Eyelid Surgery

As we age, our upper eyelids begin to sag eventually obliterating the natural fold in the upper lid. Lower eyelids develop wrinkles and may bulge as fat pushes its way up from beneath the orbit. Aging eyelids can be rejuvenated by blepharoplasty, which involves removing excess skin and fat in the upper and/or lower eyelids. This simple outpatient surgery can be performed under local anesthesia with mild sedation. Most patient's feel good the day after surgery and are able to drive and do minor chores with their healing eyelids hidden by sunglasses.

An upper lid blepharoplasty involves removal of the sagging skin and suturing it to form a new upper lid crease. Because the incision is placed in the natural crease, it is barely perceptible. Often excess fat, is also removed to improve the contours of the eyelid.

Lower eyelid blepharoplasty is performed either from an incision just under the lashes or from inside the eyelid. Each procedure has its own advantages. The goal of lower eyelid blepharoplasty is to remove or reposition excess fat from beneath the lower lid to provide an improved contour. Some patients also benefit from a canthopexy, which involves tightening the lids where they join together at the corner of the eye. In recent years, Dr. Coleman has been removing less fat from the lower lids and emphasizing laser resurfacing to tighten the skin instead. This thickens the skin, smooths out wrinkles, and pushes the fat back where it belongs. A common combination is upper lid blepharoplasty combined with lower lid laser resurfacing. Also, Dr. Coleman frequently uses Botox to smooth the wrinkles of the crow's feet area and to lift the brow upward. Each patient however, requires a custom approach to suit his or her own particular eyelid problems.

Why choose us for blepharoplasty?

Dr. Coleman has been performing rejuvenative eyelid surgery for over 30 years. He has published articles and served as a guest professor lecturing about this technique at national and international meetings. As an expert in blepharoplasty, laser resurfacing, fat transplantation, and Botox he prefers a multidimensional approach to rejuvenating aging eyelids.

Before and Afters

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Before After

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Before After