Boston Plastic Surgery, Cosmetic Plastic Surgery, Dr Seckel, Boston Massachusetts, Concord Massachusetts

Eyelid Rejuvenation-Laser Blepharoplasty

The modern laser Blepharoplasty can create stunning rejuvenation of the eyes and create a refreshed look to the entire face:

Blepharoplasty Before and After I

Laser eyelid rejuvenation is my specialty. I have developed the Laser eyelid rejuvenation technique over the past 12 years and have performed this procedure on over 1000 patients. (Contact Dr Seckel)

The eyelids are the first facial feature to show signs of facial aging. Often, eyelid aging changes such as puffy eye bags, dark circles under the eyes, hooding of the eyes, and crow’s feet begin to appear as early as the late 20’s and early 30’s in many people.

Many people choose to have eyelid rejuvenation early, in their 30’s, and doing so forestalls the appearance of an aged face for many more years.

The goals of laser blepharoplasty are:

  • Remove hooding of the upper eyelids
  • Remove puffy bags and loose skin from the lower eyelid
  • Remove dark circles under the eyes
  • Tighten the lax lower eyelid
  • Create a deep youthful fold above the upper eyelid
  • Remove the heavy brow over hanging the upper eyelid

The Laser Blepharoplasty procedure

I do a blepharoplasty very differently from most plastic surgeons. First, I use a laser to perform the operation instead of a scalpel. The advantages to you the patient are very significant. The laser seals the blood vessels as I operate and the tiny laser beam allows for much greater control and accuracy. The benefits to you the patient are:

  • Less bleeding
  • Less bruising
  • Less swelling
  • Faster recovery
  • A more accurate result
  • Faster surgery-about 1/3 of the operative time required than with scalpel blepharoplasty in my hands

The laser is actually used for the incision for removal of the hooding skin of the upper eyelids. The result is dramatic, evident immediately, and, with the laser, bruising is usually minimal.

I do the lower laser blepharoplasty very differently, using a technique which leaves no visible scar on the lower eyelid. I call this technique a transconjunctival laser lower blepharoplasty, because I make the tiny laser incision on the inside of the lower eyelid, in the pink portion of the eyelid called the conjunctiva.

blepharoplasty-before-and-after-slide-16.jpg

There is a major, very significant benefit to the transconjunctival blepharoplasty and that is there is no change in lower eyelid shape.

A major problem with the traditional scalpel blepharoplasty done through an external eyelid incision is that the external incision destroys the support of the eyelid as the scalpel cuts through the skin, muscle and eyelid tissues as the scalpel incision is made.

Following a traditional scalpel external blepharoplasty the beautiful shape of the lower eyelid is lost and a “sad eyed look” or “hound dog eyes” appearance, technically called an ectropion, is often created.

The sad eyed look and hound dog eyes are avoided by the transconjunctival laser blepharoplasty and following a transconjunctival laser lower eyelid blepharoplasty, the beautiful lower eyelid shape is preserved.

I also use a more modern technique called an arcus marginalis release which allows me to remove the dark circles underneath the lower eye lid. A traditional scalpel blepharoplasty in which too much fat is removed can actually make dark circles under the eyes worse and create a hollow eye appearance.

Eyelid rejuvenation is my passion and I use the latest techniques to achieve result oriented laser blepharoplasty.

Your Consultation

When we meet I will talk with you and ask you to explain to me the specific eyelid rejuvenation goals you hope to achieve. I will examine you and tell you my findings and describe the areas where I think improvement can be made. I will demonstrate on your eyes the appearance that I believe the laser blepharoplasty will create on your face.

I will then recommend the procedure I feel is best for you. I will discuss the procedure, your recovery, and expectations and answer your questions. Photos of your face and eyes will be taken. You will be given an estimate or quote of the cost of the procedure. Financing plans are available.

Pre OP

The pre operative visit is the time when we will sit down and clearly define your eyelid rejuvenation goals. We will discuss what you hope to achieve and what I believe I can achieve with your blepharoplsty, I will try to give you an honest image of what you can expect for a result.

You will also undergo a history and physical exam to make certain that you are healthy and have no medication allergies or contraindications to surgery. An EKG (electrocardiogram) may be done if you have a history of heart problems or have reached a certain age. You will also be given prescriptions for post operative medications.

You also will be asked to read and sign surgical consent forms which outline the risks, potential complications, limitations and expectations of eyelid surgery.

dark-circles-before-after.jpg

The Operation

The actual procedure will depend on your goal for eyelid rejuvenation.

If your only concern is hooding of the upper eyelids then only an upper blepharoplasty will be required. This procedure takes only about 20-30 minutes.

If you only need a lower blepharoplasty the procedure takes about 45 minutes.

A 4 lid blepharoplasty, that is upper and lower eyelid blepharoplasty, takes about an hour.

If you have lax lower eyelids and need tightening of the eyelid, I perform a procedure called a canthopexy in addition to the 4 lid blepharoplasty and this procedure can take an hour and a half.

Eyelid rejuvenation blepharoplasty can be done under local anesthesia, but most of my patients choose to go to sleep for the procedure. This provides for your comfort and also reduces the time of the blepharoplasty.

Protective laser impermeable shields are placed over your eyes to prevent injury to your eye during surgery. Very special laser safety precautions are taken in the operating room.

If you chose to be asleep during surgery very experienced superb anesthesiologists will be taking care of you. Safety is our first concern. We use modern, very safe anesthesiology techniques, and take precautions to avoid nausea after surgery.

Following your surgery you will go to the recovery room where a nurse will take care of you and make sure you are comfortable.

Blepharoplasty is almost always done as an outpatient or day surgery. Ice packs are placed over your eyes immediately after surgery to help minimize bruising and swelling.

After you wake up you will be taken to the recovery room where a nurse will be taking care of you. The nurse monitors you, makes certain you are comfortable and checks your vision. You will spend 2-3 hours in recovery. After that, as soon as you are comfortable, able to drink and eat a bland food such as crackers or cookies, and able to go to the bathroom, you will be discharged. The nurse will escort you by wheel chair to your car.

We require that someone bring you to the surgery center and take you home, and that you have someone staying with you the first night after your surgery.

Post op- What to expect

My patients do not usually complain of pain following blepharoplasty. Initially you will feel your vision is obscured because I place protective ointment on the eye. For two weeks after surgery you will use this ointment at night when you go to bed. You will also be using soothing eye drops during the day for a few weeks after surgery.

The main recovery is the time for bruising to subside. Some patients have virtually no or minimal bruising due to the fact that I use the laser.

If bruising does occur you will want to wear sunglasses to cover the bruising. I do prescribe an herbal supplement called Arnica Montana to help prevent bruising.

After an upper blepharoplasty you may be recovered enough to go out with make up after a week. After a more extensive 4 lid blepharoplasty plan on a 2 week recovery.

Usually after 2 weeks you will be comfortable being seen in public and will be back to most normal activity. I ask you to wait 3 weeks before heavy weight lifting or aggressive work outs.

A Consultation with Dr Seckel

I can tell you a great deal more about laser blepharoplasty, eyelid rejuvenation and how it would work for you if I see you in person. Call me or contact me by email. If you would like to email me your photos I can email you my thoughts about how I think a laser blepharoplasty would work for you. For more information on eyelid rejuvenation visit my blog on eyelid rejuvenation.

I look forward to meeting you.

Blepharoplasty Before and After II

Dr Seckel

Boston, Massachusetts

Concord, Massachusetts