[MUSIC] Treatments for puffy eyes, and that’s typically when we’re
referring to patients who say they feel like they have
bags under their eyes. Which typically is a result of
the fat around the eyeballs starting to poke through
the skin a little bit. Many times this is
a genetic problem, so patients can identify other
members of their family, like their parents who have
had a similar problem. There are two different ways
that one can treat puffy eyes. The first method is to inject a
filler underneath where the fat is poking out, to basically
smooth the puffiness, so that there’s a smooth contour from
the lower eyelid to the cheek. The alternative method is to
remove the fat with surgery with a procedure that’s called
the lower eyelid blepharoplasty. Either of those options
are good options, depending on the patience
situation and what they desire. There are some patients who
present with one important event that they want their face
to look fantastic for like a wedding. And for them, they want a simple
option appreciating that it’s going to be a temporary
solution, that if they want to maintain it they will need to
do it again in the future. There are other patients who
have as their frame of mind, that they want one intervention
that they can do at a single point in time, and
be done with it. And for those patients,
surgery is a better option. Either option can achieve
a very good result, obviously depending on the
patient’s particular anatomy. [MUSIC] Upper eyelid surgery is very
often done with just local anesthesia. It’s one of the reasons that
it’s one of my absolute favorite procedures to perform. So, that means that we can do
it in the office many times with the patients awake. I simply numb up their upper
eyelids and then perform the surgery, which is typically
to remove the skin and fat of the upper eyelids to
improve the overall appearance. [MUSIC] The recovery from
eyelid surgery, either upper eyelid surgery or
lower eyelid surgery, is generally a very
easy recovery. The one problem with it is that
most patients will get bruising around the eyes. So from a cosmetic standpoint,
they’ll have to be aware that people who see them,
their friends, their family, their colleagues at work
will see some bruising. From a pain standpoint, most
patients have no pain at all. Most patients don’t take any
pain medication besides, perhaps, a Tylenol or an Ibuprofen immediately
after the procedure. Another one of the reasons
that it’s one of my favorite procedures, both upper and
lower eyelid surgery, is because the impact that one
gets on their appearance when they have those procedures,
as compared to the recovery, which is a very easy recovery,
is dramatic. So, in terms of bang for
the buck, in terms of time for investment of time and money,
the outcomes are amazing. [MUSIC] Many patients are delighted to
hear that if their upper eyelid skin is hanging so much that
it’s blocking their vision, then their insurance company
will consider it a medically necessary procedure
that they’ll pay for. They’ll have a visual field
exam by an Ophthalmologist or an Optometrist that
will show that indeed, the upper eyelid skin that is in
excess is blocking their vision. So, for those patients we’re
able to submit that to the insurance company,
we’re able to treat them, improve their vision. And as a nice bonus, improve
their appearance as well. [MUSIC] Many times, patients will ask
me if they need to treat all portions of their face
at the same time. They’re concerned that if we
address only their eyes, for example, then their face will
appear mismatched with other areas of their face
looking older. That’s absolutely not the case. Many times, we’re able
to address just one area of the face, and
in particular the eyes. For different people, the aging
process occurs differently. Some patients experience more
aging around the jawline and the neck. Other patients experience more
aging changes around the eyes. And certainly, what bothers
patients about the aging changes will differ based on
the patients themselves. So, it’s absolutely the case
that there is not a one size fits all for all patients. And we’ll tailor our
interventions based on what it is that the patient desires, and
what we think we can achieve for them with the treatment plan
that we develop together. [MUSIC] The goal with all of our facial
rejuvenation procedures, including eyelid surgery, is to
achieve natural looking results. What we want is an improved,
fresher you. We don’t want you
to look different. What we want is for
you to look rested and happy. And like, things are going
very well in life. And so, our patients are very
pleased with what we’re able to give them in terms of very
natural looking results. In other words, if someone knows
that you have had a procedure, then it wasn’t a good procedure. [MUSIC]

25 thoughts on “Eyelid Surgery (Blepharoplasty): What You Need to Know from a Johns Hopkins Expert”

  1. What's the name of the doctor and where. Is it located. .May i have the phone numbet i want it done in the office .Mine is medical contact me at 347 247 5510..Faith

  2. This was an excellent authoritative presentation. I watched, however, elsewhere the actual long-term true healing process which, in the case of a healthy young man whose appearance was part of his career, actually took 6 months. Also sleep propped up on myriad pillows to reduce bruising; stay out of the sun; it is not as simple a procedure as it may appear. As a woman in her 60s who wants to age gracefully I am thinking about this procedure — costs vary depending where you live and RESEARCH your plastic surgeon; if you can have it done in hospital, all the better, but there have been some horror stories. My conclusion still sitting on the vanity fence; does anyone want to look like Jane Fonda at 80? That was truly spooky. Excellent work and a life of remaining fit, professional makeup and the voice of … an 80 yr old woman in Book Club. Made me rethink my options. Once again, excellent video.

  3. Can (CO2 LASER SURGERY) get rid of some or all of my undereye bags and if so can a 2nd procedure do even better ???? Thanks

  4. Tukar ke Indonesia

    hello greetings where can I get treatment about cpsp.

    Is there treatment in Indonesia?

  5. Everything except what I wanted to know. I wanted details. What is the test, how is it done, what are the details of the examination on upper eyelids?

  6. 49 yrs old, I have circles under my eyes and upper bags weighing down my eyes so I look tired or stoned even though I'm rested and in good spirits. Where would I start.

  7. Please help me out ❤️ https://www.gofundme.com/please-help-me-pay-for-eyelid-surgery&rcid=r01-155805964326-28a3654df3a34be3&pc=ot_co_campmgmt_m

  8. Hi, I recently did an upper and lower blepharoplasty in Florida and the doctor made my eyes smaller
    by stitching the corners closed. I had it on May 9th and today is the 17th. I just got the stitches out.
    I liked my eye size and don't want small eyes. Is there anything I can do? You can see my pics on my Jeannie Jones Spagirl Youtube Blepharoplasty journal. I am scared. Please advise me.

  9. My recovery Journey on YOUTUBE is on DAY !! BOTH UPPER AND LOWER> It cost me 9,000.00 in Orlando, Florida.
    I am scared as I don't like it yet. Maybe I have to wait longer. I am showing how I look every day. I do look better because I have had to elevate my head on PILLOWS and REST more than I ever have in my LIFE. Thank you for making this informative Video. Jeannie Jones SPAGIRL

  10. well guys I did the under eye surgery in Morocco and came back here after 2 days I took of the stitches in MGH Boston
    the doctor who took them was amazed, but I stayed 2 weeks out of work no one noticed it intel I tell them. It is a real success
    I'm going to do my lower next vacation. I wish I can do it here but the difference on cost is uge from 2000$ over to
    to 5000$ in here.

  11. I want my eyelids done🙋‍♀️🤠 not so much for puffiness .I want the little hood over my eye lifted..I am getting ready to have a procedure on my legs and also want to get my eyes done

  12. I have a problem in upper eyelid of my left eye…. actually a muscle slip and came on the eyelid, so it does not open fully….is it possible to make it well with sergery?

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