Upper & Lower Eyelid - Brow

Eyelid & Brow Procedures with Dr. Ashley Robey

Board Certified ENT & Plastic Surgeon 
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Artistic Elegance in Surgical Aesthetics

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Over 95% of our procedures are cosmetic. 
  • Double Board Certified Plastic Surgeon
  • Named TOP DOCTOR - realself.com
  • Patient Choice Award Winner 2014 & 2015 - vitals.com
  • Awarded On-Time Doctor Award by Patients
  • Compassionate Doctor Recognition Award 

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We are experienced, using the latest techniques and state-of-the-art equipment.
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  • We focus on minimizing scars for an ideal cosmetic appearance.
  • Both surgical & non-surgical options can be explored.

Eyelid surgery - Blepharoplasty

Eyelid Surgery
Blepharoplasty is a medical term that means surgery of the eyelid. Surgery can be performed on either the upper or lower eyelids or both, depending upon the patient's needs and desires.

Upper Blepharoplasty

Surgery on the upper eyelid can help address excess skin and fat of the upper lid. This excess tissue can lead in the appearance of advanced age and fatigue. A blepharoplasty addresses these problems to achieve a more youthful and well-rested look. In most patients, the incision is hidden in the natural eyelid crease.

Lower Blepharoplasty

There are several approaches to the lower eyelid. For aesthetic surgery, the most common incisions are the transconjunctival and the subciliary incisions. The transconjunctival incision is hidden on the inside of your lower eyelid; this allows access to potentially bulging fat pads and/or access to droopy midface tissues for resuspension. The subciliary incision is placed just underneath the lower eyelid lashes. Excess fat and skin of the lower lid can be addressed with this approach.

Asian Blepharoplasty

The Western eyelid differs from the Asian or Oriental eyelid in that there is a crease in the upper eyelid. This crease is present in the Western eyelid because of direct attachments between the skin and underlying structure; the classic Asian eyelid naturally lacks these attachments. Surgically creating a connection between the skin and underlying structures results in formation of a permanent eyelid crease or the appearance of a double eyelid.

Commonly asked question

Will blepharoplasty help with droopy eyebrows or crow's feet?

Blepharoplasty will not elevate a heavy brow. During your consultation, Dr. Robey will assess your eyelids and eyebrows to determine the contributions of each to your appearance. Some patients achieve optimal results with either a blepharoplasty or a brow lift and some patients would benefit from both.

A blepharoplasty will not improve the appearance of wrinkles off to the sides of the eyes (crow's feet). These can be addressed with Botox™ and/or resurfacing procedures.

Do I need an upper blepharoplasty or a brow lift?

Depending upon the position of the brow, Dr. Robey can determine the best options for your during your consultation. The forehead skin is assessed and lifted during your consultation to determine if a heavy brow or heavy eyelids are contributing to the undesired appearance. If elevating your brow with her hand improves the appearance of your eyes, Dr. Robey will likely recommend a brow lift. If this maneuver does not significant affect the appearance of the eyelids, then Dr. Robey may recommend an upper blepharoplasty alone. If some improvement is noted when the brow is lifted but excess eyelid skin remains, a combination of browlift and upper eyelid blepharoplasty may be recommended.

Will a lower eyelid blepharoplasty help with dark under-eye circles?

Dark circles under one's eyes can be improved to some extent with a blepharoplasty. These circles, however, may be due to descent of the cheeks from age and gravity. A midface lift or facial fat grafting may be needed to optimally camouflage the appearance of these circles. Other procedures, like laser resurfacing, may be helpful as well.

What type of anesthesia is used for blepharoplasty?

Dr. Robey performs an upper eyelid blepharoplasty through a small incision in the crease of the upper eyelid. The placement of the incision in the crease camouflages the scar very well, making it almost imperceptible in many people. The excess skin is removed and sometimes a small amount of muscle and fat are removed. The skin is then closed with small stitches. The lower eyelid blepharoplasty is approached through an incision either under the lashes or inside the eyelid, depending upon patient preferences and goals. Excess skin and muscle are elevated, and the fat is removed if needed. A tiny strip of skin is then removed and the muscle is then tightened.

What is the recovery like after blepharoplasty?

Blepharoplasty is an outpatient surgery. Patients can expect eyelid swelling and/or bruising. This will usually subside after about 1-2 weeks.

How soon after my blepharoplasty can I return to exercise activities?

Dr. Robey recommends resuming exertional activites after about 2-3 weeks.

Does insurance cover the cost of blepharoplasty?

Not typically. In some instances where excess eyelid skin is causing significant visual field obstruction, a blepharoplasty for medical reasons could be covered by private insurance.
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Learn more about how to achieve your goals today by setting up a confidential appointment with one of our board certified plastic surgeons. We believe many times having less surgery is better for the patient when it comes to obtaining natural looking results.We offer non-surgical, minimally-invasive and surgical options.
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Dr. Ashley Robey MD
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