1 W Ridgewood Ave, Suite 110, Paramus, NJ 07652

Beautiful woman face with a flowerAs individuals age, the body generates less collagen and elastin, two proteins that are crucial for healthy, elastic skin. Without enough of these proteins, the skin loses its elastic quality and starts to sag. Another consequence of the natural aging process is the displacement of fat. These factors often affect the eye area, causing sagging upper eyelids that can sometimes impede the line of sight, drooping lower eyelids that often lead to the look of dark, puffy under-eye “bags” or both.

To improve these aesthetic concerns and provide patients with a rejuvenated look throughout the eyes, Drs. Gary D. Breslow and Jordan P. Farkas perform blepharoplasty, or eyelid surgery. The Paramus eyelid surgery providers can also perform blepharoplasty to create a distinct crease in the upper eyelids, for individuals with certain hereditary traits that contribute to the look of “monolids.”

The Blepharoplasty Procedure

Eyelid surgery is performed on an outpatient basis, with the use of either intravenous (IV) sedation or general anesthesia. The exact details of the procedure vary, depending on whether the surgeon is addressing both sets of eyelids or the upper eyelids in conjunction with brow lift surgery. (Note: Drs. Breslow and Farkas always perform blepharoplasty of the upper eyelids with brow lift surgery to provide optimal rejuvenating results.) In general, the procedure takes about two hours.

If Dr. Breslow or Dr. Farkas is treating both the upper and lower eyelids, he treats the upper eyelids first. To start the procedure, the surgeon makes an incision in the natural crease of the upper eyelid, where it is most inconspicuous. He removes excess skin as well as fat, if needed, and tightens the underlying tissue structures, if necessary. The surgeon closes the incisions with stitches that are removed about five days after the procedure.

To treat the lower eyelids, the eyelid surgery provider makes an incision either directly underneath the lower eyelash line or just inside the lower eyelids. He again removes excess skin and any excess fat and tightens the underlying tissues, as needed. If the incisions were made below the lash line, Dr. Breslow or Dr. Farkas closes them with removable stitches. If the incisions were made inside the lower eyelid, dissolvable stitches are typically used.

Procedures That Often Complement Blepharoplasty

Eyelid surgery can be performed alone or in conjunction with other cosmetic facial procedures in order to optimize the rejuvenating effects. For instance, eyelid surgery is often performed in conjunction with brow lift surgery to rejuvenate the look of the eyes as well as improve the look of a sagging brow line or severe forehead furrows. Some patients opt to undergo facelift surgery at the same time as eyelid surgery. This combination procedure provides a rejuvenated look throughout the entire face. For certain individuals, Dr. Breslow or Dr. Farkas may recommend adjunct laser skin resurfacing or chemical peel treatment to reduce discoloration beneath the lower eyelids.

Post Op Instructions

  • Recovery time: 1 week out of work and bruising to decrease. Driving after 1 week. Sleep in beach chair for one week and on back for 6 weeks. GDB abx for 5 days.
  • Swelling: 2-3 weeks for majority of swelling to decrease
  • Scars: Upper is upper eyelid in the crease and lower either inside of lower eyelid or right under the lower eyelash
  • Drains: none
  • Follow up: 2 days with the PA, 1 weeks with the PA and doctor to remove the sutures, 1 month with doctor and 3 months, 6 months, and 1 year

*All of this information may be different depending on the patient. Patients may be numb in any area that was operated on for up to one year and some numbness may be permanent. For each procedure everyone is closed the same way but patients scars may vary. Patient can fly within 2-4 weeks of surgery. Patients can swim after 4 weeks.

Achieve a Rested, Rejuvenated Appearance

The eyes are the vehicles that allow us to see the world. They are also a reflection of how the world sees us. Dropping upper and / or lower eyelids can make a person look exhausted or angry. With blepharoplasty, however, Drs. Breslow and Farkas can restore a rested, more youthful appearance to the eye area.

To schedule a one-on-one consultation with Dr. Breslow or Dr. Farkas and find out more about eyelid surgery, contact the Breslow Center for Plastic Surgery by calling (201) 444-9522 today.

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1 W Ridgewood Ave, Suite 110,
Paramus, NJ 07652

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Additional Medspa Hours: Saturday, 9:00am - 3:00pm

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