Eyelid Surgery

As we age, our upper eyelids begin to sag, eventually eliminating the natural fold in the upper lid while the lower eyelids develop wrinkles and may bulge as fat pushes its way up from beneath the orbit. Aging eyelids can be rejuvenated by blepharoplasty (eyelid surgery), which involves removing excess skin and fat in the upper and/or lower eyelids. This 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.

Upper Eyelid Blepharoplasty

An upper eyelid blepharoplasty involves the removal of 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

Lower eyelid blepharoplasty is performed either from an incision just under the lashes or from inside the eyelid. 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 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 removed less fat from the lower lids and emphasized 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. Dr. Coleman frequently uses Botox to smooth the wrinkles of the crow's feet area and to lift the brow upward. Each patient 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.