Example model featuring Eyelid (blepharoplasty)

Eyelid Surgery | Vancouver

Eyelid surgery (blepharoplasty) is one of the most popular facial plastic surgery procedures performed globally. As one of Canada’s leading facial plastic surgery experts, Dr. Ritchie Younger has performed thousands of eyelid surgeries resulting in pleasing natural-looking results.

Eyelid Surgery (Blepharoplasty) in Vancouver by Dr. Ritchie Younger

Blepharoplasty, or upper and lower eyelid surgery, can be a great way to restore a more youthful look to the eye area. Clients of all ages with excessive skin due to aging, lifestyle or genetic changes can benefit beautifully from this surgical procedure.

Blepharoplasty involves removing the excess fat, muscle, and skin from both upper and lower lids for a refreshed appearance with a younger firmer eye area. This procedure is often combined with other procedures such as a browlift to address issues like sagging eyebrows. Consultation with Dr. Younger can help you decide whether any additional complementary surgery would enhance the final result.

Pre-surgery – your eyelid surgery preliminary consultation and assessment

During your initial consultation, Dr. Younger will ask you questions about your vision, tear production, use of lenses, and your desires for surgery. Dr. Younger will explain what you can expect and answer any questions or concerns you may have regarding the recommended surgery and outcome.

Dr. Younger will take a thorough medical history, as well as assess your mental and emotional attitudes toward the surgery. A realistic attitude is vital to success.

If you proceed, he will discuss your individual procedure in-depth.


Dr. Younger talks about Blepharoplasty surgery — what it is and what the benefits are.

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Anatomy of the Eye and Eyelids

Understanding the anatomy of the eye and eyelids’ anatomy is crucial for appreciating eyelid surgery’s nuances. The eyelids are complex structures composed of several layers: the thin, delicate outer skin prone to wrinkles and sagging; the orbicularis oculi muscle responsible for closing the eyelids; the orbital septum, a thin membrane that holds back the fat in the eye socket; fat pads that provide cushioning for the eyeball but can bulge with age; and in the upper eyelid, the levator muscle responsible for lifting the eyelid.

As we age, several changes occur in the eye area. The skin loses elasticity and begins to sag. Fat pads can protrude, creating a puffy appearance. The orbicularis oculi muscle can weaken, contributing to wrinkles and the levator muscle can stretch, causing the upper eyelid to droop. These anatomical changes not only affect appearance but can also impact vision, especially when the upper eyelid droops significantly. Eyelid surgery addresses these issues by removing excess skin, repositioning fat and sometimes tightening muscles to restore a more youthful and functional eye area.


Upper Eyelid Surgery

Gravity and lifestyle factors cause eyelids to age and droop over time. This may result in asymmetry of your upper eyelids due to excess skin or excess fat in the upper islands of the lids.

In upper eyelid surgery, Dr. Younger first carefully marks the individual lines and creases of the lids to keep the scars as invisible as possible. A precise incision is made and excess fat, muscle, and loose skin are removed. This tightens up the island, which makes the eyes appear more open and alert. Fine, self-dissolving sutures are used to close the incision. Upper eyelid blepharoplasty is done under local anaesthesia and typically takes 1 to 2 hours.

Immediately after surgery, an ointment to prevent dryness of the eye area is applied and used constantly during the post-operative period. A certain degree of swelling and bruising is normal. Cold compresses, as well as head elevation when lying down, will enhance healing and relieve discomfort. Downtime is usually 7 to 10 days. After recovering at home, you may have minimal bruises, which can be easily covered with makeup. Although initial positive results are very apparent, ultimately, it will take up to 12 months to heal completely and to see the peak results.

Note: If clients are currently using injections, they may need some time to let the effects of this injectable wear off before they consider upper blepharoplasty. For these clients, it is sometimes difficult to predict where their islands normally are at rest. Once the muscles in the forehead move in their regular way, it is easier to assess how much surgery they need to achieve the perfect result.

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Lower Eyelid Surgery

As we age, we lose soft tissue around the eyes. Some people develop crevasses or creases underneath the eyelids. A static lower eyelid surgery may correct this. Clients who have either excess skin on the lower eyelids and/or protruding fat accumulation in bags under the eyes, are good candidates for lower eyelid blepharoplasty.

In lower eyelid surgery, Dr. Younger makes the incision along the lash line and smile creases of the lower lid. He makes the incisions about 2 mm underneath the eyelids, which make them heal in line with the eyelid. Excess fat, muscle and skin are then trimmed away before the incision is closed with fine sutures. Upper eyelid surgery is done under local anaesthesia and typically takes 1 to 2 hours.

Dr. Younger will remove excess skin from the lower eyelids in a very conservative fashion. If a client has a lot of bulging fat under their lower eyelids, he or she may also require injections of products such as Restylane®. This will smooth out some of the fine contours of the lower eyelid.

Immediately after surgery, an ointment to prevent dryness of the eye area is applied and used constantly during the post-operative period. A certain degree of swelling and bruising is normal. Cold compresses, as well as head elevation when lying down, will enhance healing and relieve discomfort. Downtime is usually 7 to 10 days. After recovering at home, you may have minimal bruises, which can be easily covered with makeup. Although initial positive results are very apparent, ultimately, it will take up to 12 months to heal completely and to see the peak results.

About 20% of clients who undergo this procedure require additional minor procedures to deal with small bulges of scar tissue or skin redundancy. The procedure sometimes has to be fine-tuned to achieve a perfect contour of the eyelid.

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Upper & Lower Eyelid Surgery

Upper and lower blepharoplasties are typically performed together on clients who have issues with both upper and lower lids due to aging. It is quite common for patients who have their upper eyelids done, to later regret that they did not also have their lower eyelids done simultaneously. At your consultation, Dr. Younger will advise you if he thinks that both an upper and lower blepharoplasty would benefit you.

The procedure is performed under local anaesthesia for both upper and lower lids. When performed simultaneously, the surgery may take 2 to 3 hours to perform.

Immediately after surgery, an ointment to prevent dryness of the eye area is applied and used constantly during the post-operative period. A certain degree of swelling and bruising is normal. Cold compresses, as well as head elevation when lying down, will enhance healing and relieve discomfort. Most people are back to work within 10 days. After recovering at home, you may have minimal bruises, which can be easily covered with makeup. Although initial positive results are very apparent, ultimately, it will take up to 12 months to heal completely and to see the peak results.

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Double Lid Surgery

Double Lid surgery is sometimes called Asian eyelid surgery, but we prefer to call it something that focuses on the actual procedure rather than a potential ethnic group. About half of clients with an Asian ethnic origin do not have a fold in the area above the eyelashes. For those without a fold, a blepharoplasty procedure can create a natural-looking crease. One common reason for this is to allow makeup to be applied to the eyelids and to create a more open look of the eyes.

In double lid surgery, Dr. Younger tightens the skin of the eyelid in a way that creates a crease in the upper eyelid. The procedure is performed under local anaesthesia and takes 1to 2 hours.

In some circumstances, the clients also have a so-called epicanthal fold near the inside area of the eyelid. This can be flattened and improved surgically. The scars however, can take months to settle down. If this is an option you are interested in, please discuss the exact details with Dr. Younger. In general, swelling and bruising take about a week, with full healing reached after 8 to 12 months.


Dr. Younger discusses Double-Lid Surgery and what you need to prepare for your consultation.


What to Expect

The Consultation

Your consultation with Dr. Younger is a crucial step in your eyelid surgery journey. During this meeting, you can expect a thorough review of your medical history, including discussions about your overall health, previous surgeries and medications you’re taking. Be prepared to share information about conditions like dry eyes, glaucoma or allergies. A comprehensive eye examination will be conducted, including eyelid measurements to determine the amount of excess skin, muscle strength and function assessment and tear production and eye moisture evaluation.

Vision tests are also important to ensure eyelid modifications won’t negatively impact your vision. Dr. Younger will take detailed photographs of your eyes from various angles as a reference for surgical planning and before-and-after comparisons. You’ll have the opportunity to express what you hope to achieve with eyelid surgery and Dr. Younger will provide honest feedback about what’s realistically possible.

Based on his examination and your goals, he will recommend a personalized treatment plan, which may include upper eyelid surgery, lower eyelid surgery, or both and potentially complementary procedures. Dr. Younger will explain the potential risks and expected benefits of the recommended procedures and you’ll receive information about the cost of your proposed treatment plan and available financing options.

Preparation

Proper preparation is vital to a successful eyelid surgery and smooth recovery. In the weeks leading up to your procedure, you should stop smoking and avoid all nicotine products, begin taking vitamin C supplements to promote healing (if approved by Dr. Younger), arrange time off work (typically 1-2 weeks) and organize help at home for the first few days after surgery. Two weeks before surgery, stop taking aspirin, ibuprofen and other blood-thinning medications or supplements (with Dr. Younger’s approval) and arrange for someone to drive you home after surgery and stay with you for the first 24 hours.

One week before surgery, fill any prescriptions Dr. Younger has provided, prepare your recovery area at home with essentials like ice packs, gauze and artificial tears, purchase button-up shirts to avoid pulling clothes over your head and confirm your ride to and from the surgery center. The night before surgery, thoroughly wash your face and hair, do not eat or drink anything after midnight and get a good night’s sleep. Do not wear makeup, lotions or contact lenses on the morning of surgery. Wear comfortable, loose-fitting clothing and arrive at the surgical center at the designated time.

The Eyelid Surgery

Eyelid surgery is typically performed as an outpatient procedure and you can return home on the same day. On the day of your surgery, you’ll check in at the surgical center and change into a gown. The surgical team will review your medical information and answer any last-minute questions. Dr. Younger will make pre-operative markings on your eyelids.

Dr. Younger will discuss the best option for you during your consultation. A typical procedure involves making incisions according to the pre-operative markings, carefully removing excess skin, removing or repositioning fat as needed, tightening muscles if necessary and closing incisions with fine sutures.

The entire procedure usually takes 1-3 hours, depending on the extent of the surgery. Immediately after surgery, you’ll wait out the anesthesia in a quiet recovery area. Your eyes may be lubricated and covered with gauze. Once fully alert and comfortable, you can go home with your designated caregiver.


Recovery and Aftercare

Recovery from eyelid surgery is generally straightforward, but it is essential to follow Dr. Younger’s instructions carefully for optimal healing. In the first 24 hours, rest only with your head elevated. Apply cold compresses to reduce swelling, use prescribed eye ointments or drops as directed and take pain medication if needed. For the first few days, continue using cold compresses. Expect mild discomfort, swelling and bruising. Avoid straining, bending and lifting and sleep with your head elevated.

At around days 4-11, stitches are usually removed (if non-dissolvable sutures were used), swelling and bruising begin to subside and you may be able to read or watch TV for short periods. Light activity can usually be resumed. By weeks 2-3, most swelling and bruising should be gone. You can likely return to work and daily activities and makeup can usually be worn to conceal any remaining bruising.

At 4-6 weeks post-surgery, incisions continue to fade, final results begin to emerge and you can usually resume more strenuous activities and exercise. Protecting your eyes from sun exposure during recovery is crucial, as is wearing dark sunglasses and a wide-brimmed hat when outdoors and using sunscreen on the eye area once the incisions have healed.


Results and Maintenance

Eyelid surgery can provide long-lasting rejuvenation, but it’s important to have realistic expectations and understand how to maintain your results. Initial results are visible once the swelling subsides (about 2-3 weeks), with final results typically settling in around 3-6 months post-surgery.

Results can last 5-7 years or more, depending on age, skin quality and lifestyle. Protect your eyes from sun damage with sunglasses and sunscreen and maintain a consistent skincare routine including gentle eye creams to maintain your results. Always strive to remain well hydrated and eat a balanced diet rich in antioxidants.
Remember, while eyelid surgery can dramatically rejuvenate your appearance, it doesn’t stop the aging process. Taking good care of your skin and overall health will help you enjoy your refreshed look for years to come.


What Does it Cost?

The cost of blepharoplasty can vary significantly depending on a number of factors, including the type of procedure, the location of the surgery, and a surgeon’s experience and qualifications.

Our Fair and Transparent Pricing

Upper Blephs – CAD$6,500
Lower Blephs – CAD$6,500
Both combined- CAD$12,000

Factors that Affect the Cost of Blepharoplasty

The cost of blepharoplasty can vary greatly depending on the type of procedure, the location of the procedure and the surgeon’s experience and qualifications.

Type of Procedure

When it comes to blepharoplasty, there are different options available depending on your needs. The two most common types of blepharoplasty are upper blepharoplasty and lower blepharoplasty, and some people choose to have both done together.

Upper blepharoplasty involves removing excess skin and fat from the upper eyelid. This can help to improve the appearance of sagging or drooping eyelids, which can make you look older or more tired than you actually are.

Lower blepharoplasty focuses on the area beneath the eyes. The procedure involves removing excess skin and fat from the lower eyelid to help reduce puffiness or under-eye bags. This can help to give you a more youthful and refreshed appearance.

If you’re experiencing both sagging or drooping eyelids and under-eye bags, you may benefit from having both upper and lower blepharoplasty done at the same time. This can help to address both areas and give you a more comprehensive rejuvenation.

Experience and Qualifications

Dr. Younger has many years of experience and advanced training to ensure the best results for your blepharoplasty surgery, which is also factored into your overall pricing. It’s important to weigh these factors carefully as you make your decision and to choose a surgeon who has the expertise to help you achieve the best possible results.

Financing

If you’re interested in booking a blepharoplasty following your initial consultation, our office staff will discuss your final expected fees and financing options with you. Please expect that you’re responsible for all financing decisions.

A downpayment of 60% is required when booking surgery with Dr. Younger. The final 40% is required to complete a Paid In Full status a minimum of four weeks before your surgery date. If your surgery is booked within four weeks of the procedure date, your full payment is expected upon booking.

*Disclaimer: Please note that we trust all clients to make an informed decision about their choice of financing themselves and that we can only inform what options are available on the market, but give no recommendations or considerations to any one company over another. We work independently from all financial companies, and no commission is involved for any of our staff. Recently, many of our clients have set up their financing with the local company Beautifi which is one option.


FREQUENTLY ASKED QUESTIONS

Who is a Good Candidate for Eyelid Surgery?

If you have drooping eyelids, under-eye puffiness or other problems that negatively impact your appearance, this procedure may be right for you. Blepharoplasty can be tailored to address a number of concerns, so Dr. Younger will develop a surgical plan based on your specific needs or goals. Some common reasons people consider eyelid surgery include:

  • Drooping eyelids
  • Under-eye bags or puffiness
  • Vision problems caused by sagging eyelids
  • Dark circles beneath the eyes
  • Prominent tear troughs
  • Epicanthal folds
  • No crease in the upper eyelid (monolids)
  • Difficulty applying makeup

Most people who undergo eyelid surgery are over 35, but this procedure can be done at almost any age as long as you’re healthy enough for surgery. Blepharoplasty can also be performed on the upper eyelids, lower eyelids or both, depending on your areas of concern. Combining upper and lower eyelid surgery will provide the most comprehensive results with the benefit of a single recovery period, but Dr. Younger will recommend the best approach during your consultation.

Can Blepharoplasty Be Combined With Other Procedures?

Upper and lower eyelid surgery may be combined with other procedures for a dramatic transformation. If you have loose skin, wrinkles or sagging in the face, neck or eyebrows, you can combine blepharoplasty with a facelift, neck lift or brow lift for seamless results that rejuvenate your whole face. Eyelid surgery can also be combined with nonsurgical procedures like dermal fillers to plump up the cheeks or tear troughs. For many people, lost volume in this area casts a shadow that leaves dark circles or hollows beneath the eyes, but dermal fillers can increase under-eye fullness to give you a healthier, more refreshed look.

Am I Too Young / Old for Eyelid Surgery?

Like most cosmetic procedures, there’s not necessarily a “right” age to go under the knife. Many patients consider plastic surgery once the signs of aging become apparent, but others are born with certain flaws or features they’d like to address earlier in life.

Most people who undergo eyelid surgery are over 35 because that’s when the effects of loose skin and volume loss become more noticeable, causing the eyelids to droop or sag. The muscles in the upper eyelid also begin to stretch and weaken over time, further contributing to an aged appearance. In the lower eyelids, hollow cheeks, fat pockets and wrinkles can cause bags or shadows to develop, making the eyes look puffy or tired. These concerns become more prominent with age, but blepharoplasty can rejuvenate the delicate tissues around the eyes to give you a more alert, youthful and rested appearance.

In other cases, drooping eyelids or under-eye bags might be the result of illness, genetics or trauma. Since these issues can occur at any age, blepharoplasty can be performed on younger patients, but most doctors recommend this procedure for those who are 18 or older to ensure a good result. No matter what your age is, Dr. Younger can help determine if eyelid surgery is right for you during an initial consultation. He’ll discuss the risks and benefits of surgery to make sure you’re well-informed if you decide to move forward with treatment.

How Soon Can I Drive After Eyelid Surgery?

You won’t be able to safely drive immediately after an upper or lower blepharoplasty due to common side effects like blurred or double vision, swelling and light sensitivity. These issues can interfere with your eyesight, so you should refrain from driving or operating heavy machinery until cleared by your doctor. While your vision will likely return to normal within 48 hours, you may also be prescribed a lubricating ointment or pain medications that can further impair your ability to see or drive. Most patients are allowed to drive again after five to 10 days, but this may vary from person to person. Dr. Younger will advise you when it’s safe to resume driving at your initial follow-up appointment.

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As Vancouver’s leading facial plastic surgery expert, Dr. Younger has been expertly helping thousands of happy patients look their best. Book a consultation to see what he can do for you.

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