise. They help to block the wind if your eyes feel dry, and they reduce glare if you are sensitive to light. This helps speed your healing and will make you feel better faster. Most upright activities are permitted; however, vigorous activities that increase your heart rate and raise your blood pressure are to be avoided. Bending down, straining and lifting heavy objects is also prohibited after Blepharoplasty until Dr. Mele clears you.
Follow-up visits are scheduled at critical points after surgery to be certain that you are healing well. Activities will be liberalized as your healing progresses. Regular activities are usually possible a week or two after your procedure. Scar management will also be reviewed to speed your healing and minimize any scarring.
San Francisco Bay Area Eyelid Surgery - Walnut Creek Blepharoplasty
If you are unhappy with the appearance of the skin around your eyes, consider a blepharoplasty consultation at our San Francisco Bay Area office. This simple outpatient procedure can produce dramatic results.
Blepharoplasty can be performed by itself, but is often combined with other aesthetic facial procedures. Dr. Mele carefully assists San Francisco Bay Area Facelift and San Francisco Rhinoplasty patients who are interested in combining these procedures.
For your convenience, blepharoplasty before and after photos are available to view online. To schedule a consultation with our Walnut Creek, San Francisco Bay Area Eyelid Surgery Specialist, call (925) 943-6353 or fill out our contact form.