What is a blepharoplasty?

Blepharoplasty, or eyelid lift, is a cosmetic procedure that rejuvenates the appereance of the eyelids. It can be performed on the upper or lower eyelids. It is performed by removing or repositioning skin, muscle, and fat in a conservative fashion.

This procedure can sometimes require tightening of the lower eyelid to avoid malposition of the eyelid after surgery. Blepharoplasty does not eliminate small wrinkles, but improves the tired and aging appearance of the eyes. It can be combined to other cosmetic procedures around the face.

Female treated with upper blepharoplasty

Female treated with upper blepharoplasty
Source: Dr. Moubayed’s practice. Photos published with informed written consent of the patient. Not a guarantee of results. Educational purposes only.

Male treated with upper blepharoplasty and endoscopic browlift

Male treated with upper blepharoplasty and brow lift
Source: Dr. Moubayed’s practice. Photos published with informed written consent of the patient. Not a guarantee of results. Educational purposes only.

What types of blepharoplasty do you perform?

Dr. Moubayed is a surgeon that is exclusively trained in facial surgery and recently published a medical reference textbook on Facial Plastic Surgery.

Dr. Moubayed perform upper blepharoplasty, lower blepharoplasty, forehead (and eyebrow) lifting, as well as neuromodulator, hyaluronic acid, and fat injections around the eyes.

Is eyebrow or forehead lifting the same as upper blepharoplasty?

They are two different procedures.

Sometimes, it is rather heaviness of the eyebrows that causes a tired appearance, due to the eyebrows being positioned lower than the ideal desired position.

Only a consultation will help identify whether the right procedure for your is a forehead lift or a blepharoplasty.

Read on forehead lifting.

What are the benefits of blepharoplasty?

The main benefits of blepharoplasty are to rejuvenate the appearance of the eyes, resulting in a more rested and less tired look. A priority for Dr. Moubayed is to preserve a natural and non-operated appearance of the eyelids.

What are the risks of a blepharoplasty?

Like any surgery, a facelift presents the universal (but minimal) risks of scarring, bleeding (and bruising), infection (superficial or deep), and pain (temporary or permanent).

However, the main risk of any cosmetic surgery is to not be satisfied with the result. After a proper consultation that includes a complete examination and photo evaluation, Dr. Moubayed can generally produce the results desired by the patient. However, we do not control the healing of tissues, and some patients heal in an unpredictable way producing asymmetries or irregularities that can sometimes require touch-ups.

Any blepharoplasty includes the more rare risks of malposition of the eyelids due to bad scarring, injury to muscles around the eyes, strabismus, dry eyes, or temporary or permanent loss of eyelashes. Finally, any surgery around the eyes carries a very rare risk of vision loss.

The most important factor in eyelid surgery is conservatism. Dr. Moubayed combines a conservative and individualized approach to each patient with extensive training in facial surgery. All patients are followed closely after surgery with very precise and very clear instructions. All of this is done in order to minimize the risks listed above.

Orbital anatomy

Anatomy of the orbital fat compartments
Source: Moubayed et al., Facial Plastic and Reconstructive Surgery: Concepts, Questions, Answers, 1st ed.

Are there non-surgical or minimally invasive alternatives to cosmetic blepharoplasty?

Certain carefully selected patients can benefit from minimally invasive injectable fillers or resurfacing procedures and obtain excellent rejuvenation results. Some patients who want more permanent results can benefit from fat injections around the eyes.

However, nothing replaces a consultation with a doctor that can offer the whole breadth of non-surgical and surgical facial rejuvenation procedures to be able to determine which one is best suited for your individual face.

Dr. Moubayed can counsel patients on the best individually-tailored type of procedure according to their facial aging profile.

What happens during a consultation for blepharoplasty?

A consultation starts with a complete questionnaire and physical examination. Photos are taken and analyzed with your surgeon. This is an essential communication tool as some patients want changes that are not always possible in surgery.

Then, we talk about surgery and recovery, and Dr. Moubayed answers any and all questions you may have.

Multiple consultations are sometimes necessary before deciding to proceed with surgery. Cosmetic facial surgery is an important decision to make and it is important that you are well informed before proceeding with it.

How to prepare yourself for a consultation for blepharoplasty?

It is a good idea to prepare yourself for your consultation and this is easily done.

First, prepare to list in order of importance the elements you would like to improve around your eyes: brow position upper lids, lower lids, skin color, excess skin or fat. Are there any other regions that bother you in your face such as your jowls, neck, chin, nose, or lips?

Finally, if you have had cosmetic soft tissue fillers to the face or around the eyes, try to find out which products were injected and when. If you have already had facial surgery, try to bring with you the operative report of your prior procedures if this is possible.

How long does it take to perform a blepharoplasty?

Blepharoplasty is a procedure of safety, finesse, and precision. Depending on the number of eyelids and associated techniques, it can last between 45 minutes and 3 hours.

Eyelid anatomy

Eyelid cross-sectional anatomy
Source: Moubayed et al., Facial Plastic and Reconstructive Surgery: Concepts, Questions, Answers, 1st ed.

What type of anesthesia is used for blepharoplasty?

Blepharoplasty can be performed under local anesthesia, local anesthesia with sedation, or general anesthesia, depending on the extent of surgery and the patient’s wishes.

For general anesthesia, the type of anesthesia used is total intravenous anesthesia (without using anesthetic gases). This type of anesthesia is safe and helps reduce nausea and coughing after surgery. Our patients often report how positive their anesthesia experience was.

How long is recovery from a blepharoplasty?

Patients leave the surgical center the same day and recover at home with very precise instructions, such as not drinking from a straw.

Your first post-operative appointment will take place 5 to 7 days later, where your stitches will be removed and your wound will be examined.

Bruises can persist up to two or three weeks. This is the recommended recovery time for cosmetic surgery around the eyes.

Light physical activity can be resumed after a week, but for more vigorous activities like weightlifting, it is recommended to wait three weeks to minimize bleeding risk.

How long does swelling last after blepharoplasty?

After three weeks, you will very presentable in society. The majority of swelling decreases over the first three months, but minimal (barely visible) swelling can persist for up to a year.

How to find the best surgeon for a blepharoplasty in Montreal?

It is important to look at multiple factors during your lip lift surgeon choice:

1- Does your surgeon have specific expertise in facial surgery and anatomy to be able to minimize complications?

2- Can your surgeon perform all types of procedures around the eyes to be able to choose which one is most adapted to your needs?

3- Did you have a positive experience and feel comfortable during your consultation?

Do you have before and after pictures of blepharoplasty?

See our photo gallery for before and after pictures. Here are a few examples:

Five ways to know if you are a good candidate for blepharoplasty (eyelid lift)

1. Your eyes have a tired or angry appearance

2. You do not have eye disease or dry eyes

3. You are in good health

4. You do not smoke

5. Your expectations are realistic

How do I contact Dr. Moubayed for a consultation?

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