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Lower Eyelid Blepharoplasty
In lower eyelid surgery, the incision can be made internally (transconjunctival) or externally through the skin. The decision regarding which approach is best for you will be determined by the amount of skin that is present in the lower eyelid. The internal approach leaves no external incision line while the external incision is placed just below the eyelid margin to disguise its appearance. Recovery times are similar to upper eyelid surgery.
Upper Eyelid Blepharoplasty
In upper eyelid surgery, an incision is made externally in the upper eyelid crease to remove excess eyelid skin and fat. The original incision is then closed with fine, dissolvable sutures. Because the incisions are made in the eyelids’ natural contours, they are barely visible and fade with time. There is a mild amount of bruising and swelling following surgery, but this is usually gone within seven days. Patients can typically resume work within three days after the procedure.
Active wrinkles or creases develop from making the same facial expression thousands of times. These lines are called lines of "facial expression" and are typically located at the outer eyelid area (crow’s feet) and in the forehead (frown lines). BOTOX® works by temporarily paralyzing the muscle groups that cause these lines to develop. It is best used to prevent the formation of expression lines before they become present at rest. To minimize treatment discomfort, BOTOX® injections are performed with the smallest needle possible. Benefits begin about four days after treatment and last an average of four months.