Blepharoplasty

UPPER EYELID SURGERY

WHAT IS UPPER EYELID SURGERY?

Upper eyelid surgery (blepharoplasty) is a procedure performed by Oculoplastic Surgeon Dr. Paul Johnson, to correct droopy eyelids and improve one’s overall facial appearance. Dr. Johnson also performs facial rejuvenation procedures that include facial injectables such as Botox, Dysport, Kybella and soft tissue fillers (Radiesse/Juvederm/Restylane).

Why Visit Dr. Johnson for Upper Eyelid Surgery

Since the eyes are the focal point of the face, the slightest mistake in removing too much or too little skin can result in a drastically different appearance. That is why Dr. Johnson is so particular and precise when performing this procedure and provides the best surgical outcome for his patients at Professional Aesthetics and Wellness Center.

Facts about Eyelid Surgery  

Upper Eyelid Surgery (Blepharoplasty) takes less than one hour and can be performed right in our office.  Dr. Johnson performs this surgery under local anesthetic. This incision is made in the eyelids crease and is well-hidden. People mistakenly think that the surgeon should remove as much skin as possible, however, removing too much skin can result in incomplete closure of the eyelids exposure and dryness of the eyes. Also, removing too much fat will result in a sunken and hollow look which is not aesthetically pleasing, especially as one ages. Conversely, in many cases, removing too little lid skin can result in appearance that is not cosmetically acceptable. Dr. Johnson always strives for that perfect balance.

Factors Dr. Johnson Considers When Performing Eyelid Surgery:

  • Amount of eyelid skin to be removed
  • Lid crease height and shape of eyelids
  • Eyelid height
  • Brow height
  • Quality of the eyelid skin
  • Amount of orbital fat around the eyelids
  • Shape of the orbital bones
  • Shape of the face
  • Health of the eyes

Expectations After Surgery

After Surgery some patients may report a feeling of tightness around the eyes and mild blurriness of vision. These effects subside quickly. Recovery time varies with each individual. However, the most visible swelling will subside in a couple of weeks.  Most patients return to work two days after surgery – still slightly swollen but able to see and function normally. Dr. Johnson requests and expects his patients to return to our office 9 – 14 days after surgery to remove sutures and to evaluate the patients healing.

Benefits of Upper Eyelid Surgery

You will have a more youthful and refreshed appearance. The best result is when the patient has a natural and refreshed appearance after upper eyelid surgery. This is achieved with removing just the right amount of skin and fat. Knowing what to remove and what not to remove only comes with experience. You can be confident in Dr. Johnson’s ability and experience to deliver the results you and he discuss. He also always keeps in mind no only the aesthetic outcome but makes sure there will not be any eyelid dryness issues.
Are you looking for an upper or lower eyelid surgery specialist in Pennsylvania? Dr. Johnson’s surgical expertise gives patients the optimal results at the most affordable price.

Contact us today to schedule your consultation with Dr. Johnson

LOWER EYELID SURGERY (Blepharoplasty)

WHAT IS LOWER EYELID SURGERY?

Many people have baggy and puffy lower eyelids. Lower Eyelid Surgery (Blepharoplasty) involves the removal of excess fat and skin, which can drastically rejuvenate the appearance of the lower eyes. This procedure is equally as popular with men as it is with women. People often express that they achieve a sense of well-being and are told they look more alert after having this procedure done.

Why Visit Dr. Johnson For Lower Eyelid Surgery?

Since the eyes are the focal point of the face, the slightest mistake in removing too much or too little skin can result in a drastically different appearance. That is why Dr. Johnson is so particular and precise when performing this procedure and provides the best surgical outcome for his patients at Professional Aesthetics and Wellness Center.

Facts About Lower Eyelid Surgery (Blepharoplasty)

The most important element in lower eyelid surgery is knowing exactly how much fat and/or skin needs to be removed. Dr. Johnson is an experienced lower eyelid surgeon and knows how much skin can be safely removed. He clearly explains what can be achieved with lower eyelid surgery. Lower eyelid surgery is more nuanced than upper eyelid surgery which is why the lower eyelid surgery is done as an outpatient at Wills Eye Surgery Center at the Philadelphia Stadium Campus.

The most important element in lower eyelid surgery is knowing exactly how much fat and/or skin needs to be removed. An experienced blepharoplasty surgeon will know how much skin can be safely removed and will clearly explain what can be achieved with lower eyelid surgery. Aggressive removal of eyelid skin will result in lower lid retraction.

Dr. Johnson’s Lower Eyelid Surgery Method

To minimize recovery and complications from scarring, Dr. Johnson removes the excess fat that is causing the puffiness from the inside of the lower eyelids (transconjunctival approach). This method enables faster healing and if the skin is not tightened, there is no visible scar. If excess skin tightening is necessary, Dr. Johnson has a unique approach that requires a small incision that is hidden beneath the eyelashes . The post-operative recovery for lower eyelid surgery is 10-14 days. Transformation from this one procedure is very noticeable.

Contact us today to schedule your consultation with Dr. Johnson

Upper and Lower Blepharoplasty can be done together at the Wills Eye Surgicenter at the Philadelphia Stadium Campus.

Blepharoplasty Q&A.

Who is a good candidate for blepharoplasty?

Patients interested in eyelid surgery will receive a complimentary eye evaluation and consultation with Dr. Johnson to ensure that they are good candidates for this procedure. Each patient is also invited to ask questions to become fully informed about what blepharoplasty can and cannot do, what to expect during the procedure, what to look for in terms of results after the surgery, and more. One of the most important factors for anyone seeking eyelid surgery is realistic expectations so Dr. Johnson willdiscuss what you are looking to achieve and then what he believes can be accomplished.

How long will I have visible bruising or swelling?

Prior to surgery, you must disclose ALL MEDICATIONS you are taking and especially whether you are taking any aspirin or ibuprofen products, herbal preparations, or "blood thinners," because these can contribute to swelling and bruising. You will be instructed to stop these medications before surgery, if it is appropriate, after discussing with your primary care doctor.
Most swelling and bruising disappears in seven to 10 days, at which time most patients can use cover-up and return to work. Cold compresses for the first 72 hours significantly help reduce bruising and swelling. Wearing dark glasses immediately after surgery hides the bruising and swelling when in public. It also helps to protect your healing tissue from harmful UV radiation. Regular and adequate protection from the sun is an important part of long-term skin health and beauty, but it is particularly imperative after a blepharoplasty or other cosmetic surgery or treatment. Talk to Dr. Johnson and his staff about the appropriate sunscreen to wear after surgery.

How long will it take to recover from a blepharoplasty?

Swelling and bruising peaks at 48 to 72 hours after surgery, with the majority disappearing within seven to 10 days.
Blepharoplasty recovery time depends on your ability to follow postoperative instructions, including the liberal use of cold compresses for 72 hours after surgery to help reduce bruising and swelling. Most patients can return to their normal routine within seven to 10 days and get back to exercising at 14 days following surgery.

When can I wear eye makeup again after blepharoplasty?

Most patients can safely start wearing eye makeup 10 days following surgery.