Eyelid Lift (Blepharoplasty) Fredericksburg


I perform eyelid surgery to both the upper and lower eyelids. Let me take you through the problems often encountered and how I address them with each procedure.

Upper Eyelids

The upper eyelid skin becomes lax with age and can actually interfere with your eye sight as the skin droops over the lids. Women often complain that they can no longer effectively apply eyeshadow because of the laxity.

To address the skin laxity of the upper lid, I use a CO2 laser to excise the excess skin in a precise manner such that the natural crease of the lid is preserved. The underlying muscle is tightened by using the same laser before closing the skin with fine sutures. Rarely, there are fat pads that need to be addressed, but it is crucial that this step be added sparingly to avoid a hollowed out appearance. The scar is typically imperceptible. The entire procedure takes less than an hour and can be performed with local anesthetic only although I highly recommend adding IV sedation to prevent anxiety.

Lower Eyelids

Bulging fat beneath the lower lids leads to a tired, aged appearance with the lid cheek junction appearing too obvious. The lid skin itself also often develops fine lines and wrinkles.

To address changes of the lower lids I perform transconjuctival blepharoplasty, which leaves no visible scar. An incision is made inside the eyelid with the CO2 laser and excess fat is removed from the three compartments typically involved. No suture is necessary. If lower lid skin laxity is also present, then the CO2 laser can be used to resurface the skin. It is rare than any skin needs to actually be removed.

Call my office for an appointment so I can discuss with you how blepharoplasty may improve your appearance.

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