EYELID SURGERY (Blepharoplasty)


The eyes are where we communicate and are often the first thing we notice in each other. We convey emotion, health, and meaning in the eyes. The eyes can betray our age and feelings or express joy and excitement. Given the importance of the eyes in our daily communication and interactions with those around us, it is almost as important for those around us to see our eyes as it is for us to be able to see the world around us. Eyelid surgery can effectively improve both of these functions. As we age the eyelids may droop or descend, whether it is weakening of the muscle that opens the lids or excess skin that hangs over or both, eyelid surgery can help rejuvenate the function and appearance of the eyelids helping the restore a more youthful appearance and markedly improved function. Furthermore, fat bulges can appear in the lower lids creating shadows and darkness that further ages our appearance. Smoothing these areas can further rejuvenate our facial appearance.

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upper and lower Blepharoplasty

(eyelid lift)

Cosmetic dermatochalasis is a fullness or heaviness of the upper eyelids, “bags” in the lower eyelids, and wrinkles in the lower eyelids that are painless and do not affect vision. Upper eyelid and/or brow surgery can help in restoring lost peripheral vision by removing excess skin and fat. Any problems with drooping, or ptosis will also be addressed during this procedure. To do so, Dr. McInnes makes a small incision in the natural fold of the eyelid so that visible scarring is minimal. This may be done in the office or at a surgery center with IV sedation and local anesthetic and is considered an outpatient procedure, so patients are able to return to the comfort of their own home the same day

Dermatochalasis, or baggy eyelids, is a redundancy and laxity of the eyelid skin. As we age, loss of elasticity in the skin, and weakening of the connective tissues of the eyelid can often occur and contribute to “baggy” or “saggy” lids. These findings are most common in the upper eyelids, but sometimes the lower eyelids are affected, as well. Droopy eyelids and eyebrows, or ptosis, may also be seen with dermatochalsis.


Dermatochalasis may be a functional or cosmetic problem. When functional, dermatochalasis may obstruct the upper field of vision or cause the eyelashes to turn inward toward the eye (entropion) or turn out from the eye (ectropion). Most insurances will cover functional correction of dermatochalasis.
Redundant and loose skin around the eyelids may cause:

  1. Loss of peripheral vision

  2. Difficulty with daily activities such as reading, driving and cooking

  3. Frequent fatigue and headaches from straining to see

Most patients are able to return to relatively normal activities within about a week. Sutures are removed around the same time in the office and wearing makeup and contacts may be resumed. Dr. McInnes will meet with you for an exam and address your individual situation and discuss the risks and benefits of having surgery to help make the right decision for you. Aesthetic Eye will also pre-authorize any procedures with your insurance company if surgery is the right choice for you.

Request an appointment or call Aesthetic Eye, P.C. today to set up an appointment for a consultation with Alan McInnes, M.D..

Fellowship trained and board certified.

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Specializing in Cosmetic Oculofacial and Plastic Surgery