The ABCs of Eyelid Surgery: Understanding the Basics for a Beautiful Transformation

Are you curious how eyelid surgery could help refresh and restore a youthful look and feel to your face? Georgia Eye Partners board-certified ophthalmologist and oculoplastic surgeon Dr. Pooja Mally answers your questions below!

Can you explain the specific techniques employed in eyelid surgeries focused on rejuvenating and restoring a more youthful look?

Cosmetic eyelid surgery is incredibly nuanced due to the intricate anatomy of the eyelid. Many factors must be taken into consideration to ensure an excellent cosmetic and functional outcome. Blepharoplasty, or an “eyelid lift,” is one of the most commonly performed cosmetic surgeries. In the upper lid, it involves removing skin and sculpting fat. The incision is camouflaged in the crease of the upper lid. In the lower lid, excess fat is sculpted, and the skin is tightened. Most lower eyelid blepharoplasty can be accomplished through an internal incision, resulting in minimal scarring. Blepharoplasty may be performed in conjunction with internal brow suspension to restore a youthful brow and/or ptosis surgery to widen a droopy eyelid, both of which also contribute to an aged appearance.

What do eyelid surgeries aim to address?

The eyelids are one of the earliest facial areas to show signs of aging due to the thinness of the skin and frequent animation. Loss of skin elasticity causes redundant folds of skin on the upper lids, resulting in a “heavy” or tired sensation on the eyelids. Under-eye “bags“ develop due to excess fat protrusion, contributing to a tired and aged appearance. A deep crease known as the “tear trough” can form under the eye, and the brows also tend to droop with age. Skin quality diminishes, and the skin develops a wrinkled, crepey appearance. These signs can be managed surgically or with non-surgical adjuncts, such as laser or cosmetic injectables.

How long is the recovery period?

Typically, most surgical bruising and swelling resolves within two weeks. I advise patients to allow 1 month of healing before an important social event, such as a reunion or wedding. Complete healing is usually achieved by 6 months after surgery.

How does eyelid surgery compare to other options? Is it covered by insurance?

Cosmetic surgery is an investment in yourself. While there is a considerable initial expense, eyelid surgery delivers results that cannot be achieved via nonsurgical alternatives. On average, results will last for a decade. A portion of upper eyelid surgery may be covered by insurance if the upper eyelids are droopy enough to obscure vision. Lower eyelid blepharoplasty is not covered by insurance.

Dr. Pooja Mally, a board-certified ophthalmologist, specializes in oculoplastic and orbital surgery. At Georgia Eye Partners, she manages conditions related to the eyebrows, eyelids, tear drainage system, and eye socket. At Opal Aesthetics, she offers cosmetic services such as Botox and facial filler injections. She received her bachelor’s degree from Duke University, completed both her residency and medical degree with Drexel University and her fellowship training in Oculoplastic & Orbital Surgery and Neuro-Ophthalmology at Allegheny General Hospital.