Eyelid Procedures:
Blepharoplasty and Eyelid Rejuvenation

Aging of the eyelid skin is an intricate, complicated yet natural process that happens over time and is influenced by several factors, including genetics, sun exposure, and lifestyle habits. As we age, the eyelid skin loses elasticity creating fine lines and wrinkles. The fat pads around the eyes begin to shift, causing either fullness or a hollow, sunken appearance. Environmental exposures can lead to discoloration or pigmentation changes around the eyes. 

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Eyelid Skin Hyperpigmentation

Eyelid hyperpigmentation, or darkening of the skin around the eyelids, can be caused by factors such as genetics, sun exposure, allergies, inflammation, and even lifestyle habits like rubbing the eyes frequently. Some forms of dark circles are related to long standing blood flow disruption and can appear more red or purple. This pigmentation often appears as dark circles and can give the eyes a tired look. Treatment options depend on the cause but may include topical lightening agents that reduce the production of melanin such as hydroquinone, antioxidants, and hydroxyacids, to gradually fade the pigmentation.
 

Chemical resurfacing treatments designed for delicate skin can also help to improve pigmentation in this sensitive area. Commonly chemical peels used to treat dark circles include hydroxyacid peels and TCA peels. Typically a series of 4-6 treatments are required to achieve meaningful results. 

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Energy-based devices such as Radiofrequency Microneedling and Laser Resurfacing can improve dark circles by improving collagen and elastin in the eyelid skin reducing shadowing and laxity. 

 For those with persistent or hereditary dark circles, dermal fillers can provide volume beneath the skin, reducing the appearance of shadows for a more refreshed look. Consistent sun protection is essential to prevent further darkening.

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Eyelid Skin Laxity

Depending on the degree of skin laxity, along with the condition of the surrounding skin, treatment options such as energy-based devices, eyelid surgery, injectable solutions, or a combination of these are often needed to achieve significant improvement.

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For mild to moderate skin laxity, laser resurfacing and RF Microneedling can improve skin quality. This method is particularly useful for those with less severe laxity. Downtime for RF Microneedling and Laser resurfacing  ranges from 3-5 days  to 7-10 days, respectively.  More significant laxity may require extended recovery times due to higher energy levels needed for collagen stimulation. A series of 3-4 treatments are performed to achieve meaningful results. For more aggressive laser resurfacing options, profound results can be achieved in 1-2 treatments. 

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Results from energy-based treatments typically last several years however genetics plays a significant role in the duration of these outcomes.

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To address excess skin, several treatments are available. 

 

For significant skin laxity, surgical removal of excess skin, known as blepharoplasty, is the most effective solution. Healing from eyelid surgery typically takes 1-2 weeks.  The  results are noticeable almost immediately. Scarring typically fades within 12-16 weeks.  Blepharoplasty generally provides longer-lasting results, with effects lasting between 5  to 15 years, however genetics plays a significant role in the duration of these outcomes.