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 301-656-6398  |  703-442-4919
Adam G. Tattlebaum M.D.
Blepharoplasty in McLean VA

Blepharoplasty


Eyelid Surgery (Blepharoplasty):


Introduction
Do I need to do both upper and lower?
How is the surgery done?
What is the recovery?
Will there be scars?
Will Blepharoplasty remove all my wrinkles?
Am I a candidate?
What are the risks?

Introduction and examples:

If your mother or father have droopy eyelids chances are then eventually you will too. Unfortunately, it is hard to hide from your own genetics. Over time excess skin in the upper lids can start to sag, and fatty pockets in the lower lids can start to bulge. While individual results will vary below are some examples:

This woman had a conservative skin excision from her upper lids.

Blepharoplasty in Annapolis

Before

After Blepharoplasty in Rockville MD

After

The man below had both lids done, skin was removed from the upper lids and fat removed and tightened from the lower lids (he also had a facelift).

Blepharoplasty for Men

Before

Blepharoplasty in Washington

After

Blepharoplasty in DC

Each patient is different in the amount of loose skin and or fat. In my opinion less is more. No one wants to look like a deer in the headlights. I am a conservative blepharoplasty surgeon. I want my patients to look refreshed, not “done”. With respect to skin removal one can always take more, but it’s very difficult to put it back. With respect to fat removal there is a delicate balance. Too much removed and a patient can look hollow. In some cases I don’t even remove fat, I just tighten the tissue pushing it back into the orbit.

Here are some of the most common questions I encounter:

Do I need to do both upper and lower?

No, some patients will do one or the other. It really depends on your goals and starting situation.

How is the surgery done?

Upper lids can be done under local or a light general anesthesia. Lower lids are usually done asleep. The surgery takes about 45 minutes for each. There is often some swelling and blurriness after surgery and you will need someone to take you home.

What is the recovery?

Most patient will hibernate for about a week. Cool compresses are used for the first 48 hours. Any external sutures are removed within about a week. If there is bruising (some do and some don’t) it can take a few weeks to go away. While there will be visible changes early on it can take a few months for swelling to go away completely.

Will there be scars?

Yes, usually in existing eyelid creases. Anyone can make a bad scar anywhere, but eyelid skin usually heals very well because it is so thin. Some patients will use cover up during the period when the scars are red. In some cases lower eyelid surgery is done from inside the eyelid leaving no external scars.

Will Blepharoplasty remove all my wrinkles?

No, it’s not designed to. Blepharoplasty deals with the larger skin folds and fatty pockets. If the skin is pulled too tight pulling downward of the lower lids can occur. Even after blepharoplasty some patients will benefit from chemical peel or laser resurfacing which does a better job with the finer lines. Botox is still the best option for crows feet.

Am I a candidate?

As with all surgeries you must be healthy and you can’t be on any blood thinning medications. For eyelid surgery you must also have good eye health. If you have a pre-existing eye disorder eyelid surgery could make it worse.

What are the risks?

I go over the risks thoroughly in consultation. The minor complications that are associated with blepharoplasty include double or blurry vision for a few days, temporary swelling at the corners of the eyelids, and milia (or tiny whiteheads). Patients can develop asymmetry during healing or excessive scarring if they are prone to such a thing. It is common to feel some bumpiness of the scars in the corners of the eyes until the scars mature. The greatest risks are double vision or blindness, which thankfully are extraordinarily rare. Pulling of the lower lids is another risk. While rare it could lead to further surgery and expense.

How do I schedule a consultation?

To schedule an appointment please use the contact form on this page or call my office at the numbers listed on the home page. Please ask for Pei (pronounced “pay”) my assistant.

A Word From The Doctor

Welcome to my new and updated website. I hope you find it not only better than my old one, but different from the many others you may be looking at.

As a Maryland plastic surgeon I worry that there is not only too much plastic surgery information on the internet to sort through, but that much of it is more hype than substance. I hope you will consider this new site a teaching tool. I have put it together in an effort to answer the most common things my patients want to know.

I hope as you read this site, you will have a sense of how I think cosmetically and how I have approached my patients. By no means is my way the only, but the thinking that I have used and honed over the past 18 years has served me well. I hope it will be of benefit to you.

Each patients results will be different depending upon their goals and starting situation, but I try to present here concepts that will be helpful in considering what is right for you.

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