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
"I couldn't recommend Dr.Childers enough. I had a breast lift and implants in 2017 everything went great and I was super happy with the results. I had a reaction the the sutures after surgery and Dr.Childers was super helpful. I just has a "tummy tuck" with no muscle tightening as my abdominal muscles were back together. I had some lower abdominal loose skin after two kids so it wasn't your average tummy tuck, I didn't have enough skin to pull down and move the belly button so he was able to do it without moving it and I LOVE the results. Dr. Childers did an amazing job and was super helpful before and after surgery. I would say he gives an honest opinion which is nice when you're thinking about getting cosmetic surgery."- D.C. / Yelp / Feb 21, 2020
"I had my breast implants removed by Dr Childers, and I have to say, him and his staff made it a great experience. I had my saline implants in for 20 years and one had ruptured. Dr Childers office was able to get it covered by my insurance, which was AMAZING! I have had a lot of mysterious health issues and was not sure if my implants were the culprit and I didn't want to chance it, so I did not replace. Dr Childers was great about listening to my concerns and was confident he could help me. And he did!!:) I am VERY pleased with my results and would recommend to everyone! You will be in great hands!"- K.S. / Yelp / Jan 23, 2020
"I really want to make sure people looking for real people with real experiences get as much out of Yelp as I do. Dr. Childers is beyond fantastic. He completed my original breast augmentation in 2009 and put in 400cc silicone Mentor Mod-Plus profile implants and I loved them. In March, I found out I had a rupture and capsule constriction (I started noticing my right side changing 12 months before) which developed due to the rupture and leaking implant. I immediately went back to Childers. He was able to remove all of the capsule constriction that had developed around the implant and created a beautiful set of twins for me. I am very happy with my results. I switched to 400cc silicone High Profile Mentor implants. The staff is also great and the ladies go above and beyond with help on finances and insurance claims. Again, noticed changes in my breast and tightening for a year before I had the ultrasound. Please ladies, if you ever notice changes, don't let it go a year before you get it checked out like I did."- A.D. / Yelp / Jan 23, 2020
"I had breast reduction surgery and couldn't be happier. It has been over 3 years and my husband always says how great they look. They look great. Mammogram techs are really surprised how good they look too. Thank you so much Dr Childers."- M.J. / Yelp / Oct 20, 2019
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.