Whether you are dealing with drooping eyelid skin, bags under the eyes or the puffy skin on the cheekbone known as festoons, Adam J. Scheiner, M.D., of The Aesthetic Center at Tampa Eye Clinic specializes in treatments to restore a more youthful, alert and healthy look to your eye area.
No adult wants to look older than his or her age, but sagging lids or puffy bags can significantly age your face, making you seem older or more tired than you actually are. Blepharoplasty, also referred to as a “mini-facelift,” has become one of the most popular cosmetic procedures for both men and women suffering from drooping upper and/or lower eyelid skin due to its high level of patient satisfaction.
What You Need to Know
Blepharoplasty can be performed on both the upper and lower eyelids as seen in the before and after pictures below.
Laser Eyelid Surgery Patients
Blepharoplasty or laser eyelid surgery can provide the following benefits:
- Eliminate tired-looking eyes
- Reduce lines and sags
- Help you look younger
- Reduce puffy bags
- Eliminate unwanted excess skin
- Brighten your appearance.
The most effective way to “open” your eyes is to conservatively remove the fat and excess skin causing your sagging or puffiness. Blepharoplasty can be done alone or in conjunction with other facial surgery procedures such as a Minimal-Incision Brow Lift or Laser Skin Resurfacing. You can start the process by setting up a complimentary consultation with Dr. Scheiner.
When More than Blepharoplasty is Required: Festoons and Malar Mounds
Although a blepharoplasty will rejuvenate the appearance of the eyelids for many patients, individuals with the condition characterized by puffy skin on the cheekbone just below the eyelid requires additional treatment. This condition, called “festoon” or “malar mound,” can actually look worse and more noticeable following a lower eyelid blepharoplasty or a face-lift. Once the fullness of the lower eyelid is removed above the festoon, the problematic area is highlighted, becoming more obvious.
What are the typical options to treat festoons?
Festoons or malar mounds are a very difficult cosmetic problem to solve. In rare case, festoons can be large enough to block an individual’s lower visual field. The most common options to treat festoons include:
- Extensive incisional procedures with less than optimal results
- Direct excision of the festoons with unacceptable scars
- Medical therapy with marginal results.
Revolutionary Laser Skin Resurfacing in Tampa Bay Area Transforms Festoons
Dr. Scheiner utilizes a revolutionary method to treat festoons. According to Dr. Scheiner, “Festoons have been a difficult medical problem for many patients and their physicians over the years. Traditional surgeries have had less than optimal results on this condition. Taking advantage of the latest advances in laser application and wound healing, it’s now possible to dramatically improve this difficult eyelid condition by applying this technique.”
Dr. Scheiner’s technique is being published in a medical textbook for other cosmetic surgeons called, “Master Techniques in Blepharoplasty and Periorbital Rejuvenation” (Eds. Massry, Azizzadeh, Murphy).
If you are considering facial or eyelid rejuvenation, it’s important to examine yourself and look for the signs of festoons or malar mounds. If they are present, Dr. Scheiner can help you. The application of his technique is usually performed in conjunction with lower eyelid surgical rejuvenation and leads to a more natural and complete rejuvenation of this expressive part of the face.
Festoon Treatment Patients
What to Expect: Consultation
At the time of your initial consultation at The Aesthetic Center at Tampa Eye Clinic, Dr. Scheiner will evaluate the condition and health of your eyes. He will also discuss with you the specifics regarding your vision, including tear production, use of contact lenses, use of medications and personal expectations. This information, along with other factors such as age, skin-type and ethnic background, will allow both you and the doctor to come to a mutual decision regarding your treatment.
Also during your initial visit, Dr. Scheiner will walk you through the process of understanding the surgical technique, amount of surgery and type of anesthesia he will use, and he will take measurements and “before” pictures to help him plan his treatment options. You will have the opportunity to see before and after pictures of other patients who have had the procedure. Additionally, you will watch an informative video, which discusses the procedure(s) and answers many common questions.
What to Expect: The Procedure
Laser eyelid surgery is used to make the eyelids appear more youthful and dynamic by reducing or removing puffy or sagging skin around the eyes. You can have either the upper or lower eyelids done together or separately. However, most patients find they get more dramatic results and a more symmetrical appearance if both areas are done at the same time. This outpatient procedure is performed with local anesthesia in about one hour by Dr. Scheiner in our surgery center, which is located directly behind the Tampa Eye Clinic. You are allowed to return home immediately following surgery.
Laser eyelid surgery is replacing the standard method of incision using traditional surgical techniques. Dr. Scheiner uses a laser beam to make a small incision, sometimes from inside the eyelid. Laser eyelid surgery actually cauterizes (seals) blood vessels with less bruising, bleeding, discoloration, swelling, and a quicker recovery than conventional eyelid surgery. The fatty deposits are removed and the incisions are closed using tiny sutures. The sutures are removed in about ten days. At the time of your laser blepharoplasty, you can also choose to have Laser Skin Resurfacing of your lower eyelids to erase wrinkles from many years of sun damage and improve the appearance of malar mound or festoons.
What to Expect: Recovery
Following the surgery, your post-operative discomfort should be minimal. Since the laser seals off blood vessels and nerve endings, you should experience much less post-operative discomfort or bruising. You can use Tylenol to minimize any discomfort. You can expect your eyelids to be puffy and swollen for several days following surgery. Cold compresses used for the first 48 hours can help minimize swelling. After 7-10 days the fine stitches will be removed.
Your normal activities can usually be resumed in just 3 to 7 days. The resulting scars are very fine and hidden in the natural crease of the upper eyelids. Many lower eyelid surgeries do not result in any visible scars. After eyelid surgery, our patients have a more youthful and awake look to their faces.
Laser eyelid surgery cannot eliminate wrinkles, crow’s feet or eyelid festoons on its own. Other procedures such as Laser Skin Resurfacing and Botox cosmetic injections can be used in addition to laser surgery to address these common concerns. Many patients find using these procedures in combination with eyelid surgery provide even greater facial rejuvenation.
What to Expect: Insurance
Some procedures may be covered by insurance. If you have questions about what is covered by your private healthcare insurance, contact your plan provider. If you don’t want to pay for your procedure all at once, you can take advantage of one of our affordable financing options and you can apply for financing online.