Blepharoplasty is a cosmetic surgery that removes excess tissue and skin from the upper or lower eyelids (or both) for smoother, more alert eyes.
Overview
Eyelid surgery, also known as blepharoplasty or an eyelid lift, 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. Matthew Bridges, MD, FACS, performs eyelid surgery in Richmond, VA, on the upper eyelids to fix droopy skin that can impair vision, the lower eyelids to treat bulges under the eyes, or both if 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 oculi muscle are removed. The incision is closed with absorbable sutures, and the scar remains almost completely hidden because 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.
I LOVE what the microneedling has done for my skin - the tone and texture is unbelievable. Thanks for introducing me to Circadia, too - Love all the products you recommended. Am...
Dear Dr. Bridges, Thank you so much for your amazing work on my nose! I'm so thrilled with how it looks, and I couldn't be happier! I hope you have a great rest of your summer.
Dr Bridges takes the time to know his patients conditions and explains what must be done for treatment in user friendly language. staff is proficient and seems to genuinely care...
Dr. Bridges performed very complex surgery on my nose to repair a large loss to my left nostril due to cancer. At all times he ensured that I understood what the procedure would...
Extremely happy with the outcome of my nose surgery. I had sleep apnea....I was a true mouth breather. My nasal passages were thin slits! Dr Bridges gave me new cartilage ...
Dr. Bridges is an outstanding doctor. His easygoing personality and high level of expertise really set him apart from other doctors. He is a master of his craft and I know when ...
Dr Bridges is wonderful, so relatable and made me feel comfortable from the start. Thorough assessment that led to a wonderful result. Was sent to him for my deviated sept...
I had a most wonderful experience at this office. The staff are great and support the patient before/after surgery. I would tell everyone to come to this office. Dr. Bridges exp...
Truly an amazing experience. Franki explained the laser procedure with me and made me feel extremely comfortable. I would highly recommend commonwealth and Franki for any services!
Dr. Bridges is fantastic. I always wanted a rhinoplasty but I waited to find the right surgeon. He's patient, listens, and delivers excellent results. He also fixed my dev...
Super friendly staff. Dr Bridges did the impossible. I had gone to several consultations with plastic surgeons in the Richmond area to fix a surgery I had on my nose about...
I got a septo/rhinoplasty with Dr. Bridges and had an amazing experience! The process was seamless from start to finish. I felt prepared for surgery and had a quick and ea...
Dr. Bridges reminds me of the old time family doctors…empathetic, competent, efficient. I wish all of my doctors were like him. Additionally, he has surrounded hims...
Dr. Bridges performed my rhinoplasty in June 2024 and I couldn’t be happier with the results. I wanted a rhinoplasty for years but kept putting it off. My tip really...
Super friendly staff. Dr Bridges did the impossible. I had gone to several consultations with plastic surgeons in the Richmond area to fix a surgery I had on my nose about...
Dr Bridges performed a Lipoma removal procedure on my forehead and I am truly satisfied. He is an excellent physician. His nurse is awesome as well. I was extremely nervou...
Getting rhinoplasty to correct my larger nose has been a lifelong dream of mine, but the idea of doing it has always been scary/intimidating. Dr. Bridges and his team made...
I feel so grateful to have met Franki Lambiotte, the aesthetician at Dr. Bridges' practice!
I'd been interested in laser hair removal/reduction for...
My family have been patients at this practice for over 10 years. Franki Lambiotte has been wonderful with her services. My parents gave me laser hair removal packages as a...
Dr. Bridges is an amazing facial plastic surgeon, and we're so lucky to have him here in RVA. Amazing bedside manner, and actually listens to what you want to work with yo...
I’m blown away, pun intended. From the moment Dr. Shaia recommended Bridges, I have felt that my level of care was akin to what the president receives. The expertise...
Dr. Bridges is fantastic. I always wanted a rhinoplasty but I waited to find the right surgeon. He's patient, listens, and delivers excellent results. He also fixed my dev...
I had rhinoplasty by Dr. Bridges on November 20th 2019, almost 2 months ago. I had a great experience as a whole. Dr. Bridges was easy to talk to and his staff were all ve...
I was lucky enough to be one of the first of Franki’s clients to try the laser hair removal, Bare HR by Sciton, and loved the results on my legs and armpits. Franki ...
Franki has been my aesthetician for several years. I visit her every 2 or 3 months for either a hydrafacial or dermaplane facial. More recently, Franki recommended that I ...
In my teens, a mishap left my nose with a slight deviation and fractured. As the years passed, my nasal deviation worsened, turning my nose into something akin to a wilted...
For the past few years I’ve been watching the lines on my face getting deeper and jowls forming. It was when I started to see my neck sagging that it was time to get...
During/After Surgery
Eyelid surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. It generally takes up to two hours for both the upper and lower eyelids to be addressed. Following surgery, the area around the eyes will be bruised and swollen. You’ll want to apply ice packs, keep your head elevated, and apply medicated eye ointment for a few days. Patients often mention 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.
Eyelid Surgery FAQ
Will there be visible scars?
Can eyelid surgery address crow's feet?
Will my eyes be irritated after surgery?
Will my vision improve from blepharoplasty?
Will there be visible scars?
After eyelid surgery in Richmond, VA, with Dr. Bridges, 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.
Can eyelid surgery address crow's feet?
Eyelid surgery will reduce puffy bags and excess skin and may help minimize crow’s feet. However, to truly treat crow’s feet, one will need a different approach. BOTOX® injections and procedures such as a brow lift are better options.
Will my eyes be irritated 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.
Will my vision improve from blepharoplasty?
If anything, eyelid surgery actually helps improve vision for many patients. Not only does it restore a fresh, younger look from a cosmetic standpoint, but it also eliminates the excess skin that may have been impairing vision. It is important to select a skilled surgeon who is an expert in eyelid surgery. We take great care during this surgery so that the eyes themselves are left untouched and unharmed.