Matthew Bridges M.D.

Facial Plastic Surgeon

804-655-0400 | Schedule Consultation

Eyelid Surgery (Blepharoplasty) - Richmond, VA*

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Overview

Eyelid surgery, also known as a blepharoplasty or an eyelid tuck, is a plastic surgery to remove the excess skin, tissue, and fat from the eye area that causes sagging eyelids or bags under the eyes. Dr. Matthew Bridges, a facial plastic surgeon in Midlothian, VA, performs eyelid surgery on the upper eyelids to fix droopy skin that can impair their vision, the lower eyelids to treat bulges under the eyes, or both if it is needed by the patient. After eyelid surgery, many patients enjoy looking younger, refreshed, and more awake. Blepharoplasty is commonly performed on patients over 35 years old, but younger patients should not hesitate to schedule a consultation if they feel eyelid surgery may help them.

Surgical Technique

Upper Eyelid Surgery

During upper eyelid surgery, an incision is made within the natural fold of the lid and extended outward. The incision will go out as wide as possible so that additional skin folds on the outside of the upper eye can also be addressed. Once the incision is made, excess skin, tissue and, in some cases, a small portion of the orbicularis occuli muscle are removed. The incision is closed with absorbable sutures and the scar remains almost completely hidden because of where it resides in the natural crease.

Lower Eyelid Surgery

During lower eyelid surgery, an incision is made along the bottom of the lash line. This allows the surgeon to remove excess fat and tissue. In patients who have puffy lower eyelids but good skin tone, an approach known as a transconjunctival blepharoplasty can be performed. This technique puts the incision inside the lower eyelid rather than outside. Patients who have dark circles under their eyes will sometimes have a deficiency of fat in these areas. Injectables can be used to help fill these soft-tissue deficiencies and can improve the appearance of these circles.  

During/After Surgery

Eyelid surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. It generally takes up to 2 hours for both the upper and lower eyelids to be addressed. Following surgery, the area around the eyes will be bruised and swollen. Patients should apply ice packs, keep their heads elevated, and apply medicated eye ointment for a few days. Patients comment on the fact that friends and family tell them they look great, but often can’t put a finger on what is different. These subtle, yet dramatic results restore a softer, more youthful appearance.

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Eyelid Surgery FAQs

Visible Scars?

After surgery, scarring will not be visible because of where the incisions are placed. In the upper eyelid, the incision follows the natural crease of the eye. The lower eyelid incision will run just under the eyelashes or inside the eyelid. Scarring will be inconspicuous.

Crow's Feet?

Eyelid surgery will reduce puffy bags and excess skin and may help contribute to some minimization of crow’s feet. However, to truly treat crow’s feet, one will need a different approach. BOTOX® injections and procedures such as a browlift, are better options to help eliminate crow’s feet.

Irritation After Surgery?

Some patients will experience dryness and minimal irritation following surgery. If these occur, we can recommend ointments and eye drops to assist during the healing phase. Patients should protect their eyes against wind and sun irritation for the first several months by wearing dark sunglasses.

Vision Improvement?

If anything, eyelid surgery actually helps improve the vision for many patients. Not only does it restore a fresh, younger look from a cosmetic standpoint, it eliminates the excess skin that may have been impairing vision. It is important to select a skilled surgeon who has expertise with eyelid surgery. We take great care during this surgery so that the eyes themselves are left untouched and unharmed.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.