Surgical alterations of the skin and fat of the upper and lower eyelids can rejuvenate puffy, sagging, or tired-looking eyes. In the upper the eyelid, this is accomplished by creating a carefully placed incision in the natural crease and removing excess skin and fat. In the lower eyelid, this will usually involve removing or repositioning excess or bulging fat through an internal incision (transconjunctival) as well as removing or tightening loose, sagging skin through an external incision under the lash-line or a chemical peel.
The procedure can be performed in the office under local anesthesia or in the surgical center under general anesthesia depending on the patient’s health and / or preference. The majority of patients will experience very little pain following this procedure. However, swelling and bruising around the eyes is expected and will usually last 7-10 days.