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A Guide to Eyelid Plastic Surgery

Cosmetic and reconstructive eyelid and facial surgery has become one of the most rapidly expanding subspecialties in surgery. However, this delicate area of your body requires a very precise and experienced surgeon to ensure that the cosmetic and functional results are exactly what you desire. Dr. Mehryar (Ray) Taban is an experienced oculoplastic surgeon who has performed thousands of eyelid plastic surgeries and is an expert in the eye, eyelid, orbit, and surrounding structures of the eye.

Am I a Candidate for Eyelid Plastic Surgery?

The most common types of eyelid plastic surgeries are called upper and lower blepharoplasty. These are cosmetic surgeries performed by Dr. Taban that eliminate droopy eyelids by lifting and tightening the upper and lower eyelids to remove wrinkles and bags, and improve overall function of the eye. Other eyelid plastic surgeries that Dr. Taban performs include upper eyelid ptosis (droopy eyelid) surgery, ectropion/entropion surgery, Asian blepharoplasty, eyelid crease surgery, and eyelid reconstruction in the removal of eyelid skin cancer.

As we age, our skin loses elasticity and fat, stretches, sags, gets dark circles and bags, and can change in pigmentation. Some people suffer from these symptoms more than others, causing an old and tired appearance. In extreme cases of droopy eyelids, the upper eyelid obstructs peripheral vision.

You may be a great candidate for upper and/or lower blepharoplasty in Beverly Hills if you have any of the following:

  • Excessive, sagging or wrinkled upper or lower eyelid skin.
  • Excess upper eyelid skin that interferes with vision.
  • Puffy pouches of fat in the upper or lower eyelids that create a tired or aged appearance.
  • Extreme dark circles or bags under your eyes regardless of your sleep or other habits.
  • You have lost your natural upper eyelid crease

What to Expect with Eyelid Plastic Surgery

Dr. Taban uses the most advanced, minimally invasive technologies to ensure patient comfort, a quick recovery time, and superior results, both functionally and cosmetically. He often performs both upper and lower eyelid surgery together, along with any other eyelid or facial surgeries necessary to give you the best results possible.

Upper Blepharoplasty (Eyelid Lift)

Upper eyelid blepharoplasty involves removing excess loose skin (and sometimes fat) from the upper eyelids, giving the eyes more youthful appearance with more visible eyelid platform.  Upper blepharoplasty may be combined with upper eyelid ptosis surgery and brow lifting as each can contribute to “heavy” “droopy” upper eyelid area. Dr. Taban performs the operation on an outpatient basis under local anesthesia or conscious sedation, making incisions where the natural crease should be, to ensure the most natural results.

During the surgery, excess loose upper eyelid skin is excised through a hidden incision in the natural upper eyelid crease line.  Care is taken to preserve existing fat in the upper eyelids (except the medial section), as fullness to the upper eyelids is more youthful.  In fact, this procedure is sometimes combined with fat or filler injection into the upper eyelid/brow area for those with hollow upper eyelid area.  If the upper eyelid is droopy (ptosis), the muscle that raises the upper lid can also be tightened (ptosis surgery).

Lower Blepharoplasty (Lower Eyelid Bags)

In lower blepharoplasty, fat in the lower eyelids can be removed or repositioned through a scar-less incision hidden on the inner surface of the eyelid (transconjunctival blepharoplasty). Dr. Taban also uses a special technique to remove hidden fat of the lower eyelid, an “upper eyelid approach to lower blepharoplasty.”

A nonsurgical treatment is used to fill the relative hollowness below the “fullness”, thereby camouflaging the “bags.” Young patients actually have congenital hollowness rather than fatty prominence below the eyelids (tear troughs), so they are ideal for injectable fillers (Restylane, Belotero). The transconjunctival incision does not require any sutures. Bruising and swelling usually subside within 7-10 days.

Who Should Perform Eyelid Plastic Surgery?

In choosing a eyelid plastic surgeon, it is important that the surgeon you choose is a specialist in the area you wish to address and routinely performs the procedures to meet your needs. Dr. Taban has had extensive training and is triple board certified. He believes in natural looking results and uses minimal incision techniques for quicker recovery.

Contact Expert Oculoplastic Surgeon Dr. Taban

Dr. Mehryar (Ray) Taban is an eyelid, orbit and facial plastic cosmetic and reconstructive surgeon who practices in the greater Los Angeles area, including Beverly Hills, Los Angeles, and Santa Barbara. Contact him today if you are interested in eyelid plastic surgery.