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Michael C. Fasching, M.D.

Board Certified Plastic Surgeon


Awaken Your Appearance with an Eyelid Lift

Submitted by Dr. Fasching on Tue 08/14/2018 - 18:22

Your eyes say a lot about you, but when eyelids sag and under-eye circles form, the face can look tired and haggard. For this reason, many seek an eyelid lift to resurrect their fresh and radiant facial appearance.

But the benefits may not stop with an alert and bright facial appearance; many patients experience improvement in their vision as well by resolving overlapping eyelids which can restrict their sight.

Aging Starts with the Eyes

The initial sign of aging is often a dramatic change in the appearance of the eye areas. Because the skin around your eyes is the thinnest and most delicate than at any other body part, puffy bags and excess skin can make your eyes look smaller because the aging skin begins to sag. Fatty tissue seeps below the eye causing this area to protrude outward producing bags and dark hollows. This effect is where we start to notice an aged and tired facial look. Environmental factors like sun and wind exposure accelerate a loss of skin elasticity which adds to the excess skin which tends to sag.

Many women will notice this extra skin when they apply their makeup. But it is not just a problem for women because men also experience excess skin which can lapse over the upper eyelashes and eyelids, leading to a fatigued appearance. Underlying support to the mid-face area will also weaken, contributing to a tired, long facial appearance.


An eyelid lift (blepharoplasty) is designed to improve eye appearance and improve vision for patients who experience drooping upper eyelids, sagging under-eye bags, or both. Here are some important facts to consider:

  • Areas of Improvement: Upper eyelid, lower eyelid or both.
  • Results: Will Last 10-12 years for upper eyelids. Lower eyelids surgery is usually permanent.
  • Recovery Time: Seven-ten days.
  • Bruising and swelling are common and usually subside in a week to ten days. There will be some temporary eyelid numbness lasting about six to eight weeks.
  • An upper eyelid lift is designed to remove the excess skin of your upper eyelids to restore a youthful appearance and improve vision.
  • A lower eyelid lift repositions the fat and skin under your eyes to reduce under-eye bags and dark hollows.

Upper Blepharoplasty

When we hear too often we look tired when we are not; it may be an indication there are visible changes taking place around their eyes. An upper eyelift is designed to provide a refreshed appearance when your upper eyelids are loose due to excess skin.

Everyone has pads of protective fat around our eyes. Typically, a barrier keeps this fat positioned properly, but with age or heredity, this barrier deteriorates, allowing the fat to protrude and produce a puffy appearance. This puffiness may happen with the upper eyelids, lower eyelids or both. As this fat protrudes, it will also cause the eyelid skin to stretch.


To start, board-certified plastic surgeon, Dr. Michael Fasching will make marks along natural creases and lines to ensure any scarring is inconspicuous. He will measure the skin assigned for removal and make incisions to remove loose skin, muscle, and excess fat. He will close with fine sutures to minimize any visible scarring.

After the Procedure

Downtime is approximately one week, but this is determined during your follow up appointments after surgery. You should have a good pair of sunglasses to protect your eyes from the sun and minimize scarring. Sutures are removed within five to seven days.

Lower Blepharoplasty

Haggard and weary facial presence is often the result of under-eye circles and puffiness. These unwanted “bags” will give us an exhausted appearance when we are feeling great. When excess skin invades our lower eyelids, a lower eyelid lift may be a procedure worth considering. Lower blepharoplasty is designed to reposition excess fat to improve the lower eyelid appearance.

This improvement will result in a refreshed and younger appearance, providing a younger, firmer under eye presence.


Dr. Fasching will hide his incision along the smile creases and lash line of the lower lid. He will then trim away excess skin, fat, and muscle before closing incisions with fine sutures. For patients who experience puffiness from herniated fat with no skin laxity, he will provide a transconjunctival blepharoplasty with no external incision. He performs the incision inside the lower eyelid where he will remove the excess fatty tissue.

After the Procedure

Bruising and swelling are normal and are managed with cold compresses and keeping the head elevated above the heart when resting. Typically, patients return to work after one week, but this will be determined during recovery. Dr. Fasching advises his patients to wear sunglasses when outside after surgery to protect your eyelids from the sun and minimize scarring.


A consultation for eyelid surgery is similar to those in other medical procedures. It consists of three parts:

  • An initial interview and medical history.
  • A physical examination.
  • A conversation and recommendation.

The physical examination for blepharoplasty doesn’t include an array of technical tests by Dr. Fasching or his staff. You should expect a vision test and your eyelids to be photographed. With a trained eye, Dr. Fasching can diagnose any eyelid problem in short order and recommend what treatment or procedure he should implement.

Any time there is work to be done concerning the areas around the eyes, there are sure to be many questions and concerns. Dr. Fasching and his staff encourage you to come to the consultation prepared with a list of what questions you want us to answer and what concerns you want us to address.

During your blepharoplasty consultation, we will outline the procedure Dr. Fashing recommends including the anesthesia, the facility, the risks and costs, and any supportive surgery during this time. We ask you to commit to instruction Dr. Fasching outlines for before and after surgery.

For more information about an eyelid lift, call Dr. Fasching at (763) 577-7500 or schedule a consultation today.