Wrinkles and sagging skin around the eyes can make a person look more tired and older than they are. Puffy pouches of fat in the upper or lower lids create an exhausted appearance, and excessive skin in the upper eyelid can even interfere with vision. Our Riverside, CA board-certified plastic surgeon, Dr. Childers, can help patients look dramatically younger and more rested through eyelid lift surgery, or blepharoplasty. If sagging eyelids are interfering with vision, then an eyelid lift can widen the visual field, creating less strain on the eyes. The incisions are made where the natural crease should be in the upper lids and below the lash line of the lower lids. Excess fat and skin are then removed. If only excess fat is present in the lower lids, it may be removed through an incision inside the lower lids with no external incision or scar (called a transconjunctival blepharoplasty).
"Had my lips done Saturday Amber was amazing she was gentle and very professional I definitely recommend her loving my new lips thanks Amber."- L.N. / Yelp / Oct 18, 2016
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"Love coming here for my botox. My friend recommended, and so glad she did/ Would not go anywhere else. Simply amazing"- S.W. / Yelp / Sep 06, 2017
"I have been wanting to do something about the "bags" under my eyes for years, so when we moved to Upland, I was excited to see that there was a medical skin spa right near our new home. I made an..."- E.L. / Yahoo / May 13, 2017
"I have been wanting to do something about the "bags" under my eyes for years, so when we moved to Upland, I was excited to see that there was a medical skin spa right near our new home. I made an appointment for a consultation just to see what they could do for me. From the second I walked in, I knew that I would be back again! First off, the little reception/waiting area is pink and feminine and beautiful and the ladies at the front desk are so welcoming and kind. Not in a fake way, but genuinely warm and friendly (which is very rare these days)! Amazing ambiance. There's an assortment of yummy beverages (including wine!) and lots of great magazines and pretty things to look at. Secondly, they listen to you! They work with your schedule to make an appointment for a (free!) consultation with the appropriate person and their hours are incredible! I'm a SAHM and can only go when my hubby is home from work (nights and weekends) so their hours really work for me! Thirdly, the consultation was incredibly informative. I spoke with a beautiful woman named Amber and she answered all my questions about my undereyes and recommended Juvederm for me: 1/4 syringe under each eye and the rest in my lips! Score!! I learned that my "bags" aren't bags at all, but the thinning of my facial features with age and time. She was patient with my hesitations and talked to me like a friend. She instantly put me at ease. I couldn't wait to make an appointment. Fourthly, on the day of my appointment, they took me back quickly and spread a numbing cream on my face, let it sit, and I was good to go! She even called Dr. Childers via FaceTime so I could ask him any questions before the procedure! Talk about customer service! I was so impressed. And finally, Amber was so great with the injections, they didn't even hurt and she would ask me to look in the mirror frequently to see the results, which were instant!! Amber really is an artist with that syringe!! I was so happy with the change. It's now the next day and I have no swelling or bruising, Amber is very skilled and knows exactly what she is doing. I am incredibly happy with how my face looks now, I look rested and youthful again, but still like myself. I cannot wait to go back and get Botox from Amber, and I plan to get touch ups as needed in the future. If anyone asks, I'm sending them your way, Sheer Beauty!! THANK YOU!!!"- E.L. / Yelp / May 13, 2017
Upper Eyelid Surgery
During upper eyelid surgery, an incision is made within the natural fold of the lid and extended outward. The incision will go out as wide as possible so that additional skin folds on the outside of the upper eye can also be addressed. Once the incision is made, excess skin, tissue and, in some cases, a small portion of the orbicularis occuli muscle are removed. The incision is closed with absorbable sutures and the scar remains almost completely hidden because of where it resides in the natural crease.
Lower Eyelid Surgery
During lower eyelid surgery, an incision is made along the bottom of the lash line. This allows the surgeon to remove excess fat and tissue. In patients who have puffy lower eyelids but good skin tone, an approach known as a transconjunctival blepharoplasty can be performed. This technique puts the incision inside the lower eyelid rather than outside. Patients who have dark circles under their eyes will sometimes have a deficiency of fat in these areas. Injectables can be used to help fill these soft-tissue deficiencies and can improve the appearance of these circles.
Eyelid surgery is performed under general anesthesia as an outpatient procedure in an accredited surgical facility. It generally takes up to 2 hours for both the upper and lower eyelids to be addressed. Following surgery, the area around the eyes will be bruised and swollen. Patients should apply ice packs, keep their heads elevated, and apply medicated eye ointment for a few days. Patients comment on the fact that friends and family tell them they look great, but often can’t put a finger on what is different. These subtle, yet dramatic results restore a softer, more youthful appearance.
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Eyelid Surgery FAQs
After surgery, scarring will not be visible because of where the incisions are placed. In the upper eyelid, the incision follows the natural crease of the eye. The lower eyelid incision will run just under the eyelashes or inside the eyelid. Scarring will be inconspicuous.
Eyelid surgery will reduce puffy bags and excess skin and may help contribute to some minimization of crow’s feet. However, to truly treat crow’s feet, one will need a different approach. BOTOX® injections and procedures such as a browlift, are better options to help eliminate crow’s feet.
Irritation After Surgery?
Some patients will experience dryness and minimal irritation following surgery. If these occur, we can recommend ointments and eye drops to assist during the healing phase. Patients should protect their eyes against wind and sun irritation for the first several months by wearing dark sunglasses.
If anything, eyelid surgery actually helps improve the vision for many patients. Not only does it restore a fresh, younger look from a cosmetic standpoint, it eliminates the excess skin that may have been impairing vision. It is important to select a skilled surgeon who has expertise with eyelid surgery. We take great care during this surgery so that the eyes themselves are left untouched and unharmed.