How does blepharoplasty work?
Blepharoplasty is generally performed under local anesthesia, but can be performed under general anesthesia. Dr. Nikko places fine incisions in the crease above each eye to correct problems of the upper eyelids. Then a thin crescent of excess skin and muscle is removed. The incisions are closed with very fine sutures. To remove the fatty deposits beneath the eyes, the incisions are placed just inside the lower eyelid. After the fat is removed, the incisions may be closed with absorbable sutures or may be left to heal naturally. When excess skin and muscle need to be removed from the lower lids, the incisions are placed in the natural smile crease below the lashline. The procedure can last one to two hours, depending on the extent of the surgery.