Expert Eyelid Surgery by a Double-Board Facial Plastic Surgeon
The eyes are the first things we notice when we meet someone new. Beautiful eyes can make up for other features that are less than ideal. Likewise, eyes that are tired, droopy, or swollen may not reflect a vibrant inner self. It is often said that the earliest signs of aging are around the eyes. You may feel that the eyes looking back at you in the mirror every morning are old and tired looking, or maybe people are always questioning whether or not you had a good night’s sleep because of your eyes.
Real Patient Results
Dr. Donn R. Chatham, Medical Director of Chatham Facial Surgery uses the “picture frame” analogy: the beautiful part of the eye is the eye itself, particularly the iris. This is the colored round part of the eye, and it can be brown or blue or green…many color variations. This is what we see when we look into another person’s eyes. This is the “picture”. Everything around this “picture” is like a picture frame. The upper lids, the brows, and the lower lids all frame the pretty picture. When we are young, the open soft smooth frame compliments and accentuates the picture, and it is a thing of beauty!
You can rejuvenate your eyes to their more youthful state with expert eyelid (blepharoplasty) surgery. Dr. Chatham will thoroughly explain how he performs eyelid surgery and what results you can expect.
What are the Visible Signs of Upper and Lower Eyelid Aging?
As we age, the “frame” changes. The brows can descend, crowding the upper lids. The upper lids themselves often stretch and become droopy. The lower lid tissue often gets wrinkled; fat pockets pooch out and create “bags”. Add some crow’s feet wrinkles to the sides and now the frame begins to dominate. No longer is the pretty picture (iris) the main thing but it becomes dominated by the aging tissues that surround it. Fortunately, cosmetic procedures can improve this aging process, and restore the “picture” with an aesthetic eyelift rejuvenation procedure called blepharoplasty for both upper and/or lower lids.
Lower lids, with a “tired eyes” appearance, are typically the result of migrating eyelid fat. This fat is held back by a thin wall of fibrous tissue called the orbital septum, which sags over time. The fat, held firmly back by this wall in youth can bulge with age, giving you “baggy” upper and lower eyelids. Blepharoplasty trims this extra fat and tightens the wall, restoring a youthful contour. Sometimes we will reposition fat into some of the hollows beneath the fat in order to create a smoother skin surface. These hollows may include the “tear trough” which commonly deepens with aging.
Whether the reason for the undesirable changes is excess skin of the upper lids, or the fatty pockets of the lower lids or wrinkles in both areas, Dr. Chatham will tailor your surgery to your individual needs and goals.
“Dr. Chatham and the staff are very professional and caring. He takes the time to listen to your concerns but doesn’t push procedures or treatments on patients. I chose to have an upper blepharoplasty, and I am so glad I did…I have zero visible scaring! I highly recommend Dr. Chatham and his staff.”
How is Eyelid Surgery Performed?
If done alone, the operation takes about two hours for all four eyelids (both upper and both lower eyelids).
Blepharoplasty of the upper eyelids alone typically takes about 60 minutes and is most often performed under local anesthesia only as an in-office procedure.
The lower lid surgery is more delicate and Dr. Chatham believes is more safely and effectively performed using an IV sedation anesthesia. It is easier for the patient to remain completely still if sedate, and is more comfortable, too. The patient remains asleep during this approximate one hour and 15 minutes procedure. This is typically performed in an accredited surgery center. This may be performed either with an incision in the skin just below the lids or by going behind the lids through the “back door”, and leaving no visible incisional scar.
When hollows such as the tear trough and possibly other depressions creating “shadows” are present, Dr. Chatham in some cases might recommend the use of advanced dermal fillers, such as Restylane® or Juvéderm® to help restore some volume under the skin. This can be performed as a stand-alone session in the office or as part of a surgery.
For patients who have wrinkles under the eyes, we may recommend a light resurfacing procedure to soften the wrinkles. A deeper chemical peel is often helpful in creating new skin, which can be smoother, lighter, and tighter once healed. Sometimes the peel is performed at the same sitting as the other surgery.
What is the Eyelid Surgery Recovery Process?
All surgeries create a bit of swelling and possibly bruising that peaks about day 3. After this, improvement occurs and most patients look acceptable within seven to ten days. Fair-skinned patients will show a little more bruising than swarthy darker skinned patients. Minimal blurry vision quickly resolves.
Sunglasses allow you to go out in public immediately after surgery, and make-up can be worn within about one week (if a peel has also been performed, it may require 10 days of time). Normal (but not physical) activity can be resumed the next day and week-by-week more physical activities can be performed. Dr. Donn Chatham discourage strenuous exercise until about 3-4 weeks, and sometimes longer.
Why Donn Chatham, MD for your Facial Rejuvenation Surgery?
“Dr. Chatham and his lovely and caring staff are the absolute best. They are thoughtful, respectful, listen to your concerns and lead you in the right direction. You are always made to feel comfortable and at ease. I highly recommend them!”
Dr. Donn Chatham, Medical Director of Chatham Facial Surgery is a double board-certified surgeon. He is certified by the American Academy of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology Head and Neck Surgery. He is an experienced and highly skilled aesthetic facial rejuvenation surgeon. His surgical skills combined with an artistic eye produce long lasting and natural-looking results for his thousands of satisfied patients. If you desire a surgical facial, non-surgical facial procedure, laser/light-source treatment, and a variety of medical skin care services in a caring and supportive environment, schedule your consultation at one of Dr. Chatham’s two facial centers of aesthetic excellence in Louisville, KY or Albany, IN. See maps.
Trust Your Face to a Double Board-Certified Facial Plastic Surgeon
"Each patient we serve is the most important patient in our practice when they are with us."CALL: 502-895-4820