Blepharoplasty FAQ

Can anyone have blepharoplasty?
The best blepharoplasty patients are those who are healthy and well-motivated. Some medical conditions may increase the risk of blepharoplasty surgery such as thyroid disease, high blood pressure, and patients who do not produce sufficient tears to keep their eyes well-lubricated. It is important that patients have reasonable expectations as to what their outcomes will be. The blepharoplasty procedure will not eradicate the wrinkles around the eyes (crow’s feet). Dark circles under the eyes may improve if related to large bags, but most often the dark appearance of the lower eyelid skin remains. It is important to understand that blepharoplasty cannot replace lost skin elasticity due to sun damage and the aging process of the eyelids and surrounding skin.

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Where does the blepharoplasty procedure take place?
All of our routine eye surgery is performed on an outpatient basis in our Medicare-certified, state licensed, AAAHC-certified Bloomington Surgery Center which is on the lower level of The Eye Center.

The surgery center consists of two state-of-the-art operating rooms, pre-op and post-op area, a recovery lounge, a comfortable waiting area for family and friends, and a video room.

Patients are given a time to arrive at the surgery center. This is typically within one and two hours prior to the scheduled surgery. Total time at the center should be less than three hours with the actual surgery taking approximately twenty minutes per eyelid.

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What causes droopy eyelids and how are they treated?

Dermatochalasis is caused by excess skin which results in puffy, droopy eyelids.

Blepharoplasty is the treatment for dermatochalasis and fatty prolapse. It involves removing excess skin, muscle, and fat from the eyelid. This is measured with the eyelid lightly closed during surgery to ensure the eyelid will be able to close completely after surgery and healing. Blepharoplasty treatment for dermatochalasis and fatty prolapse will leave a small fold of skin with the eyes open as would normally occur.

Ptosis is droopiness of the eyelid. This droopiness is not caused by excessive skin but from a weakening or detaching of the tendon that raises the eyelid.

Ptosis is repaired by shortening or reattaching the muscle that elevates the eyelid. This can be performed individually or in conjunction with a blepharoplasty procedure depending on the patient’s needs or desire.

Fatty Prolapse
Fatty prolapse occurs when tissue around the eye become relaxed allowing normal fatty tissue to bulge or protrude forward. This change commonly occurs because of time and aging and can contribute to a bulging, droopy eyelid.

Brow Ptosis
Changes with time can result in a sagging or drooping of the eyebrows which can contribute to the droopy eyelid known as brow ptosis. Brow ptosis can be corrected with removal of excess skin and subcutaneous tissue (the tissue beneath the skin surface). This can be performed just above the brow, the middle of the forehead (in a natural crease in the forehead), at the hairline, or within the scalp.

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Is financing available for Blepharoplasty?
The Eye Center of Southern Indiana has arranged a financing relationship with Care Credit. Learn more by visiting or by contacting our office at 1-800-222-7576.

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