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Natural Image Orange County Cosmetic Dermatology and Cosmetic Surgery

Blepharoplasty

Eyelift Surgery

Opening up the face with eyelift surgery (Blepharoplasty) removes the look of fatigue, enlarges the eyes and restores the primary focal point of the face.

Why Eyes "Age" Us So Quickly

Face Lift Usually the first and most dramatic signs of aging of the face are seen in the eye area. Excess skin of the upper eyelids and puffy bags of the lower eyelids create the upper eyelid "hoods" and make the eyes appear smaller. Aging skin becomes loose and begins to sag. This becomes quite noticeable around the eyes as eyelids have the thinnest skin on your body.

Fatty tissue under the lower eyelid skin begins to protrude outward, causing "bags" under the eyes and consequential dark hollows. This creates a tired, aged look despite the fact that many patients are not tired and are usually younger than they appear. Sun exposure also leads to a loss of elasticity and causes even more sagging or wrinkling

Creating a More Youthful Eye is Delicate Business

Too much skin removal during an upper eyelid blepharoplasty and you may look startled and unnatural. Dr. Sikorski implements a subtle technique which allows your eyes to maintain a natural harmonious balance with the rest of your face while looking younger, rested and more alert.

"I've been fortunate to have had many years of arts training, which has taught me critically important fine points in facial balance subtleties and how to create them in delicate areas such as the eye. Being able to bring those skills into my surgery for the benefit of my patients leaves us both very pleased with the outcome."

Preserving a Natural Appearance

Careful surgical technique is essential in preventing a loss of natural appearance. Too much fat removal in eye lift surgery can create a hollowed look which will only increase with age. Understanding eyelid anatomy is essential in determining whether or not eyelid hooding is caused by excess skin, excess fat, or stretched muscle – or a combination of two or the three. Dr. Sikorski carefully assesses the true cause of the problem and performs only the excision of fat or skin that is required without creating an unnaturally high crease or removal of youthful volume needed to maintain proper balance.

Opening up the face with eyelift surgery (Blepharoplasty)
Upper and Lower Bleph
Natural Image Cosmetic Surgery Patient
Results may vary

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Avoiding Unnatural Results

Potential problems can result from a Blepharoplasty which sets the crease too high and / or removes too much natural fat or muscle. This is a common issue with lesser experienced surgeons who do not consider the entire facial anatomical balance when performing an eye lift.

Surgical technique to preserve a natural level of volume is integral to long term satisfaction and enjoyable appearance. Dr. Sikorski takes extraordinary care in making sure your surgical incisions are properly and aesthetically placed to create an eyelift that looks good now and for the years to come.

The Procedure

Upper Eyelid Blepharoplasty:

The upper eyelid blepharoplasty corrects both the looseness of the skin of the eyelids and the puffiness of the lids produced by projections of fatty tissues beneath the eyelid muscle. Upper eyelid surgery removes redundant, hanging eyelid skin, giving the upper lid a more youthful and energetic look. If there is unusual fat protrusion, this will be carefully and artfully trimmed without removing essential fat to maintain a proper eye cushion. The incision is carefully placed in the natural eyelid fold, is well camouflaged and once healed, will be almost imperceptible.

All surgical marking is made while the patient is in an upright sitting position as it enables Dr. Sikorski to find the crease accurately. This step, along with careful measurements using calipers to determine exact tissue excision, helps insure that the incision is hidden in the crease and not above or below it as can sometimes happen when markings are made while the patient is lying down.

Dr. Sikorski uses the Colorado needle to carefully remove excess fat from the eyelid. The Colorado needle is an advanced insulated filament needle which instantly heat-seals the tiny incision keeping the line very faint, crisp and fast-healing. This technique provides noticeable improvement over ordinary scalpel and suture surgery.

Upper and Lower Blepharoplasty Procedure

Lower Eyelid Blepharoplasty:

Lower eyelid blepharoplasty removes bags; and puffiness that is present in the lower eyelid area. Learn more about lower eyelid surgery and options here.

Avoiding "too much" Surgery

A natural, refreshed, rested, and more youthful look is what you can expect from a properly performed blepharoplasty. The over-done, "startled" look occurs when too much is done, such as when combining a browlift with a blepharoplasty during the same operation.

Many people with extra skin of the upper eyelids also have a component of a droopy brow. However, correcting both at the same time can give an exaggerated, funny, and startled look, and, in most cases should be avoided. If you have dual concerns with both a droopy brow and heavy lids or eye "bags", Dr. Sikorski will help you determine which procedure should be undertaken first. In some cases a single procedure will provide enough correction that so that only a single procedure gives completely satisfactory results.

More is not always better, and this is especially the case in eye area surgery.

  • The majority of patients undergoing cosmetic eyelid surgery report mild aching or burning that is usually well controlled with Tylenol and cold compresses
  • Swelling peaks on the morning after surgery and then mostly resolves over the next ten days. A small amount of puffiness, however, may persist for several months
  • Most patients will experience moderate bruising that begins to fade several days after surgery and is gone by two weeks
  • Normal day-to-day activities may be resumed within two days of surgery. Strenuous activity should be avoided for 2-3 weeks
  • Most people prefer to "lay low" for about ten days

Upper Eye Lift Procedure Animation
View 3d Animation – Upper Eye Lift

Enhancements to Blepharoplasty

BOTOX® Cosmetic

BOTOX® Cosmetic is used to reduce the appearance of wrinkles around the eyes. It has been used safely in medicine for over 15 years with an excellent safety record. The injections can be performed during an office visit. BOTOX® Cosmetic is used to reduce the frown lines in the forehead and the crow's feet lines around the eyes with results lasting 3 to 4 months. BOTOX® Cosmetic can also be used as a short term alternative to a browlift.

Chemical Peels

Chemical peels are performed during surgery to tighten some of the fine lines around the eyes which cannot be tightened with blepharoplasty. In addition to fine lines, moderate tca chemical peels can effectively improve sun damage on the face.

Laser Resurfacing

Lasers have been used to improve the appearance of the skin for nearly 10 years. The laser treatment has been used to safely tighten loose skin and improve sun damage and is for cases that require a more aggressive approach than a chemical peel can provide. Dr. Sikorski has used full surface laser for over 12 years and now offers fractional laser as well.

Consultations for Cosmetic Surgical Procedures are complimentary.

You are invited to schedule a personal consultation with Dr. Sikorski to review your concerns and to discuss the best options to obtain the desired appearance improvements.

Starting Point To Learn What's Right For You

Not sure where to start? Give us a call and chat with our patient coordinator Michelle. Call the office at (949) 448-0487 or Request a callback through this online form.

Natural Image Orange County MedCenter Cosmetic Dermatology, Medical Dermatology and Cosmetic Surgery

Cosmetic Consults with Dr. Sikorski are complimentary

  • No fees
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  • No obligations - Book your consult today

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