Blepharoplasty Questions

Serving Orange County, Beverly Hills and Surrounding Los Angeles Communities

What is Blepharoplasty?
Blepharoplasty is a surgical procedure intended to reshape the upper eyelid or lower eyelid and is performed to improve peripheral vision and give a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. Blepharoplasty repairs droopy eyelids by removing excess skin, muscle and fat. Lower eyelid blepharoplasty is almost always done for cosmetic reasons, to improve puffy lower eyelids “bags” and reduce the wrinkling of skin. Blepharoplasty is performed through external incisions made along the natural skin lines of the eyelids, such as the creases of the upper lids and below the lashes of the lower lids, or from the inside surface of the lower eyelid. This operation takes approximately one to three hours to complete.

How is Blepharoplasty performed?
Upper eyelid – The surgeon makes an incision along the natural fold of the upper eyelid. Then excess skin and some muscle and fat beneath the skin are removed. The incision is closed with tiny stitches that leave a nearly invisible scar.

Lower eyelid – The incision on the lower lid is made just below the lashes in your eye’s natural crease or inside the lower lid. The surgeon removes excess fat, sagging skin and muscle. Depending on where the initial incisions are made, stitches may follow the lower lid’s natural crease or be placed inside the lower eyelid.

Actor Parvesh Chenna spends time with Calabasas Lasik expert Dr_6800371732_l

Dr.Khanna’s Natural Blepharoplasty technique (Deaging surgery)

“Wow you look younger, what’s new? “. That is the reaction Dr. Khanna’s natural blepahroplasty technique evokes. Only necessary skin and tissue are removed avoiding bleeding, and the anatomy of the lids is preserved. Less is more. This gives a rejuvenated look. And you look a lot younger

What can I expect during Blepharoplasty?
Blepharoplasty is usually done in an outpatient setting. Your surgeon injects numbing medication into your eyelids. The surgery usually takes one to three hours, depending on the amount and location of tissue being removed. Afterward you spend time in a recovery room later you can leave recuperate at home.

Is it painful?
In Dr. Khanna’s hand every care is taken to keep the procedure pain free. Dr. Khanna gives a feel block to keep the surgery painless. We may give a slight sedative or anxiolytic medication before surgery.

Is Blepharoplasty right for me?
You might consider eyelid surgery if excess tissue keeps your eyes from opening completely. Blepharoplasty is usually performed on adult men and women who have healthy facial tissue and muscles.

Good candidates are:

  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers
  • Individuals without serious eye conditions
  • Baggy or puffy upper eyelids
  • Dark circles or bags under eyes

As you age, your eyelids stretch, and the muscles supporting them weaken. As a result, excess fat may gather above and below your eyelids, causing sagging eyebrows, drooping upper lids and bags under your eyes. Before scheduling blepharoplasty, you need to meet with your surgeon to discuss the important factors that determine whether the procedure is likely to work well for you.

What can I expect after surgery?
Blurred vision is common after blepharoplasty. Your eyelids will most likely feel sore and tight and you may also experience excessive tearing, light sensitivity and double vision just after the surgery. It is not unusual to have swelling of the lids or a numb sensation after surgery. Expect swelling and discoloration such as bruising, similar to “black eye”. Immediately after surgery, your incisions will be red, irritated like and may be visible.

Wounds usually heal within a month and onlookers. Sometimes scars from the incisions may take three to six months to fade. For many people, the result of blepharoplasty is permanent, but for others, eyelid drooping eventually may recur.

Will Insurance cover this procedure?
Yes, In a few selected patients, when the droopy lid causes interference in vision, medical insurances may cover the procedure. A full thorough eye exam is needed and visual fields to document the interference in sight. Precertification may be helpful.

We take Medicare, Blue Cross, Blue Shield, United Health Care and much other insurances.

Vision Insurances do not cover this procedure as in: VSP, Spectera, etc.

Can I have Lasik?
It is best to wait a while between Lasik and blepharoplasty. Your eye MD can make the best decision as to when to have Lasik. It may be preferable to first have lasik and then have blepharoplasty after three months. Similarly if you recently had eyelid surgery it is proven to wait two months before during vision correction surgery.