Conservative Eyelid Surgery To Avoid Perma-Surprise

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Eyelid surgery also referred to as blepharoplasty, is typically performed as a cosmetic procedure to enhance the appearance of a patient’s eyelids. It may be considered a type of surgery that is necessary for functional purposes for older individuals when their eyelids sag in such a severe way that they make it difficult to see. The surgery can address issues with the upper lids, the lower lids, or may target both lids. The end result can provide patients with a rejuvenating effect that makes them look more youthful. It can also improve vision when eyelids are in the way. However, it must be performed by an expert to avoid perma-surprise, that look of being surprised with eyes that are wide open that won’t go away.

Why Choose to Have Eyelid Surgery?

In most cases, people choose to have eyelid surgery because they are not happy with the appearance of their eyelids. Reasons include:

  • Bags under the eyes
  • Puffy eyes
  • Eyelids that look like they are drooping
  • Excess folds in the upper eyelids
  • Wrinkles that have affected the eyelids

Many Asian patients choose eyelid surgery to add an extra crease or fold in their eyelids when one is lacking. If you have something that is making you unhappy with the appearance of your eyelids, your plastic surgeon can help you to improve the way you look. As you take your first steps toward changing the appearance of your eyelids, you should be aware of conservative changes that can be made in order to avoid that perma-surprise look that makes surgical changes so obvious.

You Want Your Eyelid Surgery to Look Natural

When you undergo eyelid surgery, you want to walk away looking better than you did before you placed yourself in the capable hands of your talented plastic surgeon. The last thing you want is to find yourself facing perma-surprise every time you look in the mirror. When your eyes look like they are wide open all the time, it will be quite obvious that you had surgical intervention. You want your eyes to look like there have been subtle changes that improve your appearance.

Conservative Alterations are Best with Eyelid Surgery

The perma-surprise look is a result that can happen after upper eyelid surgery. When eyelid surgery addresses your upper lids, it is typical to trim away excess skin and remove any fat that is making your lids droop. However, if your surgeon removes too much skin or fat, it could give you that wide-eyed look that is otherwise known as perma-surprise. Your surgeon can take a subtle approach that can make a world of difference.

A Combination of Eye Surgery Techniques May Be Best

As your plastic surgeon evaluates your eyelids, it will be possible to determine the best approach to take to give you a more youthful appearance without lids that droop. Your surgeon may choose to remove a minor amount of skin if drooping or wrinkles are an issue. The use of dermal fillers or a fat transfer may be able to provide a boost to sagging areas, rather than fat removal. When you turn to a plastic surgeon who is a true artist, it will be clear that extreme changes aren’t necessary with skin that is so delicate around the eyes. Less is better when it comes to eye surgery.

Pay Attention to Your Eyebrows

Your plastic surgeon is going to assess your eyebrows as well when looking at your eyelids. In some cases, the only thing you may need is a subtle lift to your eyebrows. As your brows come up, they will no longer place pressure on your eyelids. You’ll be able to eliminate the appearance of sagging eyelids. Your surgeon may feel that an eyebrow lift, the use of dermal fillers, and some minor changes to your eyelids will give you the kind of results that you want to see.

What are Conservative Options that Can Improve the Appearance of Your Eyelids?

In addition to traditional techniques that can improve the appearance of your eyelids, your plastic surgeon may choose laser resurfacing to smooth away wrinkles and drooping skin on your eyelids. This is a natural approach that does not require surgery. Results will look subtle and there is less downtime. Fat transfer, in which fat is taken from an area on your body where you have extra and injected, can be beneficial as well by adding volume in the skin between your lids and brows to make it firmer. This will make your eyes look like they are not drooping without actually making changes to your eyelids. If your plastic surgeon does need to make changes to your eyelids, you may only need a small tuck performed at the creases with minimal removal of skin.

Express Your Wishes to Your Surgeon

When you visit your plastic surgeon during a consultation, you need to explain what your problem is with your eyelids. You may be able to share pictures of how you looked when you were younger. Otherwise, bring a photo of someone you admire with eyelids that have the kind of look you want to see. You can also review photo galleries of patients that have had eyelid surgery. Your surgeon will look at the big picture to help you to find the best way to make your eyelid surgery work for you without giving you the perma-surprise look.

Turn to Renu Artful Medicine to Explore Your Options for Eyelid Surgery

When you place yourself in the hands of Dr. Philip Schoenfeld at Renu Artful Medicine, you will receive the benefits that come from a plastic surgeon specializing in eyelid surgery and who also is, a dual board-certified in facial and reconstructive surgery as well as head and neck surgery. With his wealth of experience, you will benefit from a comprehensive evaluation of your eyelids to point you in the right direction. Visit to learn more.

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