Blepharoplasty

The eyes are usually the most attractive facial feature and the one that is often noticed first. Our eyes communicate our emotions, even when we are not speaking. They influence how others perceive us as they glance at our facial features.

Eyelid surgery, or blepharoplasty, at our Montreal, Quebec, facial plastic surgery practice aims to reverse some of the unfavorable changes or features of the eyelids to provide a more refreshed and youthful appearance. A blepharoplasty may address the upper eyelids, the lower eyelids, or both—and it can be performed on both women and men. Regardless of which eyelids are rejuvenated, Dr. Samaha’s goal is a natural, “unoperated” result which enhances the youthful glow of the eyes and the entire face.

Blepharoplasty Candidates

Eyes with wrinkled or sagging skin are frequently associated with a perception of old age, even when they occur in a young person. Excessive fat pads in the lower eyelids confer a puffy-looking or tired appearance. Sagging brows that create a heaviness of the upper eyelid indicate a sad appearance. Many of these changes occur as part of the normal aging process as the skin loses some of its support and gravity prevails. Some of these features, however, may be inherited and can occur in a young person, such as excessive skin in the upper eyelid or prominent fat pads in the lower eyelids. Dr. Samaha rejuvenates the upper eyelids, lower eyelids, or both sets of eyelids with blepharoplasty.

Do I Need Upper Eyelid Blepharoplasty?

An upper lid blepharoplasty consists of removing, in a very precise and planned fashion, the excess skin that causes hooding over the eyelids, creating a sad or tired appearance. This hooding can also make it difficult for women to apply makeup. Removal of this excess skin provided it is performed artistically and in a measured fashion, rejuvenates the eyelid and gives the eyes a more “awake” and “lighter” appearance.

Do I Need Lower Eyelid Blepharoplasty?

A lower lid blepharoplasty removes fat bags under the eyes, excess wrinkled skin, or both. For patients who do not have excess skin and require removal of fat bags only, the procedure can be performed through the inside of the eyelid, without any outer skin incisions. However, if there is significant excess or saggy skin in the lower lid that requires removal, the procedure is performed through an incision placed in a crease just underneath the eyelashes. The placement of this incision allows it to be well hidden in the crease and result in an imperceptible scar.

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Maximum Results, Minimum Recovery

Dr. Samaha is constantly striving to perfect his surgical techniques to provide the best possible results for his patients. In addition, since the start of his surgical practice, he has also taken a keen interest in developing techniques and methods to minimize swelling and bruising after surgery for his patients and therefore shorten their recovery. This has culminated in his Maximum Results Minimum Recovery system.

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What Kind of Anesthesia Is Used for Blepharoplasty?

Approximately half of our patients who have an upper lid blepharoplasty will elect to have the procedure under local anesthesia, while the other half will choose a mild sedative to dissipate any anxiety. For the lower lids, Dr. Samaha favors sedation anesthesia.

What to Expect After Blepharoplasty Surgery

Patients are able to go home within one hour following surgery. If a blepharoplasty is performed in conjunction with another procedure, this period may be slightly longer.

The eyelids and areas around the eyes are slightly swollen and discolored for about 7 days following surgery. Eye drops and gels are prescribed to soothe the eyes and keep them moist. For the first few days following surgery, the eyes will fatigue more easily while reading or watching television.

For an upper lid blepharoplasty, stitches are removed 5 to 7 days after surgery. There are no sutures for a lower lid blepharoplasty performed through the inside of the eyelid. If an incision is made under the lashes, self-dissolving sutures are placed that do not require removal as they dissolve and “fall out” usually within 7 days. Water-based makeup can be applied at this time to conceal any residual discoloration. Follow-up appointments are then scheduled.

Dr. Mark Samaha

Meet Dr. Mark Samaha

A double board-certified otolaryngologist whose practice focuses exclusively on facial plastic surgery, Dr. Samaha is highly qualified in facial aesthetics. Learn more about our physician and how he's carefully refined his skills to sculpt your beautiful face.

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Accessory Procedures

For some patients, a blepharoplasty alone will achieve the rejuvenation they are seeking. However, in certain instances, an accessory procedure may be required to achieve the patient’s goals for rejuvenation. One of the most important considerations in the region of the eyes is the position of the brow. A brow that is sagging will not be adequately addressed with a blepharoplasty alone and a brow lift may be required, which can be performed at the same time. The wrinkles in the skin on the temple at the corner of the eye (frequently referred to as “crow’s feet”) may be diminished but not necessarily eliminated with blepharoplasty surgery. BOTOX COSMETIC® or  Dysport® injections are usually an effective treatment in these instances.

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Frequently Asked Questions

Will I be in pain after eyelid surgery?

Blepharoplasty is not usually associated with significant pain. Although Dr. Samaha will prescribe pain medication to be used as needed, it is very unusual for patients to need to use this medication after surgery.

What are my activity restrictions after blepharoplasty?

The main restriction is the avoidance of strenuous activity, which includes vigorous exercise and heavy lifting for one week after surgery. Other maneuvers that increase the pressure in the head are also to be avoided. These include straining and bending forward. Otherwise, patients may carry out usual activities.

How long does it take to recover from blepharoplasty?

When performed alone, blepharoplasty recovery time is usually about 1 week. If a facelift is done in the same setting, recovery may take an additional 4 to 5 days depending on the extent of the facelift.

Is there bruising after blepharoplasty?

Blepharoplasty is usually associated with some bruising. The degree of bruising depends upon surgical technique and the patient’s own tendency to bruise. The bruising will gradually fade in appearance the first few days following surgery. Dr. Samaha uses advanced, minimally invasive techniques to minimize bruising and swelling after surgery. Patients who have a natural tendency to bruise easily will experience slightly more bruising in the initial recovery period.

How long do blepharoplasty results last ?

A blepharoplasty carries a high degree of success and the improvement can be significant and long-lasting. Certainly, the aging process continues, but problems such as bags under the eyes or sagging skin of the upper eyelid do not usually return following the procedure, even with advancing age. A second blepharoplasty is seldom necessary.

Dr. Samaha looks forward to helping you rediscover the beauty of your eyelids. Request your consultation online or call us at (514) 731-2525 to make your appointment.

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