Blepharoplasty – Who Is the Ideal Candidate?

According to the American Society of Plastic Surgeons, more than 200,000 people underwent blepharoplasty (or eyelid surgery) in 2015, making it the fourth most widely performed cosmetic surgery in the U.S. (right after breast augmentation, liposuction and rhinoplasty). The popularity of blepharoplasty isn’t surprising. After all, the surgery is relatively straightforward and in the right patient, the results can be dramatic, correcting the appearance of hooded lids, fatty deposits or baggy skin on either the upper or lower lid. The key to achieving optimal results lies in ensuring you choose an experienced and skilled surgeon and in making sure you’re a good candidate for eyelid surgery. Here’s what you should know:

Who is the ideal candidate for blepharoplasty?

Generally speaking, blepharoplasty can be an ideal option for women and men who:

  • have droopy, saggy upper or lower eyelids or who have fatty deposits or “bags” in the lids due to issues like age-related changes, sun exposure, tobacco use or even genetics
  • are in good general health
  • are nonsmokers
  • have healthy eyes
  • have realistic expectations of what blepharoplasty can achieve

The most satisfied patients are those who understand how the procedure can help them address their specific concerns, so it’s very important to discuss your goals during your consultation appointment to help ensure you experience the best results and to determine if a different type of procedure might be better for your goals and expectations.

Who is not a good candidate for blepharoplasty?

In some people, eyelid surgery may be contraindicated, which means they have a condition that precludes them from undergoing surgery. These issues may include:

    • certain chronic eye conditions like dry eye syndrome
    • some eye diseases like Graves disease, an autoimmune disorder that’s also called thyroid eye disease
      prior eyelid surgery
    • severely drooping brow areas (also referred to as brow ptosis; different types of procedures like brow lifts may be better at addressing brow drooping)

Are you a good candidate for eyelid surgery?

Of course, the only way to know for sure if cosmetic eyelid surgery is right for you is to schedule a consultation appointment so you can be evaluated. During your office visit, you’ll be asked to provide a complete medical history including results of any eye exams, details about any chronic medical conditions you have, medications you’re taking, prior eye surgeries and even your lifestyle and habits. If you haven’t had a recent eye exam, you may be asked to have an exam so you can be screened for issues like dry eye that could cause complications with eyelid surgery. And of course, your eyelids and the surrounding areas will also be carefully examined to determine the extent of drooping, bagginess or other issues that may need to be addressed. All of this information will be used to help determine if blepharoplasty is the best option for you or if another approach might be a better choice.

It’s also important to note that while blepharoplasty only affects the eyelids, the procedure can be combined with other procedures like BOTOX® for crow’s feet or brow lifts to raise a sagging brow to address issues affecting multiple areas of the upper face. All of these issues can be discussed during your consultation.
Schedule your consultation today.

As a top-ranked eyelid surgeon, Dr. Kirwan has significant experience treating the delicate tissues of the upper and lower lids as well as determining which patients are the best candidates for cosmetic eyelid surgery. To learn whether blepharoplasty is the right choice for you, call our office and schedule your consultation appointment or use our online contact form to learn more.