The eyes are a major focal point on the face so when they don’t radiate vitality, it can make you look and feel tired, even when you’re not. A blepharoplasty or eyelid surgery is a surgical procedure to improve the appearance of your upper eyelids, lower eyelids, or both. As one of the most commonly performed facial cosmetic procedures in this country, eyelid surgery is often a patient’s induction into the surgical side of aesthetic plastic surgery.
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Dr. Sheila Nazarian is the leading board-certified plastic surgeon at Nazarian Plastic Surgery. Seeing the benefits that an upper lip lift can offer, Dr. Nazarian was one of the first plastic surgeons in the Beverly Hills area to add this procedure to her long list of cosmetic enhancements. Experience has allowed for amazing results and satisfied patients across the board.
Are you awake during a blepharoplasty under local anesthesia?
Yes. I am typically chatting with my patients about our lives as I refresh their eyes. The local anesthetic injections completely numb the area so you won’t feel a thing. And the nice thing about doing this procedure awake is that there is none of the grogginess that patients often feel with general anesthesia. It also makes the surgery faster. For patients who are anxious at the idea of being awake, we give them a little something before surgery to take the edge off. However, if I am combining eyelid surgery with another procedure such as a facelift that requires you to be asleep, I will perform both under general anesthesia.
Does a blepharoplasty hurt?
The procedure itself is pain-free. You won’t feel anything thanks to the local anesthetic. After surgery, you may experience some discomfort. The extent is going to depend on what exactly you have done as well as your individual pain tolerance. Honestly, most patients find this recovery to be comfortable. They don’t even take narcotics. We are happy to prescribe pain medications, but, typically, icing is enough.
Can I use fillers to address my under-eye issues or do I need a lower blepharoplasty?
Without assessing you in-person or at least seeing a photo, it is impossible to say. Fillers can help to improve that hollow look beneath the eye and/or camouflage or smooth the transition between your lower eyelid and your cheek. My best advice would be for you to schedule a consultation to be assessed in-person. Your eyes are such a vital part of your personality that you want to make certain that you are choosing the right procedure for your needs.
I don’t want to look fake. How do I guarantee that I will still look like myself?
We’ve all seen pictures of celebrities who no longer look like themselves after eyelid surgery. Although I believe that plastic surgery is a personal choice, my goal is never to change the look or shape of your eyes. They will simply look more lifted, bright and youthful. My best advice for ensuring a natural looking outcome is to see a surgeon whose aesthetic matches your own so check out his or her before-and-after photos.