Eyelid surgery can make a big difference in how you look and your self-confidence. They are, and always have been, among the most requested facial plastic surgery procedures, and eyelid surgery (blepharoplasty) may be growing in popularity due to advances in techniques and technologies as well as the epidemic of tired-looking eyes. We live in a 24/7 society today thanks to on-demand media (Netflix, Amazon Prime and Hulu), the Net and the borderless global nature of the world we live in. Sleep takes a back seat as people increasingly pride themselves on pulling all-nighters. In fact, the American Academy of Facial Plastic and Reconstructive Surgery’s (AAFPRS) latest statistics found that fully 73 percent of surgeons saw an uptick in people requesting eyelid procedures to look less tired.

If you are one of them, there are several questions you should ask before you book your eyelid procedure, including:

Am I a candidate for eyelid surgery?

Your surgeon should do a thorough examination, take a complete medical history and listen to your expectations before deciding on your candidacy. If you have had previous eye conditions like dry eye or excessive tearing, you may need to see an ophthalmologist to get clearance for surgery.

What type of eyelid surgery do you recommend?

There are several iterations of eyelid surgery based largely on which of the lids are targeted (upper, lower or both) and the degree of aging changes to be addressed. Your facial plastic surgeon will make a recommendation based on a physical exam that takes skin quality into account and a frank discussion of your cosmetic or functional goals. When Dr. Rizk performs eyelid surgery, he will make every effort to avoid the tell-tale “hollowed-eye look” by conservatively removing some fat, while also sculpting fat with a laser and repositioning it into deeper creases at border of eye/cheek regions

What type of recovery will I experience?

Most of Dr. Rizk’s patients return to normal activity within one week, looking more refreshed and youthful. Camouflage makeup can be worn in a few days to cover any bruising as needed.

What will an eyelid lift do for me?

There is no one-size-fits-all answer to this important question. In general, eyelid surgery for the upper and lower eyes can remove the loose skin, excess fat and muscle that creates puffiness, sagging or tired-looking eyes. It may even improve your vision if you have sagging upper eyelids. Always ask to see and study before and afters so you have a good idea about what the surgery can and can’t accomplish.

Will there be a visible scar?

That depends on how the procedure is performed. Dr. Rizk favors a scar-less technique using an incision inside the lower lid rather than outside when this is indicated. For the upper lid, an incision carefully placed in the upper lid crease is usually required when removing excess skin and fat.

Can eyelid surgery be performed with other procedures?

Eyelid surgery can be combined with a facelift, neck lift, laser skin resurfacing or BOTOX® treatments to raise the eyebrows or reduce the appearance of wrinkles, crow’s feet or dark circles under the eyes.

What are the risks of eyelid surgery?

All surgeries have some risks, and eyelid surgery is no exception, namely infection, bleeding, scarring, inability to close the eyes, dry eye, abnormal eyelid position, and vision problems. The best way to minimize risk and maximize benefit is to choose an experienced, qualified facial plastic surgeon and follow his or her instructions carefully.

To schedule an appointment with New York City double board-certified facial plastic surgeon Sam Rizk, MD, call us at 212-452-3362.