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Eyes as Windows

Windows to the Soul

The beautiful eyes of an alluring woman are undeniably the first connection made with her face to initiate communication. When excess skin covers a part of the eyelid, there exists a barrier to the full, awake, open eyes of the charming face you are seeing. These early changes, may be the very first we notice in the mirror as we begin to age. The skin of the eyelid is the very thinnest on the body and thin skin begins to demonstrate folds, earlier than does thicker skin.

Beautiful eyes of a model demonstrating almost flat lower lids.

Eyelid surgery – Blepharoplasty

It is not surprising that last year, in this country almost 150,000 eyelid surgeries were reported to our American Society for Aesthetic Plastic Surgery. These procedures accounted for one of the top five most popular surgeries among both men and women. Almost half were offered to those age 35 – 55, although almost 10% were 65 years and older. Some of the most gratifying surgery is performed on the eyelids and is termed blepharoplasty. For Dr. Marcia Ormsby, after almost 25 years of aesthetic surgery experience, the newest techniques have dramatically improved outcomes. Over time, it is clear that the skeltonized eyelid is not attractive in either the young or aging face, either the female or the male face. The full, almost flat lower eyelid displays a rested, youthful appearance.

Pre-operative and Post-operative Blepharoplasty Patient

The well-defined fold of the upper eyelid renders an open, rested look; the distance between the lash line and the eyebrow is an important consideration as well. The brow tends to descend as we age and the upper eyelid appears to close as the lid becomes heavier with excess skin. A meticulous balance of brow position and eyelid contours figures prominently in the planning of any surgery or procedure contemplated on the eyelids.

Pre and Post Operative eyelid surgery

Careful choices

The surgeon performing your surgery should be well qualified and experienced; many photographic examples of pre and post-operative patients will render the confidence needed to proceed, particularly if you can identify a photo of a pre-operative patient who demonstrates your traits and concerns. You may wish to speak by phone to a patient who has had this surgery. These measures will assist in your surgical planning and help you to develop reasonable expectations for outcomes. Your anesthesia should be performed by a qualified professional, who will monitor your vital signs throughout the surgery. General anesthesia is not necessary but sedation is helpful in keeping you comfortable. It is essential that your surgery be performed in a certified out-patient surgery facility, to ensure that the safest possible precautions are followed.


The procedure may require a few hours, entirely dependant upon the extent of surgery. You will return home within hours of your surgery to rest, with ice and dressings for about three days. Very light activity is fine, but strenuous exercise should be deferred for about a month. You will not be able to read or wear contact lenses for the first few days, when your eyes are swollen and bruised. The stitches are removed five days following surgery, when you will notice a great reduction in redness and soreness.


Within weeks you will notice a more rested appearance with rapid healing and fading of your incisions. The evidence of surgery should almost disappear within a month, when you can comfortably resume all normal activities. The goal is to look fresh and rested, ready to begin and end your day with the awake, balanced appearance of the best that you can be.