I went to multiple Plastic Surgeons wanting lower eyelid surgery to get rid of intense under eye wrinkles when I smiled. They all said that I didn’t have enough skin for lower eyelid surgery, and they refused to do it on the grounds they all felt it would permanently pull my lower lid down and not help the wrinkles anyway. And that I had to “live with it.” Prior laser treatments did not diminish the wrinkles either, so I was out of options until I found Dr. Adam Summers. He disagreed with the other Plastic Surgeons, and guaranteed it would not permanently pull my lower lid down. He did the upper lids, lower lids, and an upper cheek lift for a great price and I am thrilled with the results. My eyelid is not pulled down and the wrinkles are gone! Just as importantly, the reason I would also recommend Dr. Summers as unlike Plastic Surgeons I’ve had surgery with in the past, he cared just as much for me and my endless questions or concerns postop as he did before I paid him. He even told me preop that if any wrinkles remained he would stand by his work and get rid of them for free. That is the mark of a truly great Plastic Surgeon. I’d also like to acknowledge Melinda, office manager, the nurses and all the staff for going over and above with great customer service. I’m a fan for life!
One of the first things noticed about a person is their eyes. Whether in business or romantic situations, we are all attracted to large, bright, youthful eyes. Unfortunately, eye bags and droopy eyelids, caused by aging or genetics, are a very common problem. During the aging process, wrinkles, lines, and puffiness contribute to a tired or aged appearance. Removal of the extra tissue brings your eyes back into view, causing them to look larger and younger, brightening your entire face.
Blepharoplasty is an outpatient surgical procedure at the Maryland Plastic Surgery Center which removes excess skin, fatty tissue, and muscle from the eyelids both above and below the eyes, creating a more youthful appearance. The incisions made by Dr. Summers are frequently so small that they cannot be seen.
Upper Eyelid: If droopiness above the eye is to be corrected, the incisions are made in the eye crease. Occassionally a forehead or brow lift will be recommended for optimal results.
Lower Eyelid: If puffiness, loose skin or fat of the lower eyelid is to be corrected, the incisions are made along the lower lash line. Sometimes, Dr. Summers can even make the incisions inside the lower eyelid, hiding them completely. If slightly loose skin and/or fine lines are the primary concern, a non-surgical option such as Fractional Laser Resurfacing (e.g. Fraxel) may be used.
Unlike some procedures which only last a few months or years, the results of blepharoplasty are permanent. However, it will not prevent future wrinkles from developing.
- Dark circles or bags under the eyes.
- Excessive skin or wrinkles surrounding the eyelids.
- A tired appearance or puffiness due to inherited factors.
At the Maryland Plastic Surgery Center, Dr. Summers usually performs upper eyelid blepharoplasty under a local anesthesia. Lower eyelid blepharoplasty typically is performed with sedation or under a general anesthetic.
The surgical procedure includes tiny incisions made in the natural contours around the eyes to minimize visible scarring. Excess skin and fat will be removed. The skin will be tightened and a new contour will be obtained. After the excess tissue is removed, tiny sutures are used to close the incisions.
Lower eyelids are completed next to eliminate puffiness and reduce dark circles. In some instances, laser technology (complete resurfacing or fractional resurfacing) may be used to smooth lower eyelid areas.
The surgery generally takes about one to three hours.
The healing process for a blepharoplasty is typically 1-2 weeks. However, patients with a lower eyelid lift may have bruising and/or swelling that lasts for several weeks. fortunately, the results are long-lasting and patients typically enjoy a rested and youthful appearance for many years.
After a blepharoplasty at the Maryland Plastic Surgery Center, you will be able to return to work within a week or two. Your vision will be slightly impaired for a few days, so be sure to have someone drive you home. You should avoid driving until your eyesight is clear and your eyes no longer water. Your eyes may itch, water, and feel somewhat sticky for a week or two after the blepharoplasty surgery, but this can be relieved with eyedrops. You may experience blurred or double vision for the first few days after surgery.
Your eyes may be more sensitive to light for a few days, which will make reading or watching television uncomfortable. You may have to apply an ointment after surgery to prevent dryness. You may experience some swelling and bruising, which can be relieved by elevating your head and/or applying a cold compress or ice pack. Stitches that are non-dissolving will be removed a week after surgery by Dr. Summers at the Maryland Plastic Surgery Center. Contact lenses should not be worn for at least two weeks after surgery. Eye makeup should not be worn until all of the stitches are gone. The blepharoplasty incision areas may be red for a few weeks but will eventually disappear.
In addition to assisting eyelid lift (blepharoplasty) patients, Dr. Summers offers other facial procedures at his Baltimore plastic surgery center. Please visit these pages to learn about how Dr. Summers helps Baltimore rhinoplasty, facelift, forehead lift, chin and cheek implant and neck lift patients.
Frequently Asked Questions About Blepharoplasty:
Click on a question below to see the answer.
A: At the Maryland Plastic Surgery Center, it is very common for patients to have a functional rhinoplasty (e.g. surgery to make it easier to breathe through the nose) at the same time as a cosmetic rhinoplasty. Simultaneous procedures typically include septoplasty for a deviated septum, turbinectomy to open the inner airway, and nasal valve repair for internal nasal valve collapse.
Also, it is appropriate to have other facial cosmetic procedures simultaneous with a cosmetic rhinoplasty. For example, in selected patients, a chin implant can tremendously enhance the results of a rhinoplasty. Similarly, liposuction of the neck can substantially improve a patient’s profile when combined with a rhinoplasty.
A: Due to the variety of procedures available in plastic surgery, there can be no blanket rule on age although age will be taken into consideration when planning your operation. People of all ages have taken advantage of the image-enhancement offered by plastic surgery. There are even procedures appropriate for young children! It is important to realize the limitations of plastic surgery. Plastic surgery cannot “fix” every situation or reverse the aging process. What is a good procedure for one person may not be an appropriate procedure for another. We are committed to making your plastic surgery experience a successful one.
A: During your consultation we will discuss your desired changes and expectations, review your medical history and current health, and make an assessment on whether the procedure(s) in question are right for you. This is a good time to ask specific questions about the procedure so that you are fully prepared, mentally and emotionally, for surgery. We will discuss the results that can be achieved, with the aid of photos and/or computer imaging. When a final decision is made, you will need to sign an informed consent stating that you are fully aware and understand what is entailed by your pending operation, including the potential complications and secondary effects.
A: Generally, post-operative instructions call for rest and limited movement in order to speed up the healing process and recovery time. The length of recovery varies with each procedure and is different for each individual. Bruises usually disappear within a few days, and most swelling is gone in a matter of weeks. If you follow our post-operative instructions carefully, you will be able to enjoy your normal activities within no time. Your scars will fade over time but are permanent. We take care to conceal any scars so that they are barely visible, if at all. The image-enhancing effects of plastic surgery become more evident over time with certain procedures taking up to a year for your body to fully adjust and settle into its new look. When you come in for your consultation we can discuss your expected recovery period and any post-operative instructions in detail.
A: Insurance providers generally cover costs for reconstructive surgery such as nose surgery to allow for a patient to breathe better. Therefore, the insurance company may pay a part of the surgical fees. If your surgery is covered by insurance, pre-certification is required. We will be happy to assist you with the process.
Note: Insurance companies will not pay for any portion of a procedure that is cosmetic. Therefore, do not expect your insurance company to reimburse you completely for all of the fees you have paid. Also, patients are responsible for full payment of their quoted fees prior to surgery. Reimbursement, when available, will be made by your insurance company directly to you.
A: The type of the anesthesia varies with each procedure. For some procedures, only local anesthesia or local anesthesia with intravenous (IV) sedation is needed. This method will allow you to be awake, but insensitive to any pain. In more complex procedures, general anesthesia is needed and you will be asleep during the entire procedure. The anesthesia used in your operation will depend on the type and extent of the procedure(s), your age, and the surgeon’s preference.
A: Maryland Plastic Surgery is Maryland’s premiere cosmetic surgery center and medical spa. The Center’s director, Dr. Adam Summers, is an expert cosmetic surgeon who uses advanced techniques to achieve natural looking results. Just 15 minutes from Baltimore, Howard County (Columbia) and Annapolis, the Center specializes in tummy tuck (abdominoplasty), breast augmentation, breast lift, liposuction, rhinoplasty, and facelift procedures. © Baltimore Maryland Plastic Surgery Center and Medical Spa.