Blepharoplasty (eyelid surgery) is an effective way to achieve more alert, refreshed eyes by having excessive fat, skin and tissue removed from the upper eyelids and/or removing fat only from the lower lid. Charlotte plastic surgeon, Dr. Vincent Voci, will use a transconjunctival approach when only removing fat from the lower eyelid. As a result, there’s no outside incision and no visible scar. When there’s work on the upper eyelid, the incision is usually made in the crease to minimize scarring. While the upper and lower lids can be treated separately, they are usually done at the same time.
"I love going to the Voci Center...I am always active in the community, on television, on stage, on runways, and social elite gatherings and I know that I will be looking my best because of Voci Center. It is just like buying an outfit to go out ..you must have shoes, dress, hair, make up, voci center complete and then you are ready."- R.M. / Facebook / May 11, 2015
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"The best! Dr.Voci and his friendly yet professional staff are wonderful! Dr.Voci gives full attention to detail in everything he does and anything less than perfect is not acceptable!I hope he never leaves Charlotte! Gavin Dipple"- G.L. / Google / Oct 16, 2017
"I Absolutely Loved Him And His Staff From The Minute I Walked In His Office. So Caring And Always Concerned About Your Fears, Thoughts And Questions. Even To The Point He Calls You At Home To Check On You. Such An Amazing Doctor. Such An Amazing Experience So Far. So Blessed I Choose Him."- C.L. / Facebook / Aug 11, 2017
Upper Eyelid Surgery
During upper eyelid surgery, an incision is made within the natural fold of the lid and extended outward. The incision will go out as wide as possible so that additional skin folds on the outside of the upper eye can also be addressed. Once the incision is made, excess skin, tissue and, in some cases, a small portion of the orbicularis occuli muscle are removed. The incision is closed with absorbable sutures and the scar remains almost completely hidden because of where it resides in the natural crease.
Lower Eyelid Surgery
During lower eyelid surgery, an incision is made along the bottom of the lash line. This allows the surgeon to remove excess fat and tissue. In patients who have puffy lower eyelids but good skin tone, an approach known as a transconjunctival blepharoplasty can be performed. This technique puts the incision inside the lower eyelid rather than outside. Patients who have dark circles under their eyes will sometimes have a deficiency of fat in these areas. Injectables can be used to help fill these soft-tissue deficiencies and can improve the appearance of these circles.
Eyelid surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. It generally takes up to 2 hours for both the upper and lower eyelids to be addressed. Following surgery, the area around the eyes will be bruised and swollen. Patients should apply ice packs, keep their heads elevated, and apply medicated eye ointment for a few days. Patients comment on the fact that friends and family tell them they look great, but often can’t put a finger on what is different. These subtle, yet dramatic results restore a softer, more youthful appearance.
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Eyelid Surgery FAQs
After surgery, scarring will not be visible because of where the incisions are placed. In the upper eyelid, the incision follows the natural crease of the eye. The lower eyelid incision will run just under the eyelashes or inside the eyelid. Scarring will be inconspicuous.
Eyelid surgery will reduce puffy bags and excess skin and may help contribute to some minimization of crow’s feet. However, to truly treat crow’s feet, one will need a different approach. BOTOX® injections and procedures such as a browlift, are better options to help eliminate crow’s feet.
Irritation After Surgery?
Some patients will experience dryness and minimal irritation following surgery. If these occur, we can recommend ointments and eye drops to assist during the healing phase. Patients should protect their eyes against wind and sun irritation for the first several months by wearing dark sunglasses.
If anything, eyelid surgery actually helps improve the vision for many patients. Not only does it restore a fresh, younger look from a cosmetic standpoint, it eliminates the excess skin that may have been impairing vision. It is important to select a skilled surgeon who has expertise with eyelid surgery. We take great care during this surgery so that the eyes themselves are left untouched and unharmed.