At ENTACC, our patients are our priority.

Blepharoplasty or Eyelid Surgery

Eyes are a prominent facial feature. It is the surrounding skin, rather than the eyes themselves, that conveys emotion. The tissue, muscle, fat, hair and lashes all contribute to the wide array of expressions. Age, sun exposure and hereditary factors all contribute to wrinkles, deep lines andpuffiness around the eyes.

The aging process can cause unwanted changes in expression, causing us to look permanently fatigued and older than we really are. These changes in appearance can cause emotional distress and sometimes even visual impairment. An eyelid lift, or blepharoplasty, is designed to restore a more youthful appearance to your eyes. It may involve the upper lids, the lower lids, or both.

New and Traditional Techniques

Traditional Blepharoplasty: An incision is made in the crease of the upper lid toward the temples. Once healed, it is not noticeable when the eye is open. On the lower lid, the incision is made along the lash line toward the temples, and is hidden by lashes when healed.

The Transconjunctival Approach: This is a newer technique for lid blepharoplasty, involving an incision inside the lower lid. Fat can be removed through this incision, but excess skin cannot be eliminated.

Please ask your doctor if you have any questions about which procedure is right for you.

Surgery and Recovery

The Surgery

Local anesthesia is given around the eyes. An intravenous line is started so that sedation may also be given. During the procedure you will be awake but comfortable and relaxed. General anesthesia is rarely used.

This procedure is performed on an outpatient basis at our surgical center. It is important to arrange for care after the surgery. Someone must drive you home and be available to care for you for the first 24 hours.

Complications are unlikely, but may include: bleeding and swelling, delayed wound healing, infection, drooping of eye upper or lower eyelid, asymmetry, double vision and dry eyes.


Recovery: What to Expect

The area surrounding the eyes will remain swollen in the days following the surgery. It should begin to subside after the first day. Some vision blurring is normal.

The stitches will be removed in 4-5 days. Swelling and bruising will persist for about 10 days, but you can begin wearing makeup to help conceal these concerns. You may expect to resume normal activity within a week to 10 days, and start enjoying your new look within approximately 10-14 days. It may take about 6 months for the scars to lose their redness.

Wrinkling will recur later in life; however it is unlikely that the bags will recur because the fat has been removed. Deeper wrinkles around the outer eye extended onto the temple are not greatly affected by the eyelid lift. These areas may be treated with laser resurfacing.

If you have any questions concerning your comfort or care, please contact our office at (610) 879-0068.

Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”