The muscles, skin structure, and fat pads around your eyes change shape with age. Our upper and lower eyelids turn puffy and saggy and develop dark circles. No matter how you feel, you can look worn out and tired. Dr. Slupchynskyj, a double-board certified New York plastic surgeon, removes much of this tired appearance by lifting the upper and lower eyelids in a procedure known as blepharoplasty, or eyelid surgery.
What is Blepharoplasty?
Blepharoplasty (eyelid surgery) is a procedure that removes excess fat, tightens muscle, and rearranges skin around the upper and lower eyelids. Blepharoplasty eliminates the swelling and bags under the eyes that contribute to a worn-out appearance. Upper and lower blepharoplasty are often performed concurrently if both procedures are warranted. Eyelid surgery can be performed in concert with a facelift or skin resurfacing to achieve a balanced, youthful appearance.
Good Candidates for Eyelid Surgery
Suitable candidates for eyelid surgery include:
- Fit, with no health issues which can impair healing
- Individuals with realistic goals
- Individuals with no serious eye conditions
- Individuals with impaired vision due to eyelids impeding sight
- Individuals concerned with aging appearance due to droopy and puffy eyelids
Dr. Slupchynskyj will evaluate your condition and discuss with you the procedures which may be implemented to address your problem.
Consultation for Blepharoplasty
During your consultation, Dr. Slupchynskyj will listen to your concerns for the procedure. He will perform a thorough physical examination and tell you what he recommends and why.
He will listen to all your concerns, and give you ample time to voice them.
He will show you before and after pictures of patients with similar facial features, who had similar questions as you. Here you will get a better idea of what outcome you can expect.
He will discuss your goals, your unique facial anatomy, and what you can expect leading up to and during surgery. He will explain the recovery process and healing.
It is important that both you and Dr. Slupchynskyj agree on the aesthetics and process of your surgery so you can reach attainable goals.
Dr. Slupchynskyj believes that a well-informed patient is the greatest key to a successful procedure. He will take the time necessary to educate you, so you should take this time to ask every question you have and voice every concern.
“The difference in both my physical appearance as well as my mental outlook is amazing. I look at pictures of what I looked like 20 years ago and it is me now. I would never hesitate to recommend Dr. S if you want your youth back in a natural way, not plastic. I am a walking poster girl.” – New Jersey
Benefits of Blepharoplasty: Cosmetic
Eyelid surgery has many benefits, including enhancing the appearance of your eyes. Dr. Slupchynskyj can perform blepharoplasty to eliminate extra skin and tissue that leads to drooping eyelids. A blepharoplasty can also remove puffy, swollen lids, and dark circles that reside under the eyes. Dr. Slupchynskyj’s technique is minimally invasive and can be performed under local anesthesia within an hour.
Benefits of Blepharoplasty: Functional
Blepharoplasty can have a functional benefit by improving a patient’s vision. Along with the aesthetics of removing extra skin around the eyelids, the procedure can bring back the peripheral vision blocked by drooping eyelids.
Since Blepharoplasty has some remarkable functional benefits, health insurance policies may cover eyelid surgery. The extent of obstruction needs to be identified to determine the optimal treatment.
Benefits of Blepharoplasty: Convenience
When New Yorkers visit Dr. Slupchynskyj, they often ask for additional treatments to complete their rejuvenation. A procedure frequently done in combination with the eyelid surgery is the SLUPlift™. The blepharoplasty and the SLUPlift can be performed under local anesthesia with little sedation. Dr. Slupchynskyj routinely performs these procedures together for greater results with reduced time and expense.
Benefits of Blepharoplasty: Psychological
Self-confidence is a big benefit of eyelid surgery in New York. “Making it here” requires a positive outlook and a strong self-esteem. When positive aesthetic changes occur, a renewed attitude soon follows, and with that comes an improvement in personal and professional relationships. A new lease on life is often one of the most welcome results of a blepharoplasty in New York.
Anatomy of Blepharoplasty
The tissues around the eyelids form a delicate, complicated structure. Our eyelids are a sophisticated collection of muscles, connective tissue, fat pads, and skin. Ligaments and tendons connect these tissues and enable the patient to move his eyes, adjust his vision and alter his facial expression. The level of precision required for performing surgery on such a location calls for a highly qualified Facial Plastic Surgeon who is familiar with how these tissues interact.
Techniques of Blepharoplasty: Transcutaneous
The traditional Transcutaneous (“across the skin”) technique starts with an incision through the lower eyelid muscle and the supporting ligament. The ligament is called the “orbital septum” and weakens with age. As the incision goes through the ligament, the surgeon can access the fatty pads to be removed. After removing the fat, the surgeon pulls the skin and muscle into place and fastens them with sutures.
Techniques of Blepharoplasty: Transconjunctival
While the traditional Transcutaneous method involves an incision along the outer layer of the skin, Dr. Slupchynskyj uses the advanced scar-less transconjunctival (inside the lid) approach by placing AN incision along the lining of the eyelid. Dr. Slupchynskyj opens the orbital septum from below and conservatively removes excess fatty tissue, which effectively eliminates puffiness on the lower eyelid. A 1993 study on the technique showed the risk of inverting the eyelid with the transconjunctival procedure was greatly reduced.
Risks of Blepharoplasty
Possible eyelid surgery risks include:
- Anesthesia risks – are present with any surgery requiring general anesthesia. It’s why a board-certified anesthesiologist will be with you from beginning to end, ensuing a safe experience.
- Swelling and bruising – will diminish gradually over several weeks and should be completely subside after 6 months.
- Bleeding from the incision lines – can be avoided by keeping head elevated for a few days after surgery. If bleeding is detected, contact your surgeon immediately.
- Dryness to the eyes – is common and treated with drops and lubrication. Also, eyelid exercises or forced closes will allow eyes to tear properly.
- Sensitivity to sun or other bright light – is a symptom of dryness to eyes. See above.
- Difficulty closing your eyes – a small amount is not unusual and can be corrected by force closing exercises.
- Ectropion – more common in older adults, it is a condition in which your eyelid turns outward exposing inner eyelid and causing irritation.
- Lid lag, a pulling down of the lower eyelid, may occur and is often temporary
- Temporary or even permanent change in vision
- Changes in skin sensation or numbness of the eyelashes
- Pain, which may persist
- Possible need for revision surgery due to poor procedure
- Unfavorable scarring due to wrong sutures and poor technique
These risks and others will be fully discussed prior to your surgery during your consultation with Dr. Slupchynskyj.
Choosing the Right Plastic Surgeon for Eyelid Surgery in New York
Unfortunately, any licensed doctor can legally perform eyelid surgery, regardless of the extent of training and experience. This can open the door for severe complications.
It is vital for your surgeon to have the right education, credentials, and experience. These include board certification and being in good standing with the various medical boards. It also includes a healthy practice and loyal, satisfied patients.
Let’s not forget the support staff. They must be professional, compassionate, and caring. These are the people to lean on during recovery. Make sure you’re comfortable with the entire staff.
It is critical to do research and visit with the surgeon personally. It is important to visit the facility where the surgery will take place. Go to the consultation prepared with questions, concerns, and ultimate goals written down. Take the time to get well informed!
Why Dr. Slupchynskyj?
New York native Dr. Oleh Slupchynskyj graduated from Fordham University where he was the president of Emergency Medical Services. He was also a member of the Alpha Sigma Nu Honor Society, was awarded the M. Passarelli Science Award, and graduated Magna Cum Laude. He finished in the top ten percentile of his New York Medical College class.
He is double board-certified and a diplomate with the National Board of Medical Examiners. He has been published extensively and has been prominently featured in the media. He focuses his practice on facial cosmetic treatments, surgical and non-surgical, and is the New York’s go-to facial aesthetic surgeon.
“I decided to make a change because everyone was asking me if I felt okay. They said I looked very tired and I was not tired and I was feeling good. So I knew something was wrong. I’m very happy that I decided to have something done and I found that it was a very easy experience. All the personnel working for Doctor were very kind and considerate and I especially remember one of the girls ordering me a cup of soup along with her lunch order before she let me leave the office after my procedure. It gave me the lift I needed on that very cold day. Two weeks later I went on vacation and no one was aware that I had something done. They just said I looked great.” – New York, New York