Serving blepharoplasty patients from Salem, Roanoke and Cave Spring, VA
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Most of us have heard the phrase, "The eyes have it." As you get older, though, you discover that "it" looks a lot less appealing than it used to. Instead of a fresh, youthful, wide-eyed visage, the skin around your eyes gets puffy, drab and crinkly. It's no wonder eyelid surgery, or blepharoplasty, is becoming more common in Virginia and throughout the country.
In Salem, VA, Dr. Carol A. Wray works with men and women throughout the Roanoke Valley area who are fighting the effects of sun exposure, stress and aging on their skin. Patients seeking eyelid surgery travel from Salem, Roanoke, Cave Spring and further afield to experience her expertise in this area. Please take a moment to set up an appointment at The Center for Plastic Surgery at Ridgewood Hill today and find out whether blepharoplasty is right for you.
What is eyelid surgery?
An eyelid surgery removes bulging fat and/or skin from the upper and lower eyelids, giving you a more rejuvenated and fresh appearance. Upper blepharoplasty will reduce the saggy appearance of the upper lids, and a lower blepharoplasty will help the puffy, tired look of the lower lids.
Who is a candidate for eyelid surgery?
If you have excess skin that is weighing down your upper eyelids and blocking your peripheral vision, then you may need corrective surgery. When you meet with Dr. Wray at her Salem location, she will evaluate your condition and assess the cause of the excess skin. If visual field testing determines that the excess tissue is causing sight problems, then your eyelid surgery may be considered medically necessary and be covered by insurance. Sometimes the problem is a combination of forehead and eyelid skin, so some patients require a brow lift, rather than upper eyelid surgery, to correct the condition.
Although eyelid surgery can be medically necessary, many of the patients we see are choosing the procedure for cosmetic reasons. With blepharoplasty, they can alleviate the heaviness around their eyes and attain a fresher, younger appearance. Women can look especially stern or angry as the skin around their eyes droops, so an eyelid lift can often lighten their appearance, giving them a friendlier, more open countenance.
Lower eyelid surgery is usually cosmetic in nature, helping to relieve the bulging fat and/ or loose skin of the lower lid.
How is eyelid surgery performed?
Eyelid skin is very thin and can heal quickly. For an upper eyelid lift, an incision is made in the crease, extending out to the side of the eye. Excess skin is removed, and sometimes a little fat is taken, if there is bulging along with the extraneous tissue. Tapes are put over the incision, and stitches and tapes are removed in three to four days. Upper eyelid surgery is frequently done in our Salem office under local anesthesia.
For lower eyelid surgery, the incision is placed just below the lashes, extending out to the side. Fat is removed if there is puffiness, and excess skin is excised. Often the lower lid itself is also tightened in the outside corner. Tapes are placed under the eye, and stitches and tapes are removed three to four days after the procedure. Lower eyelid surgery is usually done in our office or at a nearby ambulatory surgery center.
What can be expected after eyelid surgery?
Some bruising will occur, but that can be corrected with camouflage makeup after the tapes are removed. Bruising can take three to four weeks to disappear. Most of Dr. Wray's blepharoplasty patients can return to work in three or four days. Vigorous exercise usually can be initiated within a week or two.
Dr. Wray and her staff will keep a close eye on you during your recovery. You can count on us to be available to answer your questions and make sure your healing is progressing the way it should.
How do I know if I need a brow lift or eyelid surgery?
After examining your face, Dr. Wray will evaluate what is causing your excess skin. She will determine whether there is blockage of the peripheral vision and then pinpoint the areas that will need to be addressed.
If the brows are down, Dr. Wray will assess the height of the forehead and the hair pattern to select the best approach. Sometimes the problem is both the brows being down and excess eyelid skin, so both brow lift and eyelid surgery may be indicated.
Can eyelid surgery be redone?
If excess eyelid skin recurs over time, then your eyelid surgery can be repeated. Sometimes a brow lift is needed the second time around because taking out too much eyelid skin can pull the brows down. This would be assessed at the time of your consultation with Dr. Wray.
Is eyelid surgery painful?
Usually, upper eyelid surgery is done in our Salem office, and patients frequently just use acetaminophen or ibuprofen for discomfort. Lower eyelid surgery can be done in the office or as an outpatient procedure through a nearby ambulatory surgery center and patients may require a prescription pain medication for a short while.
For more information about eyelid surgery in Virginia:
The professionals at The Center for Plastic Surgery and MediSpa are always available to answer any questions regarding our eyelid surgery procedures. Please give us a call at to schedule a consultation.