During eyelid surgery, the specific steps may vary depending on whether it is upper or lower blepharoplasty, but the general procedure follows a similar pattern. The surgery is typically performed under local anesthesia with sedation or general anesthesia and may take one to three hours to complete, depending on the extent of the surgery.
For upper eyelid surgery, Dr. Westreich begins by making discreet incisions along the natural creases of the upper eyelids. Excess skin and fat are carefully removed through these incisions, and the underlying muscles may be adjusted to create a smoother and more youthful eyelid contour. The incisions are then meticulously closed with fine sutures.
In lower eyelid surgery, Dr. Westreich makes incisions either on the inside of the lower eyelid (transconjunctival approach) or along the lower lash line. Excess fat and skin are addressed, and the muscles may be tightened to improve the lower eyelid's appearance. The incisions are then closed with sutures or tissue glue. Throughout the procedure, Dr. Westreich pays close attention to achieving natural-looking results and minimizing visible scarring.