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Who Are the Best Candidates for Eyelid Surgery?

You might consider blepharoplasty if you have excessive drooping and sagging of skin around eyes, which often is due to normal aging. Sagging skin also can be exaggerated when you have other conditions such as puffy eyes caused by eye allergies or edema.


If you are interested in blepharoplasty strictly for cosmetic reasons, then your doctor likely will advise you to keep expectations realistic. While cosmetic procedures can sometimes dramatically improve appearance, they are not the ultimate Fountain of Youth.

The aging process will continue and — as with any cosmetic procedure — your improved appearance due to an eye lift will not last indefinitely. And at some point in the future, you might want to consider repeating the procedure.

However, depending on your health and other factors, a blepharoplasty can last as long as 10 years.

Your eye doctor also will evaluate you for possible surgical risk factors such as dry eye problems, thyroid eye disease and diabetes.

Keep in mind that the severity and number of any health problems might eliminate you as a candidate for blepharoplasty.

Smokers are at increased risk of surgical complications because they heal more slowly. If you are a smoker, your surgeon may advise you to quit smoking for at least several weeks prior to a procedure.

Eyelid surgery tends to be more difficult to perform on people of Asian descent because of the unique structure of this ethnic group's eyelids. For this reason, people of Asian descent might be more at risk of having less-than-optimal outcomes than other ethnic groups.

Cosmetic eyelid surgery can potentially eliminate the "absent upper eyelid crease" appearance associated with Asian facial features. This change may "Westernize" the appearance of an Asian eyelid to a certain extent. Some Asian-American patients request this change; others find it unacceptable.

To find our if you are a candidate for blepharoplasty, schedule an appointment with your eye doctor, who can evaluate you for any medical problems related to your eyelids.

If you don't have a medical reason for a blepharoplasty procedure, you can discuss with your eye doctor any concerns or interest you might have regarding cosmetic eyelid surgery.

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